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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.
Correct Answer is A
Explanation
A. Return demonstration involves the client demonstrating the skill back to the nurse after instruction, ensuring understanding and competence.
B. Discussion involves exchanging information verbally but does not involve demonstration of skill.
C. Question and answer involves the nurse answering client questions but does not include a practical demonstration.
D. Role play involves acting out scenarios but may not directly involve the client performing the actual procedure.
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