A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first

Ensure that the provider signs the prescription

Read back the prescription to the provider.

Write down the complete prescription.

Document the prescription as a telephone prescription in the medical record

Answer and Explanation

The Correct Answer is C

Immediately transcribe the medication order to facilitate accurate documentation of the prescription. Delaying this documentation step can contribute to erroneous transcription.

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Correct Answer is A

Explanation

Delirium is an acute confusional state that develops rapidly over a short period of time, often within hours or days. It is characterized by a disturbance in consciousness and attention, along with changes in cognition and perception.

Delirium can significantly impact a client's perception of their environment. Clients with delirium may experience hallucinations, delusions, and misinterpretations of their surroundings. They may become disoriented, have difficulty recognizing familiar people or places, and exhibit altered levels of awareness and attention.

As mentioned earlier, delirium has an abrupt onset, meaning it develops rapidly. Delirium is usually a transient condition that fluctuates throughout the day, with symptoms varying in severity.

Delirium can disrupt a client's sleep-wake cycle. Clients with delirium may experience disturbances in their sleep patterns, such as difficulty falling asleep, frequent awakening during the night, or excessive sleepiness during the day.

A. "Have you ever known someone who has a colostomy? B. "Let's wait until after the surgery to discuss your concerns about your colostomy." C. "You are worried about having to wear a colostomy bag?" D. "The surgeon will only place the colostomy if it is necessary.”

Correct Answer is C

Explanation

The nurse's response demonstrates active listening and empathy, acknowledging the client's concerns and addressing them directly. It allows the client to express their worries and opens up a dialogue for further discussion and support. This response shows that the nurse is attentive to the client's emotions and is ready to provide information and reassurance regarding the colostomy. It also encourages the client to openly discuss their fears and concerns, which can help alleviate anxiety and promote a trusting nurse-client relationship.

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A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to Include?

Correct Answer is A

Explanation

A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, "I'm worried about that bag." Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

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