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.

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

Read back the prescription to the provider

Write down the complete prescription.

Answer and Explanation

The Correct Answer is C

The rationale for this answer is that reading back the prescription to the provider is a safety measure that helps prevent medication errors and ensures accuracy and clarity of communication. It also allows for confirmation and verification of any unclear or incomplete information.

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Correct Answer is D

Explanation

The nurse should assess the client's vital signs first to determine if there are any signs of fluid overload, such as hypertension, edema, crackles, or dyspnea. The nurse should then notify the primary care provider.

A. Check for gastric residual volume. B. Flush the tube with sterile 0.9% sodium chloride irrigation. C. Encourage the client to take sips of water. D. Encourage the client to breathe deeply and cough.

Correct Answer is A

Explanation

A. Before administering enteral feeding, it is important to check the gastric residual volume to ensure that the previous feeding has been adequately digested and to reduce the risk of aspiration. High residual volumes can indicate delayed gastric emptying and may require holding the feeding.

B. While it is important to flush the tube, this is typically done with water (sterile or tap) rather than sterile 0.9% sodium chloride, unless specifically ordered for medical reasons. The primary step before feeding is to check the residual volume.

C. Encouraging the client to take sips of water is not applicable in the context of enteral feeding via NG tube, as the feeding is delivered directly into the stomach or intestines.

D. Encouraging deep breathing and coughing is not relevant to the administration of enteral feedings via an NG tube. These actions are more related to respiratory care.

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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 nurse hangs a bag of dextrose 5% in water 1,000 mL at 0800 to run at 125 mL/hr. At 1200, the nurse notices that the client's IV bag is empty. Which of the following interventions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

Correct Answer is A

Explanation

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