A nurse is caring for a client who fasts from sunrise to sunset for a religious observance. Several prescribed medications are ordered at times that fall during the fast. What is the best approach the nurse should take when planning the client's medication schedule?
Discuss the client's fasting schedule and collaborate to adjust medication times to non-fasting hours while maintaining therapeutic effectiveness.
Explain to the client that the fasting tradition should be set aside to prioritize health during treatment.
Skip any medications that need to be taken during fasting hours and document the omission in the client's chart.
Administer the medications at the originally scheduled times to ensure adherence to the therapeutic regimen.
The nurse should first discuss the fasting tradition with the client and work collaboratively to move medication doses to non-fasting hours (for example, before dawn or after sunset) or obtain orders for longer-acting formulations so therapeutic levels are maintained. This approach respects the client's religious practice and supports medication adherence. Giving medications during the fast disregards the client's beliefs, skipping doses endangers therapeutic effectiveness, and telling the client to abandon the fast violates autonomy and cultural sensitivity.
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NCLEX RN
Psychosocial Integrity
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