An HIV-Positive Client with Pneumocystis Carinii Pneumonia (PCP) Is Confused

Multiple Choice

An HIV-positive client with pneumocystis carinii pneumonia (PCP) is confused and keeps removing the intravenous piggyback (IVPB) needle during the administration of his trimethoprim-sulfamethoxazole (Bactrim) . Select the instructions by the charge RN to the LPN administering medications that would best rectify this situation.

A) Give the client his as-needed (PRN) sedative a half hour before the IVPB medication.
B) Assign one of the certified nursing assistants (CNAs) to stay with the client during the medication administration.
C) During the 30 minutes the medication infuses, place the client in bilateral wrist restraints.
D) Call the physician and request the medication by mouth.