What is the priority action of the nurse immediately after receiving a medication telephone order from a physician?
Read back the order to the physician for confirmation.
Double-check the order with another registered nurse.
Authorize the physician's order with the pharmacy.
Withhold the medication until the physician signs the order.
The Correct Answer is A
Choice A rationale
Reading back the order ensures accuracy and allows the physician to immediately correct any misheard or misinterpreted information. This step is crucial for patient safety as it verifies the details of the medication order before it is implemented.
Choice B rationale
While double-checking with another nurse is a good practice, the immediate priority after receiving a telephone order is to confirm the order directly with the prescriber to avoid any initial misunderstanding.
Choice C rationale
Authorizing the order with the pharmacy occurs after the order has been received and verified. The pharmacy then prepares and dispenses the medication based on the confirmed order.
Choice D rationale
Withholding the medication could delay necessary treatment. The priority is to verify the order promptly and then proceed with safe administration. Many institutions allow for a limited time frame for the written order to follow a telephone order.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Centralized management involves top-down decision-making, where the nurse manager holds authority for policies, reviews, and disciplinary actions. This structure concentrates power and control at the managerial level, limiting staff input and autonomy in shaping unit operations and standards of practice.
Choice B rationale
Regularly monitoring patient care by making rounds is a supervisory function, ensuring adherence to established protocols and identifying immediate issues. While important for quality assurance, it doesn't inherently decentralize decision-making or empower staff in a collaborative manner.
Choice C rationale
Decentralized management empowers staff at lower levels to participate in decision-making processes. When staff nurses collaborate with the manager to review care options and implement preventive strategies, it distributes authority and fosters a sense of ownership and shared responsibility for patient outcomes.
Choice D rationale
Conducting regular staff meetings to disseminate information about new equipment and policies is a communication strategy that ensures staff are informed. However, it does not necessarily involve staff in the formulation or decision-making processes related to these changes, maintaining a more centralized approach.
Correct Answer is C
Explanation
Choice A rationale
Signing on with a password authenticates the user and allows them to enter information, but it does not prevent someone with the same password or unauthorized access from altering previously entered data. Passwords control who can access the system, not what they can do once logged in.
Choice B rationale
Charting in privacy ensures confidentiality while the nurse is documenting, preventing unauthorized individuals from viewing the information as it is being entered. However, it does not prevent authorized users from later altering the data.
Choice C rationale
Logging off the electronic documentation system after each entry is crucial for preventing unauthorized access and alterations. Once logged off, the nurse's session is closed, requiring a new login to make any changes, thus ensuring accountability for each entry.
Choice D rationale
Charting in code or using abbreviations can help maintain patient privacy to some extent but does not inherently prevent alteration of the information once it has been entered into the system. Codes can be understood by those with access. \
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