The nurse's first response when told by a client during an ...

[Davideckstein7]

The nurse's first response when told by a client during an assessment interview that he can't take furosemide (Lasix) is to ask:
 
  a. Is your health care provider aware that you are allergic to Lasix?
  b. Can you describe what happened when you took Lasix?
  c. When was the last time you took Lasix?
  d. Have you any questions regarding your reaction to Lasix?

Question 2

An 81-year-old patient is being discharged from the hospital to home. She is on seven different medications, which are to be taken at four different times during the day. What would be most useful in helping this patient manage her medications?
 
  a. The package inserts from all of the medi-cations for the client to read
  b. A pillbox with compartments for each day and each of the doses
  c. A written list of all the client's medica-tions and administration routine
  d. A suggestion that the client's daughter administer the medications

[joanwhite]

Answer to Question 1

ANS: B
It is important to document the type of allergic reaction, when the patient had it, how long it lasted, and how it was treated. Determining whether the health care provider is aware of the al-lergic reaction or when the medication was last taken does not have precedence over assessing the client's reaction to the medication since neither has a direct bearing on the management of a similar reaction. Evaluating the client's understanding of the reaction is appropriate but not as an initial response.

Answer to Question 2

ANS: B
Providing a pillbox is an effective method to reinforce exactly which medications are to be given at what times. It also serves as an effective method to remind patients when they have missed a dose. Package inserts are often written in language that is not easy for patients to understand. Another consideration is that the size of the print in package inserts may be too small for aging eyes. Although providing a written list of the medications is appropriate, it does not make as much of an impact on the overall management of this patient's medications as other options. There is no indication that this patient cannot self-administer the medications.

[Davideckstein7]

Correct answers!

[joanwhite]

Great! Please up vote