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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: In the context of influenza, especially during flu seasons, wearing a fitted respirator mask is recommended for healthcare personnel to prevent the spread of respiratory droplets.
Choice B rationale: Instructing the UAP to notify the nurse of respiratory status changes is important but doesn't address the immediate need for proper respiratory protection.
Choice C rationale: Assigning the UAP to another client is not necessary if proper precautions are followed. The focus should be on correcting the current situation.
Choice D rationale: Reviewing the need for the UAP to wear a face mask is insufficient; a fitted respirator mask is more appropriate for respiratory illnesses like influenza.
Correct Answer is D
Explanation
Choice A rationale: This option involves contacting the nurse at home, which may not be appropriate or effective for addressing the immediate issue of the transcription omission.
Choice B rationale: Contacting the healthcare provider is important, but the nurse should first order the lab work as prescribed and complete and incident report.
Choice C rationale: Notifying the nursing supervisor of the previous shift's omission is important but the nurse should first order the lab work as prescribed.
Choice D rationale: Ordering the lab work as prescribed and following procedures for completing an incident report is the best action for the nurse to take because it ensures that the client's serum potassium levels are monitored and that the error is documented and reported.
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