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 A
Explanation
A. When a nurse delegates a task to a UAP, the nurse transfers the responsibility to perform the task but retains accountability for the overall outcome and ensuring the task is done correctly.
B. Nurses do have the authority to delegate tasks within the scope of practice and according to facility policies.
C. UAPs cannot function independently for all interventions; their role is limited to delegated tasks that do not require professional nursing judgment.
D. While UAPs are responsible for their actions, accountability ultimately remains with the nurse who delegates the task.
Correct Answer is C
Explanation
A. EMAR (Electronic Medication Administration Record) is a documentation tool, not a communication method.
B. SOAP (Subjective, Objective, Assessment, Plan) is a documentation format, not specifically for verbal communication.
C. ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is a standardized communication technique designed to convey critical information clearly and efficiently, especially during telephone reporting.
D. CBE (Charting by Exception) is a documentation method focusing on deviations from norms, not a communication strategy.
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