A nurse receives an order for clonidine (Catapres) for a 25-year-old pregnant woman. What is the nurse's priority action?
A) Weigh the patient to obtain correct dose/kg/day.
B) Have a second nurse check the dose before administering the drug.
C) Consult with the physician about the order.
D) Make sure the patient is wearing a fetal monitor.
C
Feedback:
The nurse would consult with the physician to ensure awareness of the pregnancy and desire to administer this drug. There are no adequate studies about use during pregnancy and lactation, so use should be reserved for situations in which the benefit to the mother outweighs any potential risk to the fetus or neonate. The nurse should question the prescriber regarding this order. It would not be necessary to implement the other options.
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