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.
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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Related Questions
Correct Answer is C
Explanation
A: Discreetly hiding the medication in the patient’s favorite gelatin is unethical and violates the patient’s right to informed consent. This approach undermines trust and can lead to further resistance or legal issues.
B: Agreeing with the patient’s decision and documenting it in the chart is important, but it should not be the first action. The nurse needs to understand the patient’s reasons for refusal before making any decisions or documentation.
C: Exploring with the patient the reasons for not wanting to take the medication is the appropriate first action. This approach allows the nurse to understand the patient’s concerns, address any misconceptions, and provide relevant information. It also respects the patient’s autonomy and promotes a collaborative approach to care.
D: Educating the patient about the importance of the medication is crucial, but it should follow the exploration of the patient’s reasons for refusal. Understanding the patient’s perspective first ensures that the education provided is relevant and addresses specific concerns.
Correct Answer is A
Explanation
A: Aspirin is given as an antiplatelet aggregate to prevent blood clots in clients with a history of myocardial infarction. It inhibits platelet aggregation, reducing the risk of further cardiac events.
B: While aspirin has analgesic properties, this is not the primary reason for its use in clients with a history of myocardial infarction.
C: Aspirin also has antipyretic properties, but this is not the reason for its use in preventing cardiac events.
D: Aspirin’s anti-inflammatory properties are beneficial, but the primary reason for its use in myocardial infarction is its antiplatelet effect.
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