The nurse has received an order to administer warfarin 100 mg PO today to the patient.This amount seems high to the nurse.Which are the appropriate actions of the nurse?

A) Clarify the order with the physician.
B) Document suspicion about the order.
C) Notify the nursing supervisor on duty.
D) Administer the medication as ordered.
E) Question the pharmacist about the dosage.

Nurses are responsible for carrying out medical treatment unless the physician's or health care provider's order is in error,violates hospital policy,or is harmful to the patient.Therefore it is imperative to assess all orders and,if they appear to be erroneous or harmful to the patient,to obtain further clarification from the physician or health care provider.100 mg is not an appropriate dosage of warfarin so it should not be administered to the patient.Do not carry out the order if there is a risk that harm will come to your patient; therefore do not administer the medication.The nursing supervisor should be notified.The pharmacist should be contacted about the order.Inform the nurse manager or the nursing supervisor.The nurse does not document suspicions or opinions,just objective,factual information.