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Chapter 21: Problem 45

The client is receiving Coumadin (warfarin sodium has a Protime level of 44 seconds). The nurse should anticipate an order for which of the following? A. AquaMEPHYTON B. Physostigmine C. Ropivacaine D. Methimazole

Short Answer

Expert verified
Answer: A. AquaMEPHYTON

Step by step solution

01

Identify the issue with the patient's Protime level

The patient is receiving Coumadin (warfarin sodium) and has a Protime level of 44 seconds. This is significantly higher than the normal range (11-13.5 seconds). A high Protime level indicates a higher risk of bleeding, so the nurse should anticipate an order for a medication to counteract this effect.
02

Review the given medication options

We have four medication options to consider: A. AquaMEPHYTON B. Physostigmine C. Ropivacaine D. Methimazole
03

Determine the correct medication

To identify the correct medication, we should understand the purpose of each option: A. AquaMEPHYTON (Vitamin K1) is used to help blood clot and treat bleeding caused by warfarin. B. Physostigmine is a cholinesterase inhibitor that is not applicable in this situation. C. Ropivacaine is a local anesthetic and does not affect coagulation. D. Methimazole is used to treat hyperthyroidism and is not relevant to the patient's Protime level.
04

Select the correct medication

Based on the information above, the nurse should anticipate an order for AquaMEPHYTON (option A) since it is used to help with blood clotting and counteract the effect of warfarin on the patient's Protime level. The other medications are not applicable in this situation.

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