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 B

Explanation

A. While filling out an incident report may be necessary in some cases, it is not the initial action when a client refuses medication.
B. Reporting the incident to the provider is essential for nurses to follow proper protocols to ensure patient safety and compliance with healthcare regulations.
C. Returning the opened medication to the medication cart is not advisable due to potential medication errors and contamination risks.
D. Notifying the facility's ethics committee is not necessary for a routine medication refusal scenario.

Correct Answer is ["2"]

Explanation

To administer the correct dose of levothyroxine, which is 100 mcg, the nurse would need to give two tablets of the 50 mcg levothyroxine. This is because two tablets of 50 mcg each will sum up to the total prescribed dose of 100 mcg.

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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 opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

18. A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. 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 ["2"]

Explanation

Why is it necessary to flush a feeding tube with water between each medication administration?

1. 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 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 preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

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 a rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?