Author Question: When educating an elderly client about the administration of medication during discharge teaching, ... (Read 24 times)

ec501234 · **on:** Jul 22, 2018

When educating an elderly client about the administration of medication during discharge teaching, the nurse notes that the client is having difficulty comprehending the instruction.

What intervention should the nurse follow in this case to ensure the client's safety? A) Ask a second nurse to repeat the instruction.
B) Ask the client's physician to provide instruction.
C) Involve a second responsible person in the instruction.
D) Write discharge instructions on the medication containers.

Question 2

A nurse is caring for an arthritic client who needs administration of an enema. Which of the following positions should the nurse ask the client to maintain to administer the enema solution?

A) Dorsal recumbent position
B) Lithotomy position
C) Sims' position
D) Kneechest position

trampas · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
If an elderly client is having difficulty comprehending the discharge instruction, the nurse should involve a second responsible person in the instruction in order to ensure client safety. A referral for skilled nurse visits is appropriate for homebound older adults who need additional instructions about medication routines after discharge. However, the nurse would not ask a second nurse to simply repeat the instructions or delegate the teaching to somebody else. The nurse will also not write all the discharge instructions on the various medication containers, but instead will write all the instructions in detail on the discharge sheet for the client's convenience.

Answer to Question 2

C
Feedback:
The nurse should assist the client into the Sims' position to instill enema solution. This position provides access to the anus and rectum when the client requires rectal administration of medication or instillation of enema solution.