The home health nurse is preparing to educate a client on his or ...

[cdr_15]

The home health nurse is preparing to educate a client on his or her newly prescribed medications. Which of the following nursing statements are appropriate to be included in this discussion? (Se-lect all that apply.)
 
  1. This medication is designed to lower your blood pressure.
  2. Do you have medical insurance that covers the cost of medication?
  3. The medication can make you dizzy especially if you stand up quickly.
  4. What do you think will be the most difficult thing about taking this medica-tion?
  5. You will need to take this medication once a day; with breakfast seems to work best for most people.
  6. It is important that you don't miss taking the medication, If you do, take it when you remember but never take two at a time.

Question 2

The nurse has an order for 325 mg acetaminophen p.r. q4h prn for pain for a 7-year-old client who has had surgery. In preparing the client for insertion of the suppository, the client states that she feels the need to have a bowel movement.
 
  The nurse's best response is to:
  1. Insert the suppository, knowing that it will dissolve quickly
  2. Allow the client to defecate first to clear the rectum of stool
  3. Explain to the client that it is normal to feel the urge to defecate when a supposi-tory is inserted into the rectum, but the urge will pass
  4. Hold the medication and contact the physician for a p.o. order

[paavo]

Answer to Question 1

ANS: 1, 3, 4, 5, 6
Teaching clients about their medications and their side effects, ensuring adherence with the medication regimen, and evaluating the client's ability to self-administer medications are nursing responsibilities. The remaining option does not relate to the actually medication regimen.

Answer to Question 2

ANS: 2
By allowing the client to defecate before the suppository being inserted, the nurse knows that absorption will be facilitated. Placing the suppository into a mass of fecal material will not allow it to be absorbed by the rectal mucosa. The suppository may be expelled before it has a chance to be absorbed if the client has the urge to defecate before the suppository is inserted. There is no indication that the client cannot tolerate the suppository.