Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.
What is the best course of action for the nurse?
Continue to reinforce the instructions to boost the patient’s self-confidence.
Determine if a family member is available and willing to administer the medication.
Obtain a prescription for a visiting nurse to administer the medication twice a day.
Document the patient’s inability to administer the medication without assistance.
The Correct Answer is B
Answer and explanation
The correct answer is Choice B.
Choice A rationale
While reinforcing instructions can boost a patient’s self-confidence, it may not be effective for an elderly patient with Parkinson’s disease who is unable to administer ophthalmic medication due to hand tremors. The physical limitation caused by the tremors may not be overcome by further instruction.
Choice B rationale
If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.
Choice C rationale
While obtaining a prescription for a visiting nurse to administer the medication twice a day could ensure the patient receives their medication, it may not be the most practical or cost- effective solution. It also depends on the availability of such services in the patient’s area.
Choice D rationale
Documenting the patient’s inability to administer the medication without assistance is important for record-keeping and communicating with other healthcare providers. However, it does not address the immediate issue of ensuring the patient receives their necessary medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the dissemination of all educational pamphlets among the served counties indicates successful distribution of information, it does not necessarily reflect a change in health outcomes or behaviors.
Choice B rationale
Although a high rating from workshop attendees indicates that the program was well-received, it does not provide measurable health outcomes.
Choice C rationale
A decrease in cardiac-related fatalities by 109% six months after the program’s presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Choice D rationale
While a commitment to adopting a healthier lifestyle from 65% of the program’s participants is a positive outcome, it is based on self-report and does not provide direct evidence of a decrease in strokes or acute coronary syndrome.
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While applying antibiotic ointment to the sores might help prevent infection, it does not address the underlying issue causing the sores and poor healing.
Choice B rationale
Although a diet rich in nutrients can promote wound healing, it is not the most immediate need for this client. The client’s symptoms suggest a serious underlying condition that requires medical evaluation.
Choice C rationale
The client’s symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
Choice D rationale
Sending the client to the emergency department for treatment might be necessary in some cases, but it is more appropriate to first refer the client to a healthcare provider for a complete evaluation.
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