A nurse is taking a telephone order from a radiologist for a client who needs an urgent chest x-ray.

Which of the following statements by the nurse is correct for verifying the order?

“I have an order for a chest x-ray for Mr. Jones in room 20.”.

“Please repeat the order for a chest x-ray for Mr. Jones in room 20.”.

“You want me to get a chest x-ray for Mr. Jones in room 20, right?.”.

“I read back the order for a chest x-ray for Mr. Jones in room 20.”.

Answer and Explanation

The Correct Answer is D

“I read back the order for a chest x-ray for Mr. Jones in room 20.”.

This is the best way to verify a telephone order from a radiologist, as it ensures that the nurse has accurately transcribed the order and that the radiologist has confirmed it.

Reading back the order also allows the nurse to clarify any doubts or questions about the order, such as the urgency, the reason, or the patient’s condition.

Choice A is wrong because it does not verify the order, but simply repeats it.

The nurse should not assume that the order is correct without confirmation from the radiologist.

Choice B is wrong because it asks the radiologist to repeat the order, which is inefficient and may cause confusion or errors.

The nurse should repeat the order to the radiologist, not the other way around.

Choice C is wrong because it uses a closed-ended question that can be answered with a yes or no, which may not reflect the radiologist’s true intention or understanding of the order.

The nurse should use an open-ended statement that requires the radiologist to acknowledge or correct the order.

According to federal regulations and accreditation standards, verbal and telephone orders should be authenticated by the prescriber within a specified time frame, usually 24 hours. Some states may have different or more stringent requirements, so nurses should be familiar with their state laws and regulations. Verbal and telephone orders should also be documented and signed by two nurses or one nurse and one enrolled endorsed nurse for verification and administration.

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Correct Answer is A

Explanation

Subjective, Objective, Assessment, Plan.This is the meaning of SOAP format, which is a documentation method used by nurses and other healthcare providers to write out notes in the patient’s chart.

Choice B is wrong becauseSituation, Observation, Action, Problemis not a documentation method, but a communication tool used in handovers and briefings.

Choice C is wrong becauseSummary, Outcome, Analysis, Processis not a documentation method, but a framework for writing reflective essays.

Choice D is wrong becauseSource, Opinion, Accuracy, Purposeis not a documentation method, but a criteria for evaluating information sources.

SOAP format helps to organize the information collected from the patient in a clear and consistent manner.

It consists of four components:.

• Subjective: This includes how the patient is feeling and how they have been since the last review in their own words.

• Objective: This includes the objective observations that can be measured, seen, heard, felt or smelled, such as vital signs, fluid balance, clinical examination findings and investigation results.

• Assessment: This includes the thoughts on the salient issues and the diagnosis (or differential diagnosis) based on the subjective and objective data.

• Plan: This includes the actions that will be taken to address the patient’s problems, such as medications, investigations, referrals and follow-ups.

A. SOAP charting. B. PIE charting. C. Focus charting. D. Narrative charting.

Correct Answer is D

Explanation

Narrative charting.

This type of documentation is an example of narrative charting because it chronicles all of the patient’s assessment findings and nursing activities that occurred throughout the shift in a descriptive format.

Some other choices are:.

• Choice A is wrong because SOAP charting is a type of documentation that is organized by four categories: Subjective, Objective, Assessment, and Plan.

It is commonly used in problem-oriented medical records.

• Choice B is wrong because PIE charting is a type of documentation that uses three categories: Problem, Intervention, and Evaluation.

It is based on the nursing process and eliminates the need for a separate care plan.

• Choice C is wrong because Focus charting is a type of documentation that uses three categories: Data, Action, and Response.

It emphasizes the patient’s concerns, problems, or strengths rather than medical diagnoses.

Normal ranges for vital signs and laboratory values may vary depending on the facility and the patient’s condition.

However, some general ranges are:.

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F).

• Pulse: 60 to 100 beats per minute.

• Respirations: 12 to 20 breaths per minute.

• Blood pressure: 120/80 mmHg or lower.

• Oxygen saturation: 95% or higher.

• Hemoglobin: 12 to 18 g/dL for men, 11 to 16 g/dL for women.

• Hematocrit: 37% to 49% for men, 36% to 46% for women.

• White blood cell count: 4,000 to 11,000 cells/mm3.

• Platelet count: 150,000 to 400,000 cells/mm3.

• Blood glucose: 70 to 110 mg/dL.

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A nurse is taking a telephone order from a radiologist for a client who needs an urgent chest x-ray. Which of the following statements by the nurse is correct for verifying the order?

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A nurse is taking a telephone order from a radiologist for a client who needs an urgent chest x-ray.

Which of the following statements by the nurse is correct for verifying the order?