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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?

A.

Document the prescription as a telephone prescription in the medical record.

B.

Read back the prescription to the provider.

C.

Ensure that the provider signs the prescription.

D.

Write down the complete prescription.

Answer and Explanation

The Correct Answer is D

When a nurse receives a new prescription over the telephone from a client's provider, the first action the nurse should take is to write down the complete prescription. This ensures that the nurse has an accurate record of the prescription and can refer to it when administering medication or providing care.

Option a is incorrect because documenting the prescription as a telephone prescription in the medical record is important but not the first action.

Option b is incorrect because reading back the prescription to the provider is important but not the first action.

Option c is incorrect because ensuring that the provider signs the prescription is important but not the first action.


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Related Questions

Correct Answer is A

Explanation

When providing change-of-shift report about a client who has shingles, the nurse should include information about the type of transmission-based precautions in place to prevent the spread of infection to other clients and staff. Shingles is caused by the varicella-zoster virus and can be spread through direct contact with the rash.

  1. The times for routine vital sign measurements may be important information to include in the report, but it is not specific to the client's condition of shingles.
  2. The client's background health history may be important information to include in the report, but it is not specific to the client's condition of shingles.
  3. The number of visitors the client had during the shift may be important information to include in the report, but it is not specific to the client's condition of shingles.

Correct Answer is D

Explanation

The correct answer is choice d. Begin by testing the client while they are wearing glasses. Choice A rationale: Positioning the client 3.3 meters (10 feet) away from the chart is incorrect because the standard distance for the Snellen chart is 20 feet (6 meters). Choice B rationale: Documenting the largest line the client can read on the chart is part of the procedure, but it is not the initial action the nurse should take. The nurse must first ensure the client is wearing their glasses to get an accurate assessment. Choice C rationale: Instructing the client to begin the assessment with both eyes open is incorrect because visual acuity is typically tested one eye at a time, with the other eye covered. Choice D rationale: Beginning by testing the client while they are wearing glasses is correct because it provides the most accurate assessment of the client’s visual acuity in their usual state, ensuring the glasses are effectively correcting their vision​

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