A nurse is caring for a hospitalized pre-operative client experiencing insomnia in the hospital at 3:00 am (0300).
Which nursing intervention is the most appropriate for this client?

This is because the resident is independent and sociable, and has the right to choose her own grooming preferences.

Serving her breakfast in her room will respect her autonomy and dignity, and prevent her from missing a meal.

Choice A is wrong because omitting her breakfast will deprive her of nutrition and hydration, and may cause health problems.

It will also violate her rights as a resident.

Choice C is wrong because getting her up early enough to be ready for breakfast will disrupt her sleep cycle and may cause fatigue or stress.

It will also impose the nurse’s values on the resident, and disregard her preferences.

Choice D is wrong because having her go to breakfast regardless of the state of her grooming will embarrass her and lower her self-esteem.

It will also disrespect her culture and values, and may affect her social interactions.

Collaborate with the prescriber about the order. This is because the nurse has a responsibility to ensure the safety and effectiveness of the medication administration and to question any orders that seem inappropriate or unclear. The nurse should not administer the medication as ordered without verifying it first, as this could cause harm to the client or result in a medication error. The nurse should not check to see if previous shift nurses gave the medication, as this does not address the issue of the current order and could lead to missed or duplicated doses. The nurse should not administer only the standard dose of the medication, as this could be against the prescriber’s intention and could compromise the client’s treatment or outcome.

Choice A is wrong because it does not follow the principle of safe medication administration and could put the client at risk of adverse effects or overdose.

Choice B is wrong because it does not respect the prescriber’s authority and could result in underdosing or ineffective therapy for the client.

Choice C is wrong because it does not solve the problem of the current order and could cause confusion or inconsistency in the medication administration.

Choice D is correct because it demonstrates critical thinking and professional accountability, and ensures that the order is appropriate and accurate for the client’s condition and needs.

The normal ranges for medication dosages depend on various factors, such as the type of medication, the route of administration, the client’s age, weight, renal function, liver function, and other comorbidities.

The nurse should always consult reliable sources of information, such as drug guides, pharmacists, or prescribers, to determine the safe and effective dosages for each client