A client who is legally blind requires vitamin B12 injections every 2 weeks and insists on self-administration. The best way to assist this client is for the nurse to:
1. Teach the spouse to draw up the medication, then the client can give the injection.
2. Make sure that the injection is scheduled during a visit, so the nurse can supervise.
3. Prefill syringes with the correct dose, so the client can use them for self-administration.
4. Schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic.
Correct Answer: 3
Rationale 1: Teaching a spouse is demeaning and does not support the client's wishes for independence.
Rationale 2: Scheduling injections and visits to coincide is demeaning and does not support the client's wishes for independence.
Rationale 3: Clients who have visual impairment may need assistance of a support person or creative care in order to remain compliant with their treatment. Since the client insists on self-administration, prefilling syringes (and keeping them away from light and heat) would be a plausible solution. The client is concerned with independence, and allowing the client to maintain that would be quite important.
Rationale 4: Scheduling injections and visits to coincide when the dose is due, is demeaning and does not support the client's wishes for independence.
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