The home health aide caring for a homebound hospice client calls to inform the nurse that the client has reported feeling constipated. Which task should the nurse instruct the home health aide to perform?

Choice A reason: Heparin in Normal Saline prescribed for deep vein thrombosis is not a safe infusion to administer without an IV infusion pump. Heparin is a high-alert medication that requires precise and consistent dosing and monitoring. An IV infusion pump can ensure accurate and steady delivery of heparin and prevent adverse effects such as bleeding or clotting.

Choice B reason: Regular Insulin in Normal Saline prescribed for ketoacidosis is not a safe infusion to administer without an IV infusion pump. Insulin is a high-alert medication that requires careful and frequent adjustment of the infusion rate based on the blood glucose level. An IV infusion pump can provide precise and flexible control of the insulin infusion and prevent complications such as hypoglycemia or hyperglycemia.

Choice C reason: Magnesium in Normal Saline prescribed for hypomagnesemia is not a safe infusion to administer without an IV infusion pump. Magnesium is a medication that can cause serious side effects such as cardiac arrhythmias, respiratory depression, or neuromuscular weakness if infused too rapidly or in excess. An IV infusion pump can regulate the infusion rate and volume of magnesium and prevent toxicity or overdose.

Choice D reason: Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia is a safe infusion to administer without an IV infusion pump. Ceftriaxone is an antibiotic that can be given as a bolus or a slow infusion over 30 minutes. It does not require frequent or precise adjustment of the infusion rate or volume. It can be administered using a gravity drip method with a manual flow regulator and a drop factor.

Choice A reason: Discussing why visitors should not lie in the bed with the client is not the best action for the nurse to implement. The nurse should not waste time explaining the rationale to the visitor, as this may cause conflict or resentment. The nurse should focus on the immediate safety and comfort of the client and the visitor.

Choice B reason: Notifying the charge nurse that the visitor is lying on the client's bed is not the best action for the nurse to implement. The nurse should not escalate the situation to the charge nurse, as this may imply that the nurse is unable to handle the problem. The nurse should use his or her own authority and judgment to resolve the issue.

Choice C reason: Explaining that the client has the right to have a visitor lie on the bed is not the best action for the nurse to implement. The nurse should not condone or encourage the visitor's behavior, as this may compromise the client's health and hygiene. The nurse should respect the client's wishes, but also uphold the standards of care and infection control.

Choice D reason: Instructing the UAP to ask the visitor to get off the client's bed is the best action for the nurse to implement. The nurse should delegate the task to the UAP, who has already established rapport with the visitor and the client. The nurse should also monitor the situation and ensure that the UAP is polite and respectful to the visitor and the client.