Author Question: The nurse is preparing to administer pentamidine isethionate (Pentam 300) to an assigned client by ... (Read 23 times)

c0205847 · **on:** Jul 22, 2018

The nurse is preparing to administer pentamidine isethionate (Pentam 300) to an assigned client by the intravenous route. The nurse plans to monitor which of the following most closely after administering this medication?

1. Capillary refill
2. Peripheral pulses
3. Blood pressure (BP)
4. Level of consciousness

Question 2

The unit manager is reviewing documentation describing a client's progress in terms of a critical path (Care Map) for postoperative colon resection recovery.

The manager notes that, although the documentation is complete, the client has made minimal progress in the areas of mobility and pain control for the prior 48 hours. The manager's first activity after making the observation of deviation from the path is to contact the client's: 1. Family to determine what is wrong
2. Assigned nurse to increase client care interventions
3. Physician to determine measures to discharge the client
4. Case manager to determine whether the predicted variance has been negotiated with the health insurer

meow1234 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Life-threatening and fatal hypotension can occur following the administration of this medication. The client must be in a supine position with frequent BP checks following administration. Capillary refill, peripheral pulses, and level of consciousness are not associated with the administration of this medication.

Answer to Question 2

4

Rationale: Case manager to determine whether the predicted variance has been negotiated with the health insurer is correct because the unit manager is accountable for cost recovery. In this situation, documentation is complete; however, each client's progress along the critical path can vary. Assigned nurse to increase client care interventions is incorrect because there is no indi-cation that the care is ineffective. There is no need to contact the physician (physician to deter-mine measures to discharge the client) or the family (family to determine what is wrong) be-cause the subject is cost recovery. The manager works to be certain that the costs incurred will be negotiated with the insurer at the time that the variance is detected and that the hospital is paid for the costs of providing care longer than the time period defined by the critical path.