A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?

Check the dosage with a more experienced nurse.

Consult a drug handbook and administer the normal dose.

Contact the hospital pharmacist about the order.

Contact the health care provider to clarify the illegible order.

Answer and Explanation

The Correct Answer is D

A: Checking the dosage with a more experienced nurse is not the best action. While it may provide some guidance, it does not ensure the accuracy of the order.

B: Consulting a drug handbook and administering the normal dose is not appropriate. The nurse must verify the specific order for the patient rather than assuming a standard dose.

C: Contacting the hospital pharmacist about the order can be helpful, but the pharmacist may not be able to clarify the prescriber’s intent if the order is illegible.

D: Contacting the health care provider to clarify the illegible order is the best action. This ensures that the nurse administers the correct dose as intended by the prescriber, preventing medication errors.

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Correct Answer is A

Explanation

A: Checking the display on the PCA pump is the first action the nurse should take. This ensures that the pump is functioning correctly and delivering the prescribed dose of medication. It helps identify any technical issues that may be affecting pain control.

B: Obtaining an order for another pain medication for breakthrough pain is important if the current regimen is insufficient. However, this should follow the initial assessment of the PCA pump’s functionality.

C: Administering a bolus of medication may be necessary if the client is experiencing severe pain, but it should be done after confirming that the PCA pump is working correctly.

D: Encouraging the client to administer a demand dose is appropriate if the PCA pump is functioning correctly. However, the nurse should first verify that the pump is delivering the medication as prescribed.

A. Encouraging the client to consume a high-protein diet B. Changing the client’s bed linens each day C. Placing the client in a room with positive-pressure airflow D. Performing hand hygiene before, during, and after direct contact with the client

Correct Answer is D

Explanation

A: Encouraging the client to consume a high-protein diet is beneficial for overall health and recovery but does not directly prevent the transmission of infection.

B: Changing the client’s bed linens each day is good practice for maintaining cleanliness but is not the most critical strategy for preventing infection transmission.

C: Placing the client in a room with positive-pressure airflow is used for protecting immunocompromised patients from outside infections, not for preventing the spread of infection from the client.

D: Performing hand hygiene before, during, and after direct contact with the client is the most effective strategy for preventing the transmission of infection. Proper hand hygiene is crucial in breaking the chain of infection and protecting both the client and healthcare providers.

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A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client is receiving hydromorphone HCL via PCA pump and reports continuous pain of 6 on a scale from 0 to 10. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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