When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?

Contact the pharmacy and confirm that the dosage is safe to administer.

Ask another nurse to verify that the dosage is appropriate for the client

Inform the charge nurse and administer the dose of the medication the provider prescribed.

Contact the provider to question the dosage.

Answer and Explanation

The Correct Answer is D

A.   Contacting the pharmacy might be a good step in some cases, but if the nurse has identified a dosage that is three times higher than usual, it's crucial to address this directly with the prescribing provider first.
B.   Asking another nurse to verify is a reasonable step, but ultimately, it's the responsibility of the nurse who identifies the discrepancy to take action.
C.   Informing the charge nurse and administering the dose without questioning the provider's order could potentially put the client at risk if the dosage is indeed too high.
D.   Contacting the provider to question the dosage is the most appropriate immediate action. It's crucial to seek clarification from the provider regarding the unusually high dosage to ensure the safety and well-being of the client. This step ensures that the client receives the correct and safe medication dosage.

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Correct Answer is D

Explanation

A. Irrigating the wound with an antiseptic prior to obtaining the specimen can introduce substances that may interfere with the accuracy of the culture results. Sterile saline is the preferred solution for wound irrigation.
B. Intact skin at the wound edges should not be included in the culture. The specimen should be obtained directly from the wound bed or drainage.
C. Swabbing an area of skin away from the wound to identify the usual flora is not appropriate for obtaining a wound drainage specimen. The culture should be taken directly from the wound site.
D. Before obtaining a wound-drainage specimen for culture, it is important to cleanse the wound with a sterile solution, such as 0.9% sodium chloride saline irrigation. This helps remove debris and contaminants from the wound site, providing a more accurate specimen for culture.

A. Ask the client's full name and date of birth. B. Ask a family member to verify the client's identity. C. Verify the client's room number. D. Check the client's name on the medication administration record (MAR).

Correct Answer is A

Explanation

A. This is the correct method for identifying the client before administering medication.
Asking for the client's full name and date of birth is a standard and effective way to ensure that the right medication is given to the right person.
B. Depending solely on a family member to verify the client's identity is not considered a reliable method. While involving family members can be helpful in certain situations, the primary responsibility lies with the nurse to directly confirm the client's identity.
C. Verifying the client's room number is not a sufficient method of client identification.
Room numbers can change, and it's possible for clients to be moved, so relying on this alone is not considered safe practice.
D. Checking the client's name on the medication administration record (MAR) is an important step in medication administration, but it is not the initial method of identifying the client. It's used to confirm that the right medication is being administered to the right person after the client's identity has been established through direct interaction and confirmation.

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When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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