A nurse is caring for a client admitted to the health care facility. The client is receiving a cholinergic blocking drug as treatment for bladder overactivity
Which intervention would be most appropriate for the nurse to include as part of the client's ongoing assessment?
A) Assessment of the client's medical history
B) Evaluation of symptoms related to the client's diagnosis
C) Monitoring of the client's vital signs every 24 hours
D) Observation for behavioral changes in the client
Ans: B
Feedback:
The nurse should evaluate the symptoms and complaints related to the client's diagnosis during the ongoing assessment of the treatment. The nurse should assess the medical history of the client before administration of the drug as part of the preadministration assessment. The vital signs of the client should be monitored regularly instead of every 24 hours. The nurse need not observe for behavioral changes in the client based on the client's diagnosis and condition.
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