The nurse is preparing a 70-year-old visually impaired male ...

[audie]

The nurse is preparing a 70-year-old visually impaired male client for home discharge. Which of the following nursing actions will have the greatest impact on the client's safety related to medi-cation administration?
 
  1. Evaluate the client's ability to read the frequency and dosage information on his medication bottles.
  2. Watch the client demonstrate the appropriate method for splitting his morning medication in half.
  3. Observe the client open and pour out the appropriate number of pills required for his morning medications.
  4. Have the client restate the administration schedule and prescribed dosage of each of his home medications.

Question 2

It has been determined that a vision problem has contributed to a client's ability to provide self-care regarding bathing, dressing, and toileting. The initial nursing responsibility regarding these deficits is to:
 
  1. Educate the client's family regarding the existing limitations so as to secure their support in meeting needs regarding activities of daily living (ADLs)
  2. Arrange for in-home services to facilitate the client's ability to remain as inde-pendent as possible regarding ADLs
  3. Provide the in-home care provider with sufficient information regarding the cli-ent's sensory deficits regarding ADLs
  4. Provide sufficient client education regarding the in-home services available to help with ADL needs once discharge has occurred

[Ksh22]

Answer to Question 1

ANS: 1
Ask the client to read a label to determine if the client is able to read the dosage and frequency. Although the other options are appropriate interventions, the primary concern is the ability to read the instructions in light of the visual impairment.

Answer to Question 2

ANS: 2
If a sensory alteration impairs a client's functional ability, providing resources within the home is a necessary part of discharge planning. Although the other options are not inappropriate, they are not the initial priority.

[audie]

TYSM

Gracias!