当前位置:考试网  > 试卷库  > 学历类  > 自考  > 自考专业(护理)  > 护理学导论  > 案例分析题:某日17时,病人王某接受冠脉介入治疗术后返回病房,夜班护士小张给予术后护评,告知患者穿刺侧下肢制动24小时,以防术区出血。凌晨1:00,王某排便后自述心慌、头晕,手脚冰凉,术区大出血。小张遵医嘱为其输注浓缩红细胞2单位后,王某生命体征已逐渐平稳。早晨7:00,护士小张根据长期医嘱,为王某注射了抗凝药物。 问题:护士小张足否应该为王某注务抗凝药物?为什么?护士应该如何处理该医嘱?
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案例分析题:某日17时,病人王某接受冠脉介入治疗术后返回病房,夜班护士小张给予术后护评,告知患者穿刺侧下肢制动24小时,以防术区出血。凌晨1:00,王某排便后自述心慌、头晕,手脚冰凉,术区大出血。小张遵医嘱为其输注浓缩红细胞2单位后,王某生命体征已逐渐平稳。早晨7:00,护士小张根据长期医嘱,为王某注射了抗凝药物。

问题:护士小张足否应该为王某注务抗凝药物?为什么?护士应该如何处理该医嘱?

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正确答案:

不应该,因为王某曾经发生术区大出血,如果注射抗凝药可能会引起病人再次出血。护士在处理该医程时,该病人发生病情变化,护理人员应及时通知医师,并根招自己的专业知识和临床经验判断应暂停执行该医媒。

答案解析:

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