Question

The nurse is caring for a client with cellulitis of the leg. At 11:00 AM, the client reported itching and received a PRN dose of diphenhydramine. At 9:00 PM, the client reports trouble sleeping and requests another dose of diphenhydramine to help with sleep. Which action is most appropriate? Click on the exhibit button for additional information.

Answer 1

The nurse should check the medication administration record for the last dose of diphenhydramine and confirm the appropriate time interval has passed before administering another dose to the client for sleep.

Step-by-step explanation:

The most appropriate action would be to assess the timing and dosage of the previous PRN dose of diphenhydramine that the client received for itching at 11:00 AM before administering another dose at 9:00 PM for trouble sleeping. Diphenhydramine is an antihistamine that is often used for its sedative properties to help with sleep, but it is important to follow dosing guidelines to avoid overdose.

The nurse needs to check the medication administration record to confirm when the last dose was given and ensure that the recommended time interval has passed. If the appropriate time frame has passed and there is a standing order for PRN use for sleep, the nurse could safely administer the medication. Education about the sedative effects of diphenhydramine and ensuring the patient understands the use of the PRN medication is also important.