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 B
Explanation
A. Using lotion on irritated skin before applying a new patch may interfere with adhesion and absorption of the medication, indicating a misunderstanding of proper patch application.
B. Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.
C. Pressing the patch securely in place is important, but it does not address the initial preparation of the skin, which is crucial for effective medication delivery.
D. Applying a new patch in the same location without cleaning the area may lead to skin irritation or uneven absorption of medication, indicating improper understanding of patch application.
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.
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