A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)

A) Mix the medication at the client's bedside:
Mixing the medication at the client's bedside is a necessary step in the medication administration process but should be done after ensuring that all safety checks, including allergy checks, have been completed.

B) Document that the medication was administered:
Documentation of medication administration is an important step, but it should only occur after all other steps, including verifying the client's allergies and preparing the medication, have been completed.

C) Determine the client's response to the medication:
Determining the client's response to the medication should be done after administration, not before or during the preparation. This step involves assessing the effectiveness and any adverse effects following medication administration.

D) Check the client for allergies:
Checking the client for allergies is the first and most critical step to prevent potential allergic reactions or adverse effects. It ensures that the medication is safe for the client and prevents harm.

E) Full-screen mode is in effect during your proctored testing:
This statement is not related to the process of administering a medication and does not pertain to the actions required for medication administration.

Calculating the Morphine Sulfate Dose:Problem: Administer 2 mg of morphine sulfate IV bolus. The available concentration is 10 mg/mL.

Steps:

Set up a proportion:

We want to find the number of milliliters (mL) needed.

We know the desired dose (2 mg) and the concentration of the medication (10 mg/mL).

Proportion:

x mL / 2 mg = 1 mL / 10 mg

Cross-multiply:

10x = 2

Solve for x:

x = 2 / 10

x = 0.2

Answer: The nurse should administer 0.2 mL of morphine sulfate per dose.