A nurse is receiving a telephone prescription from a provider for propranolol 40 mg PO BID. When reading back the information to the provider. which of the following actions should the nurse take?

Verify the medication name along with its intended purpose.

Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."

Transcribe the medication name using the trade me.

Remind the provider to countersign the prescription in 72 hr.

Answer and Explanation

The Correct Answer is A

A. Verify the medication name along with its intended purpose.

Rationale:

Verifying the medication name along with its intended purpose is crucial to ensure accuracy and patient safety. In this scenario, the nurse should confirm that the medication name "propranolol" matches the intended medication prescribed by the provider. Additionally, understanding the purpose of the medication ensures that the nurse can correctly communicate this information to the patient, reinforcing patient education and adherence to the prescribed treatment plan. Verifying the medication name and purpose helps prevent medication errors and promotes safe medication administration practices.

B. Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."

Verbalizing the letters "B-I-D" for the dosing frequency instead of saying "twice per day" is not the most appropriate action in this situation. While using medical abbreviations like "B-I-D" (which stands for "bis in die" or "twice a day") is common in healthcare settings, it's essential to ensure clear communication with all involved parties, including patients and providers. Using layman's terms like "twice per day" helps avoid confusion and promotes better understanding, reducing the risk of medication errors due to misinterpretation.

C. Transcribe the medication name using the trade name.

Transcribing the medication name using the trade name is not appropriate unless specifically instructed by the provider or if there is a specific reason to do so. In this scenario, the nurse should use the generic name "propranolol" when transcribing the medication to ensure consistency and accuracy in documentation and communication. Using trade names can lead to confusion, especially in environments where multiple brand names may exist for the same generic medication.

D. Remind the provider to countersign the prescription in 72 hr.

Reminding the provider to countersign the prescription in 72 hours is not relevant to the immediate task of verifying and reading back the prescription information. While ensuring proper documentation and authorization of prescriptions is important, it should not be addressed during the initial verification and communication process. This action can be addressed separately, following the completion of the prescription verification process.

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Correct Answer is D

Explanation

A. "My attorney will need to notarize the document."

This statement indicates a misunderstanding of advance directives. Notarization by an attorney is not a requirement for advance directives. While legal advice may be helpful in completing advance directive documents, notarization by an attorney is not necessary for their validity.

B. "I have to choose a member of my family to be my health care surrogate."

This statement is incorrect. While a family member can serve as a health care surrogate if chosen by the individual, there is no requirement to select a family member. The individual can choose any competent adult to act as their health care surrogate, regardless of familial relationship.

C. "Once the form is notarized, it cannot be changed."

This statement is incorrect. Advance directive documents can be changed or revoked at any time by the individual as long as they are of sound mind and able to make decisions. Notarization does not prevent changes or revisions to the document.

D. "My health care surrogate can decide my treatment if I am unable to."

Correct. This statement demonstrates an understanding of advance directives. A health care surrogate, also known as a health care proxy or durable power of attorney for health care, is a person chosen by an individual to make medical decisions on their behalf if they become unable to do so. This includes decisions about medical treatment, procedures, and end-of-life care.

A. Soft-serve ice cream B. Hot tea C. String cheese D. Raisin toast

Correct Answer is D

Explanation

Answer: D. Raisin toast

Rationale:

A. Soft-serve ice cream:
While soft-serve ice cream may seem appealing due to its mild taste and smooth texture, it can be high in sugar and fat, which might not be well-tolerated by patients experiencing chemotherapy-induced nausea. Heavy or rich foods can exacerbate nausea, making them less suitable for these clients.

B. Hot tea:
Hot tea can be soothing, but for individuals experiencing nausea, the warmth might not be well-received. Additionally, certain teas can contain caffeine, which may not be advisable for those undergoing chemotherapy, as it can sometimes exacerbate dehydration or jitters.

C. String cheese:
String cheese is a dairy product that can be heavy for some patients, particularly those experiencing nausea from chemotherapy. Dairy may cause gastric discomfort, and many patients may prefer lighter, less greasy options when feeling nauseous.

D. Raisin toast:
Raisin toast is a suitable choice as it is light, easy to digest, and contains carbohydrates that can help settle the stomach. The raisins add some natural sweetness without being overly rich, making it a good option for someone experiencing chemotherapy-induced nausea. This selection demonstrates an understanding of dietary choices that may be better tolerated during episodes of nausea.

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A nurse is receiving a telephone prescription from a provider for propranolol 40 mg PO BID. When reading back the information to the provider. which of the following actions should the nurse take?

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A nurse in a long-term care facility is reinforcing teaching with a newly licensed nurse about chemotherapy-induced nausea. Which of the following food selections indicates the newly licensed nurse understands the teaching?

Correct Answer is D

Explanation

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