Question

1. A nurse in a mental health facility is reviewing a client’s medical record. Which of the following actions should the nurse take first? (Click on the exhibit button for additional information about the client. There are 3 tabs that contain separate categories of data)
   1. Teach the client about nutritional needs
   2. Initiate 0.9% sodium chloride with 40 mEq potassium chloride
   3. Administer acetaminophen 500 mg PO
   4. Encourage the client to attend group therapy sessions

Answer 1

Frist an foremost check basic information of the patient, name, inpatient number etc. Then introduce yourself , greet the patient and talk to the patient like daily activities.

Teach patient regarding the nutritional intake. Imbalance nutrition leds to so many problems like lack of immunity, anemia, deficiency of some macro and micro nutrients.

For starting kcl 40 meq, arrange tray , wash hands, wear glove, take ampule of kcl

One ampule is 200meq, so take 2ml =40meq added in sodium chloride, mix and start the infusion as per order.

Given the tablet of acetaminophen 500mg per oral after food