During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?

Telephone the nurse responsible for the error at home to report the omission of the transcription.

Call the healthcare provider and ask if the prescription is still needed since 12 hours have elapsed since it was written.

Notify the nursing supervisor of the previous shift's omission in not transcribing the prescription.

Order the lab work as prescribed and follow procedures for completing an incident report.

Answer and Explanation

The Correct Answer is D

Choice A rationale: This option involves contacting the nurse at home, which may not be appropriate or effective for addressing the immediate issue of the transcription omission.

Choice B rationale: Contacting the healthcare provider is important, but the nurse should first order the lab work as prescribed and complete and incident report.

Choice C rationale: Notifying the nursing supervisor of the previous shift's omission is important but the nurse should first order the lab work as prescribed.

Choice D rationale: Ordering the lab work as prescribed and following procedures for completing an incident report is the best action for the nurse to take because it ensures that the client's serum potassium levels are monitored and that the error is documented and reported.

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Correct Answer is A

Explanation

Choice A rationale: Assessing whether the cost of the equipment is reasonable is crucial in determining the financial feasibility and cost-effectiveness of the purchase. Choice B rationale: While the ability to update the equipment is important, the initial cost and overall benefits should be considered first.

Choice C rationale: Considering whether the equipment will require annual repair is important but is a secondary consideration after evaluating the initial cost. Choice D rationale: The number of departments that can use the equipment is relevant, but the primary focus should be on the cost-benefit analysis to justify the expense.

A. Managed healthcare plans do not pay for any in-hospital medical evaluations. B. The client is grieving normally in response to the loss of a spouse and hospitalization is not necessary. C. Managed care providers have mandatory precertification requirements for hospitalization. D. Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital.

Correct Answer is C

Explanation

Choice A rationale: This statement is inaccurate. Managed healthcare plans typically cover in-hospital medical evaluations, but the decision may be subject to precertification requirements.

Choice B rationale: While grief is a natural response to the loss of a spouse, the client's confusion and disorientation warrant a medical evaluation, and this option dismisses the family's concerns.

Choice C rationale: Managed care providers often have mandatory precertification requirements for hospitalization. Informing the family about this requirement is important for them to navigate the process effectively.

Choice D rationale: This statement does not provide relevant information about the managed healthcare plan's policies or the client's current condition.

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During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organizations budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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