When should a PRN be given at the discretion of a client?

A PRN (pro re nata) medication is intended to be administered on an as-needed basis, which means that it should be given when a client expresses a need for it. This aligns with the best practices for medication administration, as it ensures that the client’s symptoms, such as pain or discomfort, are addressed promptly and effectively.

When a client verbally communicates that they are experiencing discomfort, it indicates the necessity for the medication according to their individual needs. This empowers clients to take an active role in their care and ensures that their immediate health concerns are attended to in a timely manner.

In contrast, the other options either suggest a more rigid approach or don't align with the person-centered philosophy of care. Orders from a physician are important, but they form the foundation for administering medications rather than dictating the immediate need for PRN medications. Administering PRN medications on a fixed schedule, regardless of the client's symptoms, disregards their individual needs and could lead to unnecessary medication use. Likewise, restricting administration to designated medication rounds may prevent timely relief of discomfort, as it does not allow flexibility in responding to the client's current condition.

It's essential for caregivers to adhere to the principle that PRN medications should be given based on the client's expressed needs