Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Choice A rationale:

The contraindication for administering clonidine in this scenario is hypertension. Clonidine is an antihypertensive medication and can lower blood pressure. If the client has hypertension, giving clonidine could exacerbate the problem and cause further reduction in blood pressure, potentially leading to complications.

Choice B rationale:

An apical heart rate of 72 beats/minute is within the normal range for adults and is not a contraindication for administering clonidine. Clonidine primarily affects blood pressure and should be used cautiously in clients with hypertension, but it does not directly impact heart rate.

Choice C rationale:

Muscle weakness is not a contraindication for administering clonidine. Clonidine is not known to cause muscle weakness as a side effect. It primarily affects blood pressure regulation.

Choice D rationale:

A blood pressure of 90/76 mm Hg is lower than the normal range for blood pressure, but it is not a contraindication for administering clonidine. In fact, clonidine is often used to lower blood pressure in hypertensive individuals. However, in this scenario, the client's low blood pressure should be carefully monitored, and the nurse should consider adjusting the clonidine dose if necessary to avoid excessive hypotension.

c) Call the healthcare provider and clarify the prescription. Correct

This is the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage.

Calling the healthcare provider and clarifying the prescription is the safest and most effective way to prevent medication errors and ensure the child's safety. The PN should not administer the medication until they are sure that it is correct and appropriate for the child.

a) Tell the pharmacy to send an accurate child's dosage.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage.

Telling the pharmacy to send an accurate child's dosage is not appropriate, as it may cause confusion, delay, or conflict with the healthcare provider's orders. The PN should not assume that they know the correct dosage for the child without consulting with the healthcare provider.

b) Ask another nurse if adult dosages are ever given to children.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Asking another nurse if adult dosages are ever given to children is not helpful, as it may not provide accurate or reliable information.

The PN should not rely on another nurse's opinion or experience without verifying it with the healthcare provider.

d) Request verification of the prescription by the charge nurse.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Requesting verification of the prescription by the charge nurse is not necessary, as it may waste time and resources.

The PN should be able to communicate directly with the healthcare provider and clarify any doubts or concerns about the prescription.