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Author Question: A patient who is diagnosed with atrial fibrillation is to begin taking warfarin (Coumadin). The ... (Read 106 times)

kfurse

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on: Jul 23, 2018
A patient who is diagnosed with atrial fibrillation is to begin taking warfarin (Coumadin). The patient refuses to take the medication because it is rat poison. After the nurse provides teaching, the patient still refuses.
 
  What action will the nurse take?
  a. Hold the dose and document the patient's refusal.
  b. Hold the dose, notify the provider of the situation, and document these actions.
  c. Put the medication in the patient's food.
  d. Tell the patient that the drug is necessary for treatment.

Question 2

The nurse is caring for a patient who has asthma. The provider has ordered an albuterol metered-dose inhaler (MDI), 2 puffs q4 to 6h PRN wheezing. The patient's last dose was 4 hours ago. What is the nurse's next action?
 
  a. Administer 2 puffs of albuterol with the MDI.
  b. Auscultate the patient's lung sounds.
  c. Give the albuterol if the patient reports wheezing.
  d. Give the medication and evaluate its effectiveness.


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Athena23

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Patients have a right to refuse medications, but the provider should be notified if omitting the medication can have serious effects. According to the principle of autonomy, it is unethical to put a medication in a patient's food without their knowledge.

Answer to Question 2

ANS: B
The albuterol is to be given PRN if the patient is wheezing. The nurse should assess breath sounds and give the medication if the patient is wheezing. Even if the patient reports wheezing, the nurse should make and document an assessment.


kfurse

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Athena23

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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