A nurse is receiving a telephone prescription from a client’s provider. Which of the following actions should the nurse take? (Select all that apply)
Instruct another nurse to record the prescription in the medical record.
Ask the provider to spell out the name of the medication.
Withhold the medication until the provider signs the prescription.
Record the date and time of the telephone prescription.
Request that the provider confirm the read-back of the prescription.
Correct Answer : B,D,E
Choice A reason: Instructing another nurse to record risks errors; the receiving nurse must document directly for accuracy. Scientifically, this violates chain-of-command and transcription protocols, as firsthand recording ensures fidelity to the provider’s intent, reducing miscommunication in medication orders.
Choice B reason: Asking for spelling clarifies the medication, preventing errors like sound-alikes (e.g., Celexa vs. Celebrex). Scientifically, this aligns with safety standards, as precise identification ensures correct drug administration, critical in telephone orders where auditory mistakes are common.
Choice C reason: Withholding until signed delays care; telephone orders allow immediate action with later signature (e.g., 24-48 hours). Scientifically, this contradicts urgent care needs, as timely treatment outweighs procedural lag, provided documentation and verification are complete.
Choice D reason: Recording date and time establishes a legal timeline, ensuring accountability and sequence of care. Scientifically, this is mandatory in telephone orders, supporting traceability and adherence to protocols, critical for auditing and patient safety in medication administration.
Choice E reason: Read-back confirmation verifies accuracy, reducing errors in verbal orders. Scientifically, this is evidence-based, as it ensures the provider’s intent matches the nurse’s record, safeguarding against misheard doses or drugs, a key step in safe prescribing practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elevation reduces swelling post-cast application, enhancing circulation. It’s a key step to prevent edema and discomfort in the right arm.
Choice B reason: Hair dryers risk burns or softening plaster; scratching tools are safer. This is incorrect and dangerous advice for cast care management.
Choice C reason: Covering delays drying, trapping moisture in plaster. It needs air exposure to harden, so this contradicts proper cast maintenance.
Choice D reason: Showering after 24 hr wets plaster, weakening it. Casts require protection from water, making this an inaccurate care instruction.
Correct Answer is A
Explanation
Choice A reason: Asking about a plan assesses immediate suicide risk, as a specific intent with means indicates high lethality. This prioritizes safety per psychiatric protocols, identifying actionable steps over background factors, aligning with scientific urgency to prevent harm by targeting the most direct threat indicator first.
Choice B reason: Family history of suicide is a risk factor, but not the priority over a current plan. It provides context, not imminent danger data. Scientifically, past events inform predisposition, yet assessing active intent trumps historical trends for acute intervention in suicidal ideation scenarios.
Choice C reason: Support systems reduce isolation, a suicide risk factor, but don’t gauge immediate intent. Asking about this is secondary to planning, as it addresses coping, not current danger level. Psychiatric evidence prioritizes intent assessment over social resources for urgent safety evaluation in ideation cases.
Choice D reason: Stressors contribute to ideation but identifying them is less urgent than a plan. They offer context, not actionable risk data. Scientifically, while stressors are relevant, determining if the client has a concrete method outweighs exploring triggers for prioritizing life-saving interventions in acute suicidal states.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.