The client's female caregiver tells the nurse that she fears causing client injury and thus cannot administer the ear drops. Which should the nurse implement first?
1. Observe caregiver administration of ear drops.
2. Provide demonstration of ear drops instillation.
3. State that ear drop instillations do not injure ears.
4. Agree that instillation of ear drops is challenging.
1
1 and 2. The nurse observes the caregiver during ear drop instillation to assess the caregiver's problem. After collecting additional information, the nurse can provide a demonstration or additional instruction, depending on the caregiver assessment.
3. The risk for client injury is low for ear drops, but it exists nonetheless.
4. Instilling ear drops is a simple skill; however, when the caregiver expresses concern about medication administration, the duty the nurse owes to the client is to provide encouragement and teaching to prevent client injury.
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