The nurse is preparing to enter a medication order for a client into the computer system. The physician has ordered that the client be sent home on digoxin .0125 mg qd. When providing the client with discharge instructions, the nurse plans to:
1. Write the medication order exactly as written by the physician.
2. Mention that the nurse will be contacting the physician because the order is inappropriate.
3. Write that the client is to take the medication daily.
4. Give instructions orally only.
3. Write that the client is to take the medication daily.
Rationale:
The nurse would enter the order as 0.0125 mg daily and would include the words "daily," or "once a day" on printed material given to the client. The nurse would change the doctor's order when giving instruction to the client to the correct format, placing a zero before a decimal and changing "qd," which can be interpreted incorrectly and should not be used. Saying that the nurse will be contacting the doctor because the order is inappropriate is not necessary; the nurse can interpret the order and write it for the client in an appropriate manner. Oral instructions are appropriate, but written instructions help the client to review instructions if forgotten.
You might also like to view...
Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed with obsessive-compulsive personality disorder do not. 2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and compulsions, and clients diagnosed with OCD do not. 3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and clients diagnosed with OCD experience only compulsions. 4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-compulsive personality disorder experience only compulsions.
A nurse interviews a patient who is having difficulty with self-expression and staying focused. Select the nurse's most helpful comment
a. "Go on." b. "What would you like to discuss?" c. "Tell me what is happening right now." d. "It seems you are having trouble staying focused."
A client who has been dealing with numerous physical, interpersonal, and financial stressors appears to be experiencing the final stage of Selye's general adaptation syndrome (GAS)
Individuals in the final stage of the GAS are likely to experience what? A) Resumption of normal life roles B) Resolution of normal hormone levels C) Increased susceptibility to illness D) Increased stamina
A patient, age 52, is admitted with thrombocytopenia. The most important nursing intervention to prevent hemorrhage in this patient is to
a. prevent trauma and falling. b. avoid catheterization. c. monitor vitals every hour. d. begin immunocompromised (neutropenic) precautions.