CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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When a patient who is receiving methotrexate for acute lymphocytic leukemia (ALL) develops a temperature of 101.1°F, the physician is notified. Aspirin every four hours PRN is ordered. The nurse should:

Question the type of antipyretic ordered
Administer the ordered medication
Withhold the aspirin until the temperature reaches 102°F
Ask the physician for an antacid order

Explanation

Answer - A - The nurse should question the type of antipyretic ordered. Aspirin is contraindicated in the presence of bleeding tendencies, which often occur with ALL because of aspirin’s inhibitory effect on platelet aggregation.

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