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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.
Choice B rationale
Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.
Choice C rationale
Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.
Choice D rationale
Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Converting written vehicle instructions into a pictorial format can help improve understanding, but it does not directly address the physical dangers associated with the machinery.
Choice B rationale
Educating farm workers not to smoke around farm equipment can prevent fires, but it does not directly reduce the risk of machinery-related injuries.
Choice C rationale
Offering rehabilitation services to injured farm workers is important, but it is a reactive measure. The goal should be to prevent injuries from occurring in the first place.
Choice D rationale
Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
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