At 0200 the nurse phones the healthcare provider to request a PRN medication for a client who is unable to sleep. The healthcare provider is awakened, and gives the nurse a prescription for four times the normal dosage. When questioned by the nurse, the healthcare provider responds in a sleepy voice, "Yeah, OK," and hangs up the phone. Which action should the nurse take first?
Record that the nurse questioned the prescription, and ask the supervisor for guidance.
Notify the medical chief of staff of the situation, and request a prescription for the client.
Call the healthcare provider back, and report that the dosage prescribed is four times the normal dose.
Refuse to administer the medication, and write an incident report describing the event.
The Correct Answer is C
Choice A rationale: Recording that the nurse questioned the prescription and seeking guidance from the supervisor can be done after calling the healthcare provider back.
Choice B rationale: Notifying the medical chief of staff may be necessary, but the nurse should first call the healthcare provider back.
Choice C rationale: Calling the healthcare provider back to report the dosage discrepancy is important, because it will allow the healthcare provider to correct the mistake and give a safe prescription.
Choice D rationale: Refusing to administer the medication and writing an incident report is an appropriate action, but it should be done if the healthcare provider does not respond or insists on giving the wrong prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: A client with combined partial and full-thickness burns on the anterior chest with a decreased O2 saturation is likely in need of critical care and should not be transferred to a general unit.
Choice B rationale: A client with nephrotic syndrome and mild edema is the most stable and has the least risk of complications among the four options.
Choice C rationale: The client with thyroidectomy has a risk of bleeding and needs frequent assessment of vital signs and dressing.
Choice D rationale: The client with renal transplant has a risk of rejection and infection and needs strict isolation and immunosuppressive therapy.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale: Consulting with the registered dietitian involves clinical judgment and collaboration with another healthcare professional, which is not within the scope of practice for the UAP.
Choice B rationale: Maintaining a clean and pleasant environment during meals is a task that can be delegated to the UAP to enhance the client's dining experience. Choice C rationale: Setting up the food and drink containers within easy reach is a task that the UAP can perform to facilitate the client's access to meals.
Choice D rationale: Offering specific dietary recommendations, such as high-caloric foods, requires knowledge of nutritional needs, which is beyond the UAP's scope. Choice E rationale: Assisting the client with eating small frequent high-calorie meals is a task that can be delegated to the UAP to support the client's nutritional intake.
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