A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
A) Inspect the oral cavity to ensure that the drug is swallowed.
B) Monitor body temperature for changes.
C) Monitor blood pressure for unusual changes.
D) Inspect pulse rate for unusual changes.
Ans: A
Feedback:
The immediate nursing intervention is to inspect the oral cavity to ensure that the client swallowed the drug. Assessment for changes in body temperature, blood pressure, and pulse rate should be completed once the nurse ensures that the client has swallowed the drug.
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