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 B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.
Choice B rationale
Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the
rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
Choice C rationale
Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.
Choice D rationale
Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
A potassium level of 3.7 mEq/L (3.7 mmol/L) is within the normal range, which is typically between 3.6 and 5 mEq/L12. Therefore, this result does not need to be reported immediately to the healthcare provider.
Choice B rationale
B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL34. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure. Therefore, this result should be reported immediately to the healthcare provider.
Choice C rationale
A total cholesterol level of 190 mg/dL (4.92 mmol/L) is considered borderline high. While it’s important to manage cholesterol levels in patients with heart failure, this result is not critical and does not need to be reported immediately to the healthcare provider.
Choice D rationale
A glycosylated hemoglobin (A1C) level of 7% is at the threshold for the diagnosis of diabetes. Diabetes can complicate the management of heart failure and increase the risk of cardiovascular events. However, this result is not critical and does not need to be reported immediately to the healthcare provider.
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