A client who has been taking warfarin for three days is bleeding. The nurse notifies the physician, who says, "I thought his genetic testing indicated he would metabolize warfarin normally." How should the nurse respond?

Question

1. "I am looking for that result on the medical record."
2. "Do you think the test was accurate?"
3. "The results of the test do not replace the need for me to monitor the client."
4. "Did we dose the drug correctly according to the test results?"

Answer 1

3
Rationale 1: The fact that the nurse is looking for the result does not impact the fact that the client is bleeding now.
Rationale 2: The accuracy of the test is not pertinent at this moment.
Rationale 3: The nurse is correct that the client must be monitored now despite the test results.
Rationale 4: The problem is that the client is bleeding. Comparison of dosing with test results is not the most pertinent issue.