Question

2. In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID. The patient has a long history of gastrointestinal bleeding. What is the best nursing action?

a. Give the medication.
b. Withhold the medication and chart why it was not given.
c. Call the physician and question the order in light of the patient's history.
d. Ask if the patient is allergic to aspirin.

Answer 1

The best nursing action in the context of a patient with a history of gastrointestinal bleeding prescribed aspirin is to call the physician and question the order. This is to ensure patient safety and prevent potential aggravation of the patient's condition.

Step-by-step explanation:

Nursing Action Regarding Aspirin Prescription

When transcribing orders for a patient, particularly when they involve medications that could have serious side effects, nurses must use their professional judgment and understanding of the patient's medical history. Aspirin, known as a nonsteroidal anti-inflammatory drug (NSAID), can lead to gastrointestinal bleeding, especially in patients with a history of such complications.

In the scenario where a nurse encounters a new order for aspirin, 500 mg, QID for a patient with a long history of gastrointestinal bleeding, the best nursing action would be option c: Call the physician and question the order in light of the patient's history. By taking this action, the nurse ensures the safety of the patient, potentially avoiding the aggravation of the patient's condition by the prescribed aspirin. Knowledge of the side effects of NSAIDs is crucial in making an informed decision regarding patient care.