The physician prescribes warfarin (Coumadin) 15 mg daily. The nurse notes that this is three times the normal dose for this client based on the client's medication profile and laboratory work. What does the nurse do first?
a. Give the dose and document the concern.
b. Call the pharmacy for a consultation.
c. Call the physician to question the order.
d. Hold the medication for that day.
C
Communication between the physician and the nurse should be the first step in medication administration to ensure safety in client care. The pharmacy can be consulted but not as the first step. The other answers are not safe practices for the nurse.
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Which of the following factors most likely predisposed this patient to the injury she sustained? A) Lack of balance B) Mental confusion C) Decreased bone mineral density D) Pernicious anemia
The student nurse reviews the anthropological model of culture, ethnicity, and race and reflects on how it influences patient care. The nurse knows that according to this model:
A) culture and race are innate behaviors and will solidify as the child develops. B) culture is considered to be an internal and an acquired phenomenon. C) race describes categories of people, mostly based on cultural aspects. D) ethnicity refers to groups of people who share similar cultural characteristics.
When prompting a client to select foods from the base of the MyPyramid, the nurse is encouraging the client to choose:
1. fruits. 2. vegetables. 3. meats. 4. grains.
A nurse checks a patient's Jackson-Pratt (JP) drain following surgery. The nurse explains to the patient that a closed drain speeds healing and facilitates wound drainage by
1. Gravity. 2. Absorption. 3. Penetration. 4. Suction.