The nurse is calling a health care provider to give an update on a client's condition. The nurse receives a telephone order and, when requests that the order be read back to the provider for confirmation, the provider states, "I don't have time for this." What is the most appropriate action by the nurse?
Don't follow through with the order, and delete it from the record
Inform the provider, to ensure safety for the client, it must be read back
Proceed with the order since the nurse heard it the first time
Ask the secretary to call the provider back and take the order
The Correct Answer is B
A. The nurse should never delete or ignore a provider’s order without proper communication and documentation.
B. The nurse must insist on reading back the order to ensure accuracy and client safety, even if the provider is impatient. This is a standard safety protocol to prevent errors.
C. Proceeding without read-back risks misunderstanding the order, which could harm the client.
D. Asking the secretary to take the order bypasses the nurse’s professional responsibility and does not guarantee safe communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While involving a spiritual advisor may be helpful, the nurse’s priority is to ensure the client is fully informed before decisions are made.
B. Providing all relevant information allows the client to weigh risks and options and make an informed decision respecting their beliefs.
C. Forcing information or pressuring the client disregards their autonomy and beliefs.
D. Having the client sign refusal without thorough discussion does not support informed consent or shared decision-making.
Correct Answer is B
Explanation
A. A face tent delivers oxygen but is typically used for clients who cannot tolerate masks and usually provides variable oxygen concentrations.
B. A nasal cannula is appropriate for delivering low concentrations of oxygen (typically 24% to 44%) and allows the client to eat, talk, and move more easily. It is commonly used for clients who need low-flow oxygen therapy, such as those with asthma.
C. A nonrebreather mask delivers high concentrations of oxygen (up to 100%) and is not suitable when only low oxygen concentrations are needed.
D. A simple mask delivers moderate oxygen concentrations (35% to 50%) and is generally used when higher oxygen levels are required than with a nasal cannula.
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