Question

A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is collaborating with another nurse about the client's plan of care. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

a) Anticipated: Prescribing iron supplements for anemia
b) Contraindicated: Prescribing NSAIDs for pain relief
c) Anticipated: Recommending prenatal vitamins
d) Contraindicated: Administering a live vaccine

Answer 1

Prescribing iron for anemia and prenatal vitamins are anticipated prescriptions for a 28-year-old client, while administering a live vaccine is contraindicated during pregnancy. The use of NSAIDs for pain relief generally is anticipated, but requires caution due to potential side effects and specific client circumstances.

Step-by-step explanation:

In determining the appropriate plan of care for a 28-year-old client, it is important to consider the context of each potential prescription. Prescribing iron supplements for anemia is anticipated since anemia is commonly treated with iron supplements to increase red blood cell production. Prescribing NSAIDs, like aspirin, for pain relief without knowledge of additional health conditions or pregnancy can also be anticipated as they are commonly used analgesics, although caution is warranted because regular use can lead to undesirable effects such as reduced ability to fight infection or potential interference with platelet function. In the case of a pregnant client, recommending prenatal vitamins would be anticipated, which includes important nutrients required during pregnancy. Lastly, administering a live vaccine is generally contraindicated during pregnancy due to potential risks to the fetus. Without identifying contraindications, such as pregnancy, the information given does not provide enough context to label NSAIDs or live vaccines as contraindicated outright for the 28-year-old individual.