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
Asking for an order for an incentive spirometer is a recommendation, which belongs in the R step of SBAR. The B step should provide background information about the patient’s condition.
Choice B rationale
Providing the client’s history of sleep apnea is appropriate for the B step, which involves giving background information relevant to the current situation.
Choice C rationale
Describing the client’s current respirations and temperature is part of the Assessment step, not the Background step. The B step should focus on the patient’s medical history and relevant background information.
Choice D rationale
Stating that the client was found unconscious on the floor is part of the Situation step, not the Background step. The B step should provide background information about the patient’s condition.
Correct Answer is B
Explanation
Choice A rationale
Confining a patient to a room without provisions for their care is not the best definition of false imprisonment. While it may be considered neglect or abuse, false imprisonment specifically involves restraining a person against their will without legal justification.
Choice B rationale
Restraining a patient against their will is the correct definition of false imprisonment. False imprisonment occurs when a person is intentionally confined or restrained without their consent and without legal authority.
Choice C rationale
Applying physical restraints to prevent falls is not considered false imprisonment if done with proper consent and following legal and medical guidelines. It is a safety measure, not an unlawful restraint.
Choice D rationale
Implementing a care plan without patient consent may be considered a violation of patient rights, but it does not fit the definition of false imprisonment. False imprisonment specifically involves physical restraint or confinement.
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