The patient receives warfarin (Coumadin). The nurse notes that the patient's morning international normalized ratio (INR) is 7–. What are the priority nursing interventions at this time?
1. Hold the next dose of warfarin (Coumadin) and repeat the international normalized ratio (INR).
2. Administer protamine sulfate and hold the next dose of warfarin (Coumadin).
3. Hold the next dose of warfarin (Coumadin) and contact the physician.
4. Administer vitamin K and hold the next dose of warfarin (Coumadin).
4
Rationale 1: Repeating the international normalized ratio (INR) is appropriate but not the highest priority.
Rationale 2: Protamine sulfate is the antidote for heparin, not warfarin.
Rationale 3: Consulting the physician is appropriate but not the highest priority.
Rationale 4: Vitamin K is the antidote for warfarin (Coumadin) overdose, and its administration is warranted with an international normalized ratio (INR) of 7–.
Global Rationale: Vitamin K is the antidote for warfarin (Coumadin) overdose, and its administration is warranted with an international normalized ratio (INR) of 7–. Repeating the international normalized ratio (INR) is appropriate, but the patient must receive vitamin K immediately. Protamine sulfate is the antidote for heparin, not warfarin. Consulting the physician is appropriate, but the patient must receive vitamin K immediately.
You might also like to view...
Which theory of aging suggests that the older person who is more socially active is more likely to adjust well to aging?
a. Activity theory b. Autoimmunity theory c. Wear-and-tear theory d. Disengagement theory
When providing a medication, which route should the nurse select to ensure the maximum amount of bioavailability?
a. Oral b. Intravenous c. Intramuscular d. Subcutaneous
The ________ is designed to contain and nourish the fertilized ovum as it develops.
Fill in the blank(s) with the appropriate word(s).
Dr. Schneider wants to obtain a sample of Laura's blood for a routine blood test. He uses an antiseptic swab to clean the skin before using a hypodermic syringe. After he obtains a sample, Dr. Schneider asks Laura to hold some cotton on the site of the injection. He explains that the antiseptic used increases bleeding. Which of the following chemicals is most likely to be part of the antiseptic solution?
A. Chlorhexidine B. Sodium hypochlorite C. Povidone-iodine D. Isopropyl alcohol