An older patient admitted with chest pain is prescribed Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What intervention would the nurse use for this patient?
1. Administer the drug as ordered.
2. Monitor the patient's renal function.
3. Ask the physician to change the dosage to 30 mg.
4. Give the drug and contact the doctor for a second dose if the patient does not fall asleep.
1
Rationale: The rule of thumb for drug prescriptions in older persons is to "start low, go slow." Drugs, such as sedatives, are given at one half the recommended adult dosage.
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