The nurse prepares an opioid analgesic for the client who has dementia and pain
After checking the client's MAR for the last administration time and the client's response to pain medication, the nurse chooses the correct analgesic and compares the client's picture and wristband to the medical record. Which is the most important intervention for the nurse to implement before ad-ministering pain medication to the client? 1. Fill the pitcher with water.
2. Record administration time.
3. Check the medication dose.
4. Help the client to sit upright.
3
3. The most important intervention for the nurse is to check the MAR and verify the correct dose before administration to prevent adverse effects and toxicity. This is important from a safety standpoint and important for the nurse's time management because, if the nurse performs the remaining options before checking the dose and for some reason does not administer the medication, the nurse wastes time performing unwanted interventions.
1. Filling the pitcher is premature because the nurse does not know whether the me-dication is administered orally, and it is a task the nurse can delegate to the UAP.
2. The nurse documents medication administration after the medication is adminis-tered; documenting medication before it is actually administered is falsification of documents.
4. Positioning the client is premature because the nurse does not know the route of administration.
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