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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Euphoria, drowsiness, and dizziness are not common side effects of fluticasone.
B. Nasal congestion may occur with fluticasone use, but bleeding gums and black tarry stools are not typical side effects.
C. Fever, weight gain, and tachycardia are not commonly associated with fluticasone use.
D. Sore throat, headache, burning in the nose, and nosebleeds are potential side effects of intranasal fluticasone and should be monitored and reported if they occur.
Correct Answer is ["A","D","E"]
Explanation
A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.
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