When teaching a patient how to do modified autogenic relaxation, ...

[Anajune7]

When teaching a patient how to do modified autogenic relaxation, the nurse says to the patient, Say to yourself, My abdomen' while you are breathing in. What does the nurse tell the patient to say to him- or herself when breathing out?
 
  a. Is cool.
  b. Is free and easy.
  c. Is quiet and still.
  d. Is loose and warm.

Question 2

An order is written for meperidine (Demerol), 500 mg IM q34h prn for pain. The nurse recognizes that this is significantly more than the usual therapeutic dose. Which of the following actions should the nurse take?
 
  a. Give 50 mg IM as it was probably intended to be written.
  b. Refuse to give the medication and notify the nurse manager.
  c. Administer the medication and watch the client carefully.
  d. Call the prescriber to clarify the order.

[Gabe]

Answer to Question 1

D

Feedback
A In modified autogenic relaxation, the phrase My forehead is paired with is cool.
B In modified autogenic relaxation, the phrase My breathing is paired with is free and easy.
C In modified autogenic relaxation, the phrase My mind is paired with is quiet and still.
D With modified autogenic relaxation, one thinks My abdomen when breathing in and is loose and warm when breathing out.

Answer to Question 2

D
The nurse should question the order if the written order is illegible, or if the dose seems unusually low or high. The nurse should call the prescriber to clarify the order.
The nurse cannot independently change a physician's orders. The nurse would have to call the prescriber and receive the order for the change.
The nurse should first call the prescriber and clarify the order. If the prescriber does not change the order, the nurse may then refuse to give the medication and notify the nurse manager.
The nurse could be held accountable for administering an ordered medication that is knowingly inappropriate for the client.

[Anajune7]

TYSM

[Kedrick2014]

Excellent