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 A
Explanation
A. Guaifenesin works as an expectorant by stimulating and thinning respiratory tract secretions, making it easier for the client to cough up and clear mucus from the airways.
B. Suppressing the urge to cough is the action of antitussive medications, not expectorants like guaifenesin.
C. Guaifenesin does not have significant anti-inflammatory properties; its primary action is on mucus clearance.
D. Drying mucous membranes is not the mechanism of action for guaifenesin; it focuses on facilitating mucus removal.
Correct Answer is A
Explanation
A. DPIs require the patient to inhale quickly and deeply to effectively deliver the medication, requiring coordination of breath and inhaler activation.
B. ODPIs (often referring to pressurized metered-dose inhalers) use propellant gases, not DPIs.
C. DPIs may not be suitable for young children and infants who may have difficulty generating enough inspiratory flow to use them effectively.
D. ODPIs (if referring to other types) are not exclusively used for long-term control; their use depends on the specific medication formulation.
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