The home health nurse notes the client has gained 5 pounds overnight and has increased edema in the lower extremities. The nurse is calling the physician to obtain an order over the phone for furosemide medication. The physician gives an order and the nurse enters the order in the client's medical record. What will the nurse do next after writing down the order?
Call the pharmacy and see if the medication is available.
Initiate the prescription and administer the medication.
Read back the order to the physician.
Draw the medication into an appropriately labeled syringe.
The Correct Answer is C
Answer and Explanation
The correct answer is choice C, Read back the order to the physician.
After obtaining the physician's order over the phone, the nurse should read back the order to the physician to confirm accuracy and prevent medication errors.
This process ensures that the order is correctly transcribed and the right medication, dose, and route are given to the patient. Calling the pharmacy to check medication availability is not the nurse's responsibility, and initiating the prescription and administering the medication is inappropriate without confirming the order with the physician. Drawing up the medication into an appropriately labeled syringe before confirming the order with the physician is also inappropriate and can lead to medication errors. Therefore, reading back the order to the physician is the most appropriate action for the nurse to take.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Letting the certified nursing assistant change a sterile wound dressing – Changing a sterile wound dressing is not within the scope of practice for a Certified Nursing Assistant (CNA).
B. Having the LPN complete the initial admission assessment – Initial assessments are typically within the RN's scope of practice. LPNs can assist with ongoing assessments, but the RN should handle the first comprehensive admission assessment.
C. Allowing certified nursing assistant to place an IV – CNAs are not trained or licensed to place IVs; this task requires at least an LPN or RN, depending on local regulations.
D. Asking LPN to pass morning PO blood pressure med to client.This represents proper delegation because passing oral medications, including blood pressure medications, is within the scope of practice for a Licensed Practical Nurse (LPN).
Correct Answer is C
Explanation
The correct answer is choice C, face. When beginning a complete bed bath, the nurse should first wash the client's face, followed by the arms, chest, abdomen, legs, perineal area, back, and then feet. Washing the face first is important to promote client comfort and hygiene, and also sets a positive tone for the rest of the bath. Additionally, washing the face before the perineal area helps to prevent cross-contamination of bacteria from the perineal area to the face.
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