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.
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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Related Questions
Correct Answer is D
Explanation
A. A referral to long-term care is premature since the client lives independently and may not require institutionalized care.
B. Assisted living accommodations are not necessary unless the client struggles with self-care or safety concerns.
C. Adult day care is beneficial for socialization but does not address the primary issue of diabetes management in a rural setting.
D. Telehealth services allow clients in rural areas to consult with healthcare providers remotely, improving access to care, medication management, and education on diabetes self-care.
Correct Answer is D
Explanation
A. Empty the collection chamber every 8 hr – Incorrect. The collection chamber is not emptied; instead, it is replaced when full to prevent air re-entry.
B. Check the patency of the tubing every 2 hr – While monitoring the tubing is essential, checking patency is not the most specific nursing priority.
C. Keep the drainage system above the level of the client's chest – Incorrect. The system should remain below chest level to prevent backflow of drainage.
D. Ensure 2 cm (0.8 in) of water is in the water seal chamber – Correct. The water seal chamber maintains negative pressure and prevents air from entering the pleural space, making this a crucial step in chest tube management.
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