Author Question: The nurse is teaching medication administration to a client being discharged. Which instruction ... (Read 59 times)

Frost2351 · **on:** Jul 23, 2018

The nurse is teaching medication administration to a client being discharged. Which instruction should the nurse rewrite for this client?

1. Lasix, 20 mg, po bid
2. Lasix, 20 mg tablet, twice daily
3. Lasix, 20 mg by mouth, two times a day a day
4. Lasix, 20 mg by mouth 8 AM and 2 PM

Question 2

A client did not meet the goal of walking unassisted, without assistive devices, by discharge from rehabilitation. The case manager using a critical pathway should identify this outcome as being which of the following?

1. An unattainable goal
2. A variance
3. An error in care planning
4. An error in intervention implementation

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

Answer to Question 1

Correct Answer: 1
Rationale: If the discharge plan is given directly to the client and family, it is imperative that instructions be written in terms that can be readily understood. For example, medications, treatments, and activities should be written in layperson's terms, and use of medical abbreviations should be avoided. Twice a day should be written out, not abbreviated as bid.

Answer to Question 2

Correct Answer: 2
Rationale: Critical pathways are a multidisciplinary approach to planning and documenting client care. Flow sheets, as well as some types of charting by exception, are utilized in critical pathways. When a goal is not reached, it is not referred to as an unattainable goal because a change in the client's care plan may result in success.