A home health client having difficulty keeping his medication ...

[09madisonrousseau09]

A home health client having difficulty keeping his medication schedule organized says There are so many pills and the names are all confusing to me. I don't even understand what they're for. What should the nurse do?
 
  1. Help the client remember color and size in relationship to dosing time.
  2. Write out the generic and trade name of all the pills for the client.
  3. Fill a pill bar and tell the client not to worry, and just take the pills according to that system.
  4. Have the physician talk to the client about his medications.

Question 2

At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication. This is a skill that the students have not yet been exposed to yet.
 
  What should the instructor respond to the staff nurse that supports timing and learning environment?
  1. It will take me a moment to explain the procedure to the students because we've not practiced this, but I'll find somebody to administer it.
  2. Would it be OK if the students observed today? Then, we'll do it next time we're here.
  3. We're leaving now, but thanks for asking.
  4. I'll check with the students and see if one of them would like to volunteer.

[flannelavenger]

Answer to Question 1

Correct Answer: 1
Rationale 1: Learning is facilitated by material that is logically organized and proceeds from the simple to the complex. This helps the learner comprehend new information, apply it to previous learning, and form new understandings. Naming the pills by color and size and dosing time helps the client move from that level to learning what each medication is for and why he is taking itsimple to complex.
Rationale 2: Learning generic and trade names is memorization and may not make sense for this client.
Rationale 3: Filling a pill box or bar is not helping the client learn about his meds; it merely puts them into an order without information.
Rationale 4: Nurses must rely on their own creativity and resourcefulness, not depend on physician input.

Answer to Question 2

Correct Answer: 2
Rationale 1: After a busy day in the clinical area, students may not be ready for the learning experience, even though it would be a good opportunity for them. Taking time to explain the procedure first might put the learning moment in the wrong time and environment, and the students may not retain the information as best they could.
Rationale 2: Allowing them to observe the staff nurse, then coming back when they are more refreshed would allow a better learning experience for the students.
Rationale 3: Simply declining the opportunity doesn't make for good rapport with the staff nurse.
Rationale 4: Allowing a student to simply volunteer puts the instructor's license at risk, especially if it is a skill the student has not learned or practiced.

[09madisonrousseau09]

TYSM

[lcapri7]

Excellent