The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?

Ask a colleague what the order says.

Contact the prescriber to clarify the order.

Wait until the prescriber makes rounds again to clarify the order.

Ask the patient what medications he takes at home.

Answer and Explanation

The Correct Answer is B

A. Ask a colleague what the order says:

This option involves seeking assistance from a colleague to interpret the illegible handwriting. While collaboration among healthcare professionals is important, relying on a colleague to interpret unclear handwriting may introduce the risk of miscommunication or misinterpretation.

B. Contact the prescriber to clarify the order:

This is the recommended and safest option. Contacting the prescriber directly to seek clarification ensures accurate information and reduces the risk of misinterpretation or errors related to illegible handwriting.

C. Wait until the prescriber makes rounds again to clarify the order:

This option involves delaying clarification until the prescriber is available during rounds. Waiting may not be ideal if the patient requires prompt intervention or if there is an urgency in administering the medication. Timely communication is crucial for patient safety.

D. Ask the patient what medications he takes at home:

This option is unrelated to the issue of illegible handwriting on the prescription. While obtaining a patient's medication history is important for comprehensive care, it does not address the immediate need to clarify the unclear order.

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Correct Answer is C

Explanation

A. A learning disorder and muscle paralysis

This description does not align with the typical symptoms of ADHD. ADHD is characterized by core symptoms of inattention, hyperactivity, and impulsivity. Muscle paralysis is not a recognized symptom of ADHD.

B. Nervousness and sleeplessness

While some individuals with ADHD may experience difficulties with sleep, nervousness and sleeplessness are not the primary symptoms of ADHD. ADHD is more characterized by difficulties with attention, hyperactivity, and impulsivity.

C. Hyperactivity and decreased attention span

This is the correct choice. Hyperactivity and a decreased attention span are core symptoms of ADHD. Children with ADHD often display impulsive behaviors, have difficulty sustaining attention, and may be overly active.

D. Hyperactivity and nervousness

While hyperactivity is a common symptom of ADHD, nervousness is not typically described as a core symptom. ADHD is more characterized by impulsivity, hyperactivity, and attention difficulties.

A. diazepam B. midazolam C. valproic acid D. carbamazepine

Correct Answer is A

Explanation

A. Diazepam

For the treatment of status epilepticus, the drug of choice is typically a benzodiazepine, and diazepam is commonly used. Diazepam is a fast-acting anticonvulsant that can be administered intravenously to rapidly terminate seizures during status epilepticus.

B. Midazolam

Midazolam is another benzodiazepine that can be used for the treatment of status epilepticus, particularly when intravenous access is difficult. It can be administered intramuscularly or intranasally.

C. Valproic Acid

Valproic acid is an anticonvulsant, but it is not typically the first-line choice for the acute treatment of status epilepticus. It may be considered if benzodiazepines are not effective.

D. Carbamazepine

Carbamazepine is not used for the acute treatment of status epilepticus. It is more commonly used as a maintenance therapy for epilepsy.

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The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How will the parents of a 8 year old child diagnosed with ADHD most typically describe their child's behavior?

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A patient is experiencing status epilepticus. The nurse prepares to give which drug of choice for the treatment of this condition?

Correct Answer is A

Explanation

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