How will a nurse deal with a client with toxoplasmosis and cytomegalovirus who is confused and is dislodging his I.V. access device; he is also supposed to receive amphotericin B (Amphotec) I.V?
Tell a nursing assistant to stay with the client during the infusion. Rationale: The client needs the medication to combat the protozoal infection. Because he has been dislodging the i.v. access devices, a staff member should remain with him during the infusion. Bilateral wrist restraints are a poor choice for managing this situation, and using them doesnt ensure that the client will receive the medication. Giving sedation to a confused client is risky, and its a poor alternative to having a staff member remain with the client. Administering the drug shouldnt be delayed; appropriate nursing action allows for the drugs administration.