A client with a 10-year history of methadone use for chronic leg pain is being treated with azithromycin for pneumonia. On the third hospital day, both medications are discontinued as the QT interval on EKG has lengthened, increasing arrhythmia risk. The client wants to be discharged against medical advice to return home and take the client's own medications to prevent going into withdrawal without the methadone. Which is the most appropriate nursing response?

She will ask the HCP to come to talk to us so that we can develop a plan TP prevent withdrawal while reduceng the risk of heart problems.

Explanation:

When clients are hosipitalized, they lose control of their medication management.  The client is tryint to regain control and avoid this problem by leaving the hospital against medical advice. The nurse remains at risk of life.threatening arrhytmias.  The nurse should promote negotiation between the client and HCP to develop a plan of care that will address the concerns of each.  

Care planning should be a collaborative process informed by the knowledge and preferences of the client and evidence based recammendations by the HCP thar are appopriate to the situation.

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