A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?
"I will always repeat the prescription back to the provider after receiving it."
"All telephone prescriptions must be directly transcribed into the nurse's notes."
"I will ask the provider for clarification when I do not understand."
"Telephone prescriptions should be signed by the provider as soon as possible."
The Correct Answer is B
A. Repeating the prescription back to the provider ensures accuracy and is a best practice.
B. Telephone prescriptions should be transcribed into the appropriate medical record or order entry system, not just the nurse's notes. This ensures the prescription is documented correctly and can be acted upon by other healthcare team members.
C. Asking for clarification when the prescription is not understood is crucial to prevent errors.
D. Telephone prescriptions should be signed by the provider as soon as possible to ensure they are valid and have been accurately communicated.
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Related Questions
Correct Answer is C
Explanation
A. Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B. Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C. Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D. Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.
Correct Answer is B
Explanation
A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.
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