A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?
Check the dosage with a more experienced nurse.
Consult a drug handbook and administer the normal dose.
Contact the hospital pharmacist about the order.
Contact the health care provider to clarify the illegible order.
The Correct Answer is D
A: Checking the dosage with a more experienced nurse is not the best action. While it may provide some guidance, it does not ensure the accuracy of the order.
B: Consulting a drug handbook and administering the normal dose is not appropriate. The nurse must verify the specific order for the patient rather than assuming a standard dose.
C: Contacting the hospital pharmacist about the order can be helpful, but the pharmacist may not be able to clarify the prescriber’s intent if the order is illegible.
D: Contacting the health care provider to clarify the illegible order is the best action. This ensures that the nurse administers the correct dose as intended by the prescriber, preventing medication errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Stopping an antibiotic once feeling better is incorrect. Antibiotics should be taken for the full prescribed course to ensure the infection is fully treated and to prevent antibiotic resistance.
B: Skipping a dose if 30 minutes late is not recommended. Most medications can be taken within a short window of the scheduled time. The patient should follow specific instructions provided by the healthcare provider.
C: Parenteral medications are administered via injection and do not need to be taken with food. This statement indicates a misunderstanding of the medication route.
D: Rotating the sites for a transdermal patch is correct. This practice helps prevent skin irritation and ensures consistent absorption of the medication.
Correct Answer is B
Explanation
A: A drop in systolic blood pressure of 10 mm Hg (from 140 to 130) does not meet the criteria for orthostatic hypotension, which requires a drop of at least 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure within three minutes of standing.
B: This finding shows a drop in systolic blood pressure from 130 to 110 mm Hg, which is a 20 mm Hg decrease. This meets the criteria for orthostatic hypotension, indicating that the patient may have this condition.
C: A drop in systolic blood pressure of 6 mm Hg (from 126 to 120) does not meet the criteria for orthostatic hypotension. The decrease is not significant enough to confirm the condition.
D: An increase in blood pressure (from 130/64 to 140/70) does not indicate orthostatic hypotension. This finding suggests that the patient’s blood pressure increases upon standing, which is not consistent with orthostatic hypotension.
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