A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation

Paresthesia

Rationale:
The nurse should apply the safety and risk-reduction priority-setting framework, which assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow's hierarchy of needs, the ABS priority-setting framework, and/or nursing knowledge to identify which risk poses the greatest threat to the client.

The greatest risk to this client is neurotoxicity. Vincristine, a cell-cycle specific chemotherapy agent, interrupts cellular reproduction at mitosis and can cause neurotoxicity. An early finding with neurotoxicity is PARESTHESIA (numbing) of the peripheral extremities. As neurotoxicity progresses, the client can develop autonomic and central nervous system dysfunction. The nurse should report paresthesia immediately, as the provider might change the dosage or type of therapy

Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

What is the most important information for the nurse to include when teaching a client about metronidazole?

For which reasons would the nurse monitor older adults taking heparin more closely for bleeding?

Which medication will the nurse administer to a client who experienced a thrombotic stroke two days ago?