A nurse is preparing to administer heparin to a client. The nurse notices that the client's medical record indicates that the client has already been receiving anticoagulation therapy at home. Which of the following actions should the nurse take?

Administer the medication as prescribed.

Inform the client of her right to refuse any treatment.

Contact the Occupational, Health, and Safety Administration (OSHA).

Clarify the prescription with the provider.

Answer and Explanation

The Correct Answer is D

A. Administering heparin without clarifying the client's existing anticoagulation therapy could lead to potential overdosing or adverse effects due to cumulative anticoagulant effects.
B. While informing the client of her right to refuse treatment is important, it does not address the potential risk of duplicative therapy in this situation.
C. Contacting OSHA is not relevant to the situation of clarifying medication orders.
D. Clarifying the prescription with the provider is essential to ensure the safety and appropriateness of administering heparin in the context of the client's existing therapy, preventing medication errors and ensuring optimal patient care.

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Correct Answer is D

Explanation

A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.

A. Answer: 2 tablets B. Rationale: C. To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets. D. 2. A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? E. Inhale rapidly when using the spacer with the MDI.

Correct Answer is B

Explanation

A. Inhaling rapidly with the spacer can lead to improper medication delivery, potentially reducing the effectiveness of the treatment.
B. The spacer does indeed increase the amount of medication reaching the lungs by reducing deposition in the mouth and throat, enhancing the therapeutic effect of the MDI.
C. Covering the exhalation slots of the spacer can interfere with proper inhalation technique, impacting medication delivery to the lungs.
D. The spacer is designed to minimize medication deposition in the oropharynx, optimizing delivery to the lungs for better therapeutic outcomes.

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A nurse is preparing to administer heparin to a client. The nurse notices that the client's medical record indicates that the client has already been receiving anticoagulation therapy at home. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

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