The nurse receives a report on 4 clients. Which of the following clients should the nurse see first?

1. Client receiving IV vancomycin who reports discomfort at the peripheral IV site.
2. Client with a pulmonary embolus receiving continuous IV heparin infusion and warfarin who has an INR of 1.9.
3. Client 1 day postoperative receiving patient-controlled analgesia with morphine who reports itching and nausea.
4. Client receiving maintenance IV 0.9% sodium chloride with labeled tubing indicating that tubing was changed 48 hours ago.

Click the exhibit button for additional client information.

Question

15-07-2024
Medicine

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The nurse receives a report on 4 clients. Which of the following clients should the nurse see first?

1. Client receiving IV vancomycin who reports discomfort at the peripheral IV site.
2. Client with a pulmonary embolus receiving continuous IV heparin infusion and warfarin who has an INR of 1.9.
3. Client 1 day postoperative receiving patient-controlled analgesia with morphine who reports itching and nausea.
4. Client receiving maintenance IV 0.9% sodium chloride with labeled tubing indicating that tubing was changed 48 hours ago.

Click the exhibit button for additional client information.

Sagot :

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GinnyAnswer GinnyAnswer · Answer 1 · 2024-07-15T11:36:12-04:00

Final answer:

The nurse should prioritize seeing the client with a pulmonary embolus and a subtherapeutic INR of 1.9 first.

Explanation:

The nurse should see the client with a pulmonary embolus receiving continuous IV heparin infusion and warfarin who has an INR of 1.9 first. An INR of 1.9 is below the therapeutic range for a client on warfarin therapy, putting them at risk of blood clots. This client requires immediate attention to prevent complications.

Learn more about Medication Prioritization here:

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Sagot :

Final answer:

Explanation:

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