The nurse prepares medication for a client who is having difficulty swallowing tablets. Which is the best nursing intervention to promote client self-esteem?
1. Insert a nasogastric tube for instillation of medication.
2. Crush medication and give in a small amount of food.
3. Ask the provider about a liquid form of the medication.
4. Provide information, explanations, and viable solutions.
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4. The nurse explains the problem and possible solutions to the client to maintain client self-esteem because receiving crushed medication in pureed food potentially humiliates the client. The nurse uses the opportunity to engage the client in the plan of care, to ask about food preferences, and to shift some control to the client.
1. Inserting a nasogastric tube (NGT) is an extreme measure most likely to decrease self-esteem because the insertion is usually unpleasant for the client; the nurse wants to avoid inserting an NGT until less invasive alternatives are exhausted.
2. The best solution for the dysphagia can be crushing the tablet because it is simple and requires nursing judgment but this does not engage the client in planning and of-fer choices to the client.
3. The nurse collaborates with the provider about liquid medication after exhausting possible nursing interventions.
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