Obtaining Accurate Medication History
Obtaining Accurate Medication History ( 7 Questions)
A nurse is reviewing a client's medication list during a routine clinic visit. The nurse notices that the client is taking warfarin and aspirin daily. Which of the following actions should the nurse take?
Incorrect. Asking the client about signs of bleeding is important, but not sufficient. The nurse should also address the potential drug-drug interaction between warfarin and aspirin, which can increase the risk of bleeding complications.
Incorrect. Instructing the client to stop taking aspirin without consulting the prescriber is inappropriate and potentially harmful. The client may have a valid reason for taking both medications, such as atrial fibrillation and coronary artery disease.
Incorrect. Documenting the medication list without further investigation is negligent and unsafe. The nurse has a responsibility to ensure that the medications are appropriate and reconciled with the prescriber.
Correct. Contacting the prescriber to clarify the indication and dosage of both medications is the best action. The nurse should verify that the prescriber is aware of the combination and that the benefits outweigh the risks. The nurse should also confirm that the client is receiving regular monitoring of their international normalized ratio (INR).
A) Incorrect. Asking the client about signs of bleeding is important, but not sufficient. The nurse should also address the potential drug-drug interaction between warfarin and aspirin, which can increase the risk of bleeding complications.
B) Incorrect. Instructing the client to stop taking aspirin without consulting the prescriber is inappropriate and potentially harmful. The client may have a valid reason for taking both medications, such as atrial fibrillation and coronary artery disease.
C) Incorrect. Documenting the medication list without further investigation is negligent and unsafe. The nurse has a responsibility to ensure that the medications are appropriate and reconciled with the prescriber.
D) Correct. Contacting the prescriber to clarify the indication and dosage of both medications is the best action. The nurse should verify that the prescriber is aware of the combination and that the benefits outweigh the risks. The nurse should also confirm that the client is receiving regular monitoring of their international normalized ratio (INR).