A nurse is caring for a client with cognitive impairment.
Which of the following actions should the nurse take to enhance understanding?

Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.

Choice A rationale
A client who has dysphagia should be seen first because dysphagia can lead to serious complications such as aspiration, choking, and pneumonia. Immediate assessment and intervention are necessary to ensure the client’s airway is protected and to prevent potential respiratory distress.
Choice B rationale
A client who asks about community resources is important, but this is not an urgent need. This client can be seen after addressing more immediate clinical concerns.

Choice C rationale
A client who will require oxygen at home needs proper planning and education, but this can be addressed after ensuring the immediate safety of clients with urgent needs.
Choice D rationale
A client who wants a priest to visit while they are in the hospital is a valid request, but it is not an urgent clinical need. This can be arranged after addressing clients with more immediate health concerns.