A nurse is reviewing a new order on the Electronic Health Record. The dose of the medication is abnormally high. What would be the nurse’s best next action?
Document concerns about the order.
Refuse to administer the medication.
Question the physician about the order.
Administer the medication as ordered.
The Correct Answer is C
Choice A reason: Documenting concerns is secondary to questioning the physician about an abnormally high dose, which ensures immediate clarification. Assuming documentation is first risks delaying safety checks, potentially leading to errors, critical to avoid in ensuring safe medication administration and error prevention in clinical practice.
Choice B reason: Refusing to administer is premature without physician clarification of the high dose; questioning is the first step. Assuming refusal is best risks bypassing collaboration, potentially delaying care, critical to prevent in ensuring safe, communicative medication management in electronic health record systems.
Choice C reason: Questioning the physician about an abnormally high dose ensures safety, clarifying intent and preventing errors, a critical nursing responsibility. This promotes collaboration, safeguards the client, and adheres to medication safety protocols, essential for accurate administration and error prevention in electronic health record-based practice.
Choice D reason: Administering an abnormally high dose risks harm without clarification, unlike questioning the physician, which ensures safety. Assuming administration is safe risks toxicity, critical to avoid in ensuring responsible medication management, client safety, and adherence to nursing standards in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Cranial nerves control specific sensory and motor functions, not overall arousal, unlike the reticular activating system, which regulates alertness. Assuming cranial nerves are responsible risks misassessing neurological status, potentially delaying interventions, critical to avoid in evaluating stroke clients’ arousal states in clinical settings.
Choice B reason: The reticular activating system regulates arousal and alertness, critical for assessing stroke clients’ consciousness 3 days post-event. This guides neurological evaluation, ensuring accurate monitoring, supporting recovery, and identifying complications, essential in managing stroke clients’ neurological status in acute care settings effectively.
Choice C reason: The renin-angiotensin-aldosterone system regulates blood pressure, not arousal, unlike the reticular activating system for alertness. Assuming this system is responsible risks misinterpreting neurological status, potentially neglecting arousal assessment, critical to prevent in evaluating stroke clients’ consciousness in clinical care.
Choice D reason: Adrenal glands regulate stress hormones, not primary arousal, unlike the reticular activating system, which controls alertness. Assuming adrenal involvement risks incorrect neurological assessment, potentially overlooking arousal issues, critical to avoid in ensuring accurate evaluation of stroke clients’ consciousness in acute care.
Correct Answer is B
Explanation
Choice A reason: A colleague graduating simultaneously lacks the experience to mentor effectively, as mentorship requires seasoned guidance. An experienced preceptor is ideal. Assuming a peer is suitable risks inadequate support, potentially hindering professional growth, critical to avoid in ensuring a novice nurse’s development through expert mentorship in early career stages.
Choice B reason: An experienced preceptor nurse, familiar with teaching, offers practical guidance and clinical expertise, ideal for mentoring a novice nurse. This relationship fosters skill development, critical for professional growth, ensuring confidence, competence, and safe practice, essential for supporting new graduates transitioning into complex healthcare environments effectively.
Choice C reason: A unit manager friend may have bias, compromising objective mentorship; an experienced preceptor is better suited. Assuming a friend is ideal risks unprofessional guidance, potentially affecting career development, critical to avoid in ensuring impartial, expert mentorship for a novice nurse in early career growth.
Choice D reason: A nurse educator focuses on broad education, not individualized clinical mentorship like a preceptor. Assuming an educator is best risks less hands-on guidance, potentially limiting practical skill development, critical to avoid in ensuring a novice nurse receives tailored, experiential mentorship for effective career progression.
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