A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Fever

Abdominal cramping

Hair loss

Melena

Answer and Explanation

The Correct Answer is D

Melena means that the stool has a dark discoloration. This is a sign of gastrointestinal bleeding and should be reported immediately as it can be a serious complication of warfarin therapy.

A,B,C- Are not related to use of warfarin

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Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

A. "You must take this medication because there is no other option to treat this infection." B. "Refusing the injection means you will not get better." C. "You should not feel anything more than a minor sting from the injection." D. "l will discuss other treatments options with your provider."

Correct Answer is D

Explanation

The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.

A- This does not respect client’s autonomy

B- This statement is inappropriate as the nurse should not use threats to induce fear

C- This statement fails to appreciate the client’s concerns

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A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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