A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?

Repeat the complete prescription back to the provider.

Have a provider who is on site sign the prescription.

Have the unit secretary enter the prescription on the provider's order form.

Verify the accuracy of the prescription with the pharmacist.

Answer and Explanation

The Correct Answer is A

A. Repeat the complete prescription back to the provider – This is the correct action to ensure accuracy and prevent medication errors. The nurse must read back the prescription, including the medication name, dosage, route, and frequency, for verification.

B. Have a provider who is on site sign the prescription – The prescribing provider must sign the order within a specific timeframe, but this step occurs after verifying and documenting the prescription.

C. Have the unit secretary enter the prescription on the provider's order form – Only licensed personnel (nurses, pharmacists, or providers) can transcribe and verify medication orders. The unit secretary cannot enter prescriptions.

D. Verify the accuracy of the prescription with the pharmacist – The nurse should first confirm the order with the provider, not the pharmacist. The pharmacist’s role comes after the order is documented and entered.

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Correct Answer is C

Explanation

A. Healthy weight – A BMI between 18.5 and 24.9 is classified as healthy. Since the client's BMI is 17.2, they do not fall within this range.

B. Overweight – Overweight is defined as a BMI between 25.0 and 29.9. The client's BMI of 17.2 is far below this range.

C. Underweight – A BMI below 18.5 is classified as underweight. Since the client's BMI is 17.2, they fall into this category. Clients with Crohn’s disease often experience malabsorption and weight loss, leading to a low BMI.

D. Obesity class 1 – Obesity is categorized as a BMI of 30.0 or higher. The client’s BMI is far below this classification.

A. Herpes zoster B. Diphtheria, tetanus, and acellular pertussis (DTaP) C. Human papillomavirus (HPV) D. Rotavirus

Correct Answer is A

Explanation

A. Herpes zoster – This vaccine is recommended for adults 50 years and older to prevent shingles, a painful rash caused by reactivation of the varicella-zoster virus. Older adults are at increased risk for complications from shingles, making this an essential immunization for this age group.

B. Diphtheria, tetanus, and acellular pertussis (DTaP) – This vaccine is primarily for children younger than 7 years old. Instead, older adults should receive the Tdap or Td vaccine as a booster every 10 years.

C. Human papillomavirus (HPV) – The HPV vaccine is recommended primarily for adolescents and young adults up to 26 years old to prevent cervical and other cancers. It is not typically given to older adults.

D. Rotavirus – The rotavirus vaccine is given to infants, as this virus causes severe diarrhea in young children. It is not needed in older adults.

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A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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