A night nurse is reviewing the next day's medication administration record (MAR) of a patient who has hemophilia

The nurse notes that the MAR specifies both oral and subcutaneous options for the administration of a PRN antiemetic. What is the nurse's best action?
A) Ensure that the day nurse knows not to give the antiemetic.
B) Contact the prescriber to have the subcutaneous option discontinued.
C) Reassess the patient's need for antiemetics.
D) Remove the subcutaneous route from the patient's MAR.


Ans: B
Feedback:
Injections must be avoided in patients with hemophilia. Consequently, the nurse should ensure that the prescriber makes the necessary change. The nurse cannot independently make a change to a patient's MAR in most cases. Facilitating the necessary change is preferable to deferring to the day nurse.

Nursing

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