The physician prescribes several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question()
A. Heparin sodium (Hep-Lock).
B. Dexamethasone (Deeadron).
C. Methyldopa (Aldomet).
D. Phenytoin (Dilantin).
参考答案:A
解析:
Administration of heparin, an anticoagulant, could increase the bleeding associated with hemorrhagic stroke. Therefore, the nurse should question this order to prevent additional hemorrhage in the brain. For a client with hemorrhagic shock, dexamethasone may be used to decrease cerebral edema and pressure; methyldopa, to decrease blood pressure; and phenytoin, to prevent seizures.