A physician prescribes oral aripiprazole 10 mg daily for a client with schizophrenia. This medication is unfamiliar to the nurse, and she cannot find it in the hospital formulary or other references. How should she proceed?
1) Administer the medication as ordered.
2) Hold the medication and notify the physician.
3) Consult with a pharmacist before administering it.
4) Ask the patient's RN for information about the medication.
Question 2
An 80-year-old resident in a long-term-care facility comes to the emergency department with dehydration. The nurse writes a diagnosis of Deficient Fluid Volume related to excessive fluid loss.
An individualized nursing goal identified for this client is The client will maintain urine output of at least 30 mL/hour. Which nursing interventions would directly help achieve or evaluate the stated goal? Choose all that are correct.
1) Measure and record urine output every hour; report an output of less than 30 mL/hour.
2) Monitor skin turgor and moistness of mucous membranes every shift.
3) Administer intravenous (IV) fluids as prescribed.
4) Keep oral fluids within the patient's reach and encourage the patient to drink.
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