The nurse receives a telephone prescription from the healthcare provider for a client's persistent cough and wheezing. The prescription includes a chest x-ray, an antibiotic, and a nebulizer treatment now and as needed (PRN). After reading the prescription back to the healthcare provider to ensure accuracy, which intervention should the nurse implement first?

Apply portable oxygen for transport to radiology.

Administer a nebulizer breathing treatment.

Evaluate breathing pattern.

Start the prescribed antibiotic.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Applying portable oxygen for transport to radiology is not the first priority. The immediate concern is assessing and addressing the client's respiratory distress before initiating specific interventions.

Choice B rationale: The nebulizer treatment should be administered FIRST to alleviate the clients obstructed airway (respiratory distress)

Choice C rationale: Evaluating the breathing pattern is important but should be done immediately after implementing physician orders

Choice D rationale: Starting the prescribed antibiotic is not the first priority. Respiratory assessment takes precedence to address the client's immediate distress.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A rationale: Recording that the nurse questioned the prescription and seeking guidance from the supervisor can be done after calling the healthcare provider back.

Choice B rationale: Notifying the medical chief of staff may be necessary, but the nurse should first call the healthcare provider back.

Choice C rationale: Calling the healthcare provider back to report the dosage discrepancy is important, because it will allow the healthcare provider to correct the mistake and give a safe prescription.

Choice D rationale: Refusing to administer the medication and writing an incident report is an appropriate action, but it should be done if the healthcare provider does not respond or insists on giving the wrong prescription.

A. Assign the orientee to work with an experienced nurse who is a long-time, efficient employee. B. Wait until the end of the second week to see if the orientee is able to complete her assignments. C. Inform the supervisor that for client safety this nurse should be assigned to a slower paced unit. D. Talk to the orientee and ask her if she has considered working in a less stressful environment.

Correct Answer is A

Explanation

Choice A rationale: Assigning the orientee to work with an experienced nurse who is a long-time, efficient employee can help the orientee improve her skills and confidence.

Choice B rationale: Waiting until the end of the second week may lead to further issues and does not actively address the current challenges the orientee is facing.

Choice C rationale: Informing the supervisor without directly addressing the nurse may not be the most supportive or proactive approach.

Choice D rationale: Talking to the orientee about working in a less stressful environment may not be the most proactive step at this point. Providing support and guidance within the current work environment is a more immediate solution.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is A

Explanation

The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

An adult client is admitted via the emergency department (ED) with a head injury that will initially require intensive care. Which nurse should be responsible for coordinating the progression of this client's care through rehabilitation and discharge?

Breakfast trays have arrived on the unit, but the daily serum glucose level is not available on the chart of a client with type 1 diabetes mellitus. Which action should the nurse take?

The unlicensed assistive personnel (UAP) reports to the nurse that a male client with fluid volume overload will not allow the UAP to obtain his daily weight. Which action should the nurse implement?

The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?

The nurse manager decides to report a staff nurse to the Peer Review Committee (PRC). Which activity merits this action?