Author Question: The nurse has instructed a client on the self-administration of oral iron tablets. Which client ... (Read 55 times)

arivle123 · **on:** Jul 23, 2018

The nurse has instructed a client on the self-administration of oral iron tablets. Which client statement indicates the need for further clarification?

1. I should take this medication with meals, along with a big glass of milk.
2. If I get constipated while I am taking this drug, I need to talk to my provider.
3. I will have blood drawn after 3 or 4 weeks to see if this drug is improving my red blood cell count.
4. The medicine will help my body build red blood cells.

Question 2

The nurse is planning care for a client who will be administering injections of cyanocobalamin once a month. Which goal is most appropriate?

1. The client will safely self-administer cyanocobalamin as ordered every 4 weeks.
2. The client will be taught about the possible side effects of cyanocobalamin by the home health nurse.
3. The client will understand the purpose of cyanocobalamin before the first dose.
4. The client will be given cyanocobalamin monthly until the blood count improves.

joshraies · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: The client should take the drug on an empty stomach.
Rationale 2: The client does need to discuss constipation with a health care professional.
Rationale 3: The client will need to have a blood draw in 34 weeks. Typically, there is a good response if the client takes the drug consistently.
Rationale 4: Iron does assist the body to build red blood cells.
Global Rationale: The client should take the drug on an empty stomach. The client does need to discuss constipation with a health care professional. The client will need to have a blood draw in 34 weeks. Typically, there is a good response if the client takes the drug consistently. Iron does assist the body to build red blood cells.

Answer to Question 2

Correct Answer: 1
Rationale 1: A client goal should be specific, measurable, attainable, realistic, and timed. The client will be self-administering the drug, and the time frame might gradually change to less frequent administration as the blood count improves.
Rationale 2: The goal should be client-directed, not nurse directed. This statement is a nursing intervention.
Rationale 3: Understanding is an internal event that cannot be measured unless the client can state understanding or convey it in some other way.
Rationale 4: The goal should be client-directed, not nurse directed. This statement is a nursing intervention.
Global Rationale: A client goal should be specific, measurable, attainable, realistic, and timed. The client will be self-administering the drug, and the time frame might gradually change to less frequent administration as the blood count improves. Understanding is an internal event that cannot be measured unless the client can state understanding or convey it in some other way. The other goals should be client-directed, not nurse directed. These statements are nursing interventions.