A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?

Time

Medication

Dosage

Route

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. Route.

Choice A rationale:

The time of administration is typically specified in the prescription and does not usually require clarification unless there are specific concerns about timing with other medications or meals.

Choice B rationale:

The medication, erythromycin, is clearly specified in the prescription. There is no ambiguity about which medication is being prescribed.

Choice C rationale:

The dosage of 500 mg is clearly stated and is a standard dose for erythromycin. There is no need to clarify this unless there are specific patient concerns or conditions that might affect dosing.

Choice D rationale:

The route of administration (e.g., oral, intravenous) is crucial information that must be clarified if not specified. Erythromycin can be administered in multiple ways, and the effectiveness and side effects can vary depending on the route

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Correct Answer is C

Explanation

A. Discarding worksheets containing client information in a wastebasket does not ensure proper disposal of confidential information and could compromise confidentiality.
B. Writing a client's diagnosis on the message board in the client's room could breach confidentiality, as it could potentially be seen by unauthorized individuals.
C. This action protects client confidentiality because it involves discussing sensitive information in a private setting where unauthorized individuals are less likely to overhear. This is an appropriate method of communicating client information during a handoff.
D. While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.

A. A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client. B. A nurse observes another nurse remove wrist restraints one at a time from a client who is currently calm. C. A nurse discovers that a client's family member has administered a PCA dose. D. A nurse observes a client vomiting after receiving an oral pain medication.

Correct Answer is A

Explanation

A. Correct. This situation involves a potential medication error due to the electronic IV pump delivering excessive fluid, which requires documentation and an incident report for reporting and tracking purposes.
B. While observing another nurse's practice is important, the scenario does not involve an incident that requires reporting via an incident report.
C. This situation may warrant a medication incident report, but the family member's administration of PCA might be within their scope if properly trained and authorized.
D. This scenario involves a side effect of a medication, but it is not a situation requiring an incident report unless it is a severe or unexpected reaction.

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A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing client confidentiality with other staff members. The nurse should identify which of the following actions is an example of protecting client confidentiality.

Correct Answer is C

Explanation

A nurse is contributing to an in-service for newly licensed nurses about situations requiring an Incident report. Which of the following examples should the nurse include?

Correct Answer is A

Explanation

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