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 D
Explanation
Choice A reason: Eating 2 hours before an IVP is incorrect; fasting is required 4-8 hours prior to ensure clear imaging. Scientifically, food can obscure contrast in the urinary tract, reducing diagnostic accuracy, showing misunderstanding of prep needs.
Choice B reason: Limiting fluids post-IVP is wrong; hydration flushes dye, preventing kidney strain. Scientifically, adequate fluid intake post-contrast is standard to reduce nephrotoxicity risk, indicating the client misgrasps aftercare critical to renal safety.
Choice C reason: Not needing consent is false; IVP involves contrast risks (e.g., allergy), requiring informed consent. Scientifically, legal and medical standards mandate consent for invasive imaging, reflecting a lack of understanding about procedural protocols.
Choice D reason: A warming sensation from dye injection is accurate, as contrast dilates vessels briefly. Scientifically, this common reaction shows the client understands the procedure’s sensory effects, aligning with expected physiological responses per IVP education.
Correct Answer is D
Explanation
Choice A reason: A primary care provider focuses on medical care, not financial aid coordination. Scientifically, they diagnose and treat, lacking the resource linkage role needed for formula access, making this less effective for socioeconomic support postpartum.
Choice B reason: A nutritionist advises on diet, not funding solutions for formula. Scientifically, their expertise is nutritional planning, not social services, misaligning with the client’s economic barrier, requiring broader assistance beyond dietary guidance.
Choice C reason: A pediatric nurse practitioner manages child health, not financial resources. Scientifically, their scope is clinical, not case coordination, making them less equipped to address affordability compared to a role focused on systemic support.
Choice D reason: A case manager connects clients to resources like WIC for formula, addressing financial need. Scientifically, this role bridges socioeconomic gaps, aligning with evidence-based interprofessional care to ensure infant nutrition via community programs.
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