A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?

Select all that apply.

A. Contact the provider: "NOW" is not a standard dosing instruction. It's unclear whether the medication is intended for immediate administration or not. A healthcare professional needs to clarify the intended use with the prescriber before administering the medication.

B. Inform the client there is a prescription available if needed: This doesn't address the immediate need for clarification regarding the "NOW" instruction.

C. Administer the medication within 90 min.: There's no standard timeframe associated with "NOW." Administering without clarification could be unsafe.

D. Notify the pharmacy to send the medication immediately: This focuses on obtaining the medication but doesn't address the unclear dosing instructions.

A. Monitor the client for dysrhythmias- The significant decrease in potassium levels (hypokalemia) can predispose the client to cardiac dysrhythmias, so monitoring for any signs or symptoms of dysrhythmias is essential.
B. Advise the client to restrict potassium intake- With potassium levels already low (hypokalemia), restricting potassium intake further could exacerbate the deficiency. Instead, the client may need to increase their potassium intake through dietary changes or supplementation under healthcare provider guidance.
C. Advise the client to take the medication before bedtime- There's no medication mentioned in the scenario that requires a specific timing like before bedtime.
D. Check the client for orthostatic hypotension- The client reports dizziness and light- headedness upon standing, which are indicative of orthostatic hypotension. Checking for orthostatic hypotension involves measuring blood pressure and heart rate in different positions (lying, sitting, and standing) to assess for postural changes.
E. Advise the client to change positions slowly- Given the client's symptoms of dizziness and light-headedness upon standing, advising them to change positions slowly can help prevent falls or injuries associated with orthostatic hypotension.