27.5k views
1 vote
The nurse on a medical-surgical unit prepares scheduled daily medications for a client and places them in a pill cup. After receiving the pill cup, the client states, "I take a whole tablet of metoprolol at home. Why did you cut this one in half?" What is the best response by the nurse?

User Eevaa
by
8.6k points

1 Answer

4 votes

Final answer:

The nurse should explain that medication dosing can vary due to many factors and ensure the patient understands the reason behind the altered dose. The dosage might be influenced by the patient's current clinical needs, hospital policies, or changes in treatment guidelines. It's important for the nurse to confirm the accuracy of the dose with the physician's orders and pharmacy.

Step-by-step explanation:

The best response by the nurse would be to explain the possible reasons for the dosage difference. Medication dosing can vary for many reasons, including hospital policies, the patient's clinical status, or updated guidelines since the prescription at home was written. For instance, drugs can be time dependent, requiring a sustained release of medication in the bloodstream over time, or dose dependent, needing a higher concentration for a shorter period. The half-tablet could be a result of the physician's orders based on the patient's current condition or a change in treatment protocols.

It is essential for the nurse to provide a clear explanation, ensuring that the patient understands the reasoning behind the dosage and how it is meant to be beneficial for their specific situation. Additionally, it is always good practice to verify with the physician's orders and pharmacy for the accuracy of the dose provided.

User Minchaej
by
8.2k points