A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (Select all that apply)

Repeat the details of the prescription back to the provider

Record the reason for the call made to the provider and the results of the call in the Nurses Notes

Tell the charge nurse that the provider has prescribed morphine by telephone

Refuse to accept the verbal prescription because this is not an emergency

Answer and Explanation

Correct Answer : A,B

A. Repeat the details of the prescription back to the provider: Verbal/telephone orders must be read back to ensure accuracy (known as read-back verification).

B. Record the reason for the call made to the provider and the results of the call in the Nurse’s Notes: Documentation should include:

Why the call was made
Provider’s response and order
Patient’s condition before and after intervention

C. Tell the charge nurse that the provider has prescribed morphine by telephone: While communication with the charge nurse is good practice, it does not replace proper documentation and verification.

D. Refuse to accept the verbal prescription because this is not an emergency: While verbal orders should be limited to emergencies, they can be accepted in certain non-emergency cases, provided read-back verification and documentation are done.

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Correct Answer is B

Explanation

A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.

B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.

C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.

D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.

A. Evaluation B. Assessment C. Implementation D. Planning

Correct Answer is A

Explanation

A. Evaluation: Evaluation is the phase where nurses assess whether patient goals and expected outcomes were met.

B. Assessment: Assessment is the first step, where data is collected to identify patient needs.

C. Implementation: Implementation involves carrying out nursing interventions, not reviewing outcomes.

D. Planning: Planning is where goals and interventions are developed, not evaluated.

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A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Correct Answer is B

Explanation

In which step of the nursing process do nurses look at outcomes?

Correct Answer is A

Explanation

Identify the two primary methods used to collect data:

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording:

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

When discovering subjective data, recognize that they relate to:

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

Select the proper order of the phases of the Nursing Process:

Select the type of assessment which is performed continuously throughout nurse-patient contact: