During a routine chart review, what is the nurse’s responsibility when there is a discrepancy in the physician’s orders?
Correct the physician’s orders to match the chart.
Ignore the discrepancy as it’s the physician’s responsibility.
Document the discrepancy but take no further action.
Document the discrepancy and notify the physician.
The Correct Answer is D
Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Encouraging the patient to rely on their knowledge is not sufficient. Patients may not have the necessary understanding or skills to manage a new medication safely. It is important for the nurse to provide comprehensive education on the medication.
Choice B rationale
Reviewing the medication administration technique with the patient ensures they understand how to take the medication correctly. This includes the dosage, timing, and any specific instructions related to the medication. Proper education helps prevent medication errors and promotes adherence to the prescribed regimen.
Choice C rationale
Instructing the patient to avoid contacting healthcare providers with questions is incorrect. Patients should be encouraged to reach out to their healthcare providers if they have any questions or concerns about their medication. This ensures they have the support they need to manage their medication safely.
Choice D rationale
Providing the patient with written instructions only is not sufficient. While written instructions are helpful, they should be supplemented with verbal education and a demonstration if necessary. This ensures the patient fully understands how to take their medication and can ask questions if needed.
Correct Answer is B
Explanation
Choice A rationale
The affective domain involves emotions and attitudes, which is not the primary focus when teaching a newly diagnosed diabetic patient about their condition.
Choice B rationale
The cognitive domain involves knowledge and understanding. Teaching a newly diagnosed diabetic patient involves providing information about the disease, its management, and self- care practices, which falls under the cognitive domain.
Choice C rationale
The psychomotor domain involves physical skills, which is not the primary focus in this context.
Choice D rationale
The behavioral domain is not a recognized learning domain in this context. The correct domain for teaching a newly diagnosed diabetic patient is cognitive.
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