The nurse is preparing to administer medications to assigned clients. Which prescription should the nurse clarify with the primary healthcare provider (PHCP)?A. Warfarin to a client with an international normalized ratio (INR) of 1.8 seconds [0.9–1.2]B. Digoxin to a client with a serum potassium level of 3.1 mEq/L [3.5-5 mEq/L, mmol/L]C. Enoxaparin to a client with a platelet count of 155,000 mm3 [150-400 mm3, 130–380 × 10⁹/L]D. Lisinopril to a client with a serum creatinine level of 0.6 mg/dL [Male: 0.6-1.2 mg/dL, Female: 0.5-1.1 mg/dL, Female 30–190 IU/L, Male 30–250 IU/L]
Question
The nurse is preparing to administer medications to assigned clients. Which prescription should the nurse clarify with the primary healthcare provider (PHCP)?A. Warfarin to a client with an international normalized ratio (INR) of 1.8 seconds [0.9–1.2]B. Digoxin to a client with a serum potassium level of 3.1 mEq/L [3.5-5 mEq/L, mmol/L]C. Enoxaparin to a client with a platelet count of 155,000 mm3 [150-400 mm3, 130–380 × 10⁹/L]D. Lisinopril to a client with a serum creatinine level of 0.6 mg/dL [Male: 0.6-1.2 mg/dL, Female: 0.5-1.1 mg/dL, Female 30–190 IU/L, Male 30–250 IU/L]
Solution
The nurse should clarify with the primary healthcare provider (PHCP) before administering Digoxin to a client with a serum potassium level of 3.1 mEq/L. This is because the normal range for serum potassium is 3.5-5 mEq/L, and a level of 3.1 mEq/L indicates hypokalemia. Hypokalemia can increase the client's sensitivity to Digoxin and increase the risk of Digoxin toxicity. Therefore, the nurse should clarify this prescription with the PHCP.
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