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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Depression:
CNS stimulants are generally not indicated for depression. In fact, they can exacerbate symptoms and are not considered a first-line treatment for depressive disorders.
B. Opiate overdose:
CNS stimulants are not indicated for treating opiate overdose. In cases of overdose, other medications like naloxone are commonly used to reverse the effects of opioids.
C. Poor appetite:
CNS stimulants may be used to increase alertness and decrease fatigue, but they are not typically prescribed to address poor appetite. Appetite stimulation is often managed through other approaches.
D. Narcolepsy:
This is the correct answer. CNS stimulants, such as modafinil or methylphenidate, are commonly prescribed to manage symptoms of narcolepsy. These medications help improve wakefulness and reduce excessive daytime sleepiness.
Correct Answer is C
Explanation
A. "I need to increase my fluid intake." - This is a correct statement. Sucralfate should be taken with plenty of water to ensure proper absorption and effectiveness.
B. "I need to report pain or vomiting of blood." - This is also a correct statement. Severe abdominal pain or vomiting of blood may indicate a serious issue and should be reported to the healthcare provider.
C. "I need to take Carafate 30 minutes after meals." - This is an incorrect statement. Sucralfate is typically taken on an empty stomach, about 1 hour before meals and at bedtime.
D. "I need to take Maalox 30 minutes before or after Carafate." - This statement is correct. Antacids like Maalox can interfere with the absorption of sucralfate. It's generally recommended to space them apart, taking sucralfate at least 30 minutes before or after antacids.
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