The female client is awake, alert, and oriented for administration of oral medication. Which does the nurse implement to administer prescribed medication?
1. Evaluate the client's ability to take the medications unassisted.
2. Leave medications on the breakfast tray for client to take later.
3. Ask the client if she wants to hold the medications in her hand.
4. Hold the medicine cup to client's lips and tip it into the mouth.
3
3. Clients can hold the medication in the cup or hand before placing it in the mouth to gain familiarity with the medications; also, clients hold the medication to spread out the number of pills administered at one time when receiving multiple or oversized tablets and capsules.
1. The nurse already knows the client is alert and awake; if the provider allows the client to self-medicate in the hospital, the nurse supervises the activity and ensures client self-administration of the medications on time.
2. The nurse never leaves medication on the breakfast tray for many reasons. If die-tary personnel remove the tray before the client takes the medication, the client po-tentially does not receive the medication, increasing the risk of client injury and dete-rioration of disorders for which the medication was intended to treat. This can result in serious consequences such as hypoglycemia and pulmonary edema. Further, the nurse owes a duty to the client to witness medication administration because the nurse can attest to administering the medication and relate that to the client's condi-tion and to the therapeutic regimen. Finally, the nurse also needs to maintain control of the medications to prevent waste, injury, and illegal possession. As for documen-tation, the nurse falsifies documents if the medications are documented as given when the nurse really cannot attest to the client taking the medication.
4. Holding the cup for the client is unnecessary and potentially insulting to the client.
You might also like to view...
A woman is being administered IV magnesium sulfate for treatment of toxemia. What is the most important outcome related to the administration of magnesium sulfate?
A) Decreased contractions B) Respiratory rate below 16 C) Absence of seizure activity D) Diminished reflexes
A patient is being assessed for a possible bowel obstruction
The nurse provides information regarding which diagnostic tests to confirm the presence of an obstruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Barium swallow 2. A CT scan of the abdomen 3. An abdominal X-ray series 4. Serum osmolality 5. CBC with differential
Which is the appropriate way to hold the ear when inspecting the tympanic membrane of a 2-year-old client?
A. Pull the pinna up and back. B. Pull the pinna up and forward. C. Pull the pinna down and back. D. Pull the pinna down and forward.
A parent questions the nurse about her 5-year-old who has begun to masturbate and question the parents about sexual differences among the child's peer mates. The nurse, familiar with Freud's stages of development, responds by saying:
1. "All children are curious, but make sure the child knows that this behavior might be offensive to others." 2. "You should probably consult a child psychologist if you're this concerned." 3. "Let's make sure to ask your physician at the next appointment." 4. "This behavior is a normal part of your child's development."