What should a nurse do if an order seems unclear?
Implement the order immediately without verifying.
Write down the order and read it back to the physician.
Ask the physician to repeat the order multiple times to ensure accuracy.
Ignore the order if it seems unclear.
The Correct Answer is B
Choice A rationale
Implementing the order immediately without verifying is unsafe and can lead to errors. Nurses must ensure clarity and accuracy before carrying out any orders.
Choice B rationale
Writing down the order and reading it back to the physician is the correct action. This ensures that the order is understood correctly and reduces the risk of errors.
Choice C rationale
Asking the physician to repeat the order multiple times is unnecessary and can be seen as unprofessional. Writing down and reading back the order is a more effective method.
Choice D rationale
Ignoring the order if it seems unclear is not appropriate. Nurses have a responsibility to clarify any unclear orders to ensure patient safety.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Loosening the restraints and assessing the patient’s skin is important, but it should be done as part of a regular assessment and not as the first action. The nurse should first document the findings to ensure accurate and timely communication of the patient’s condition.
Choice B rationale
Documenting the findings in the patient’s chart is the correct action. Accurate documentation is essential for communicating the patient’s condition and any interventions performed. It ensures continuity of care and provides a legal record of the patient’s status and the care provided.
Choice C rationale
Continuing to monitor the patient without making any changes is not appropriate. The nurse should assess the patient’s condition and document the findings to ensure that any necessary interventions are performed promptly.
Choice D rationale
Applying ice packs to reduce swelling is not appropriate in this context. The nurse should first document the findings and then assess the need for any interventions based on the patient’s condition.
Correct Answer is C
Explanation
Choice A rationale
A newly admitted client with a seizure disorder requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
Choice B rationale
A post-op laparotomy client who is waiting for discharge instructions requires specific education and assessment, which is beyond the scope of practice for a nursing assistant.
Choice C rationale
A client who needs assistance with feeding is the correct answer. Assisting with feeding is within the scope of practice for a nursing assistant.
Choice D rationale
A dehydrated client with an electrolyte imbalance requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
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