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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Asking the client to demonstrate checking their blood sugar is an important step in diabetes education but should occur after assessing the client's readiness to learn.
B. Determining the client's readiness to learn is the first step in effective teaching to ensure that the client is receptive to receiving information and can actively engage in the learning process.
C. Identifying short-term goals for the client is important for planning education but should follow an assessment of readiness to learn.
D. Providing written educational material is beneficial but should be tailored to the client's readiness and understanding, which are determined first.

A. "I will have to increase my vitamin K because it is a common deficiency with this drug" B. "I will need to be careful shaving and should switch to an electric razor" C. "When I go for any procedures using iodine contrast I will need to let me doctor know I'm on this drug D. "I need to check my pulse for a full minute before taking"

Correct Answer is C

Explanation

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 assisting with preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

Correct Answer is B

Explanation

A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

Correct Answer is C

Explanation

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)

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.)

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Which of the following is a characteristic of dry powder inhalers (DPIs)?

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

A nurse is assisting with teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following strategies is the nurse using?