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 ["2"]
Explanation
To administer the correct dose of aspirin, the nurse needs to calculate the number of 325 mg tablets that would equal the prescribed 650 mg dose. By dividing the prescribed dose (650 mg) by the strength of the available tablets (325 mg), we find that it equals exactly 2.
Correct Answer is ["A","B","E"]
Explanation
A. A medical record can indeed be used as evidence in a court of law to support or refute claims related to patient care.
B. Documentation should be organized and timely to ensure accuracy and continuity of care.
C. Documentation should not include the nurse's interpretation but rather objective data and actions taken.
D. Data in a client's medical record should only be shared with those directly involved in the client's care unless otherwise authorized.
E. Information recorded in the client's medical record must be accurate and complete to support safe and effective client care and legal purposes.
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