A newly licensed nurse tells a charge nurse that they are unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.)
Anesthesiologists
Physician assistants
Facility pharmacists
Mental health technicians
Nurse practitioners
Correct Answer : A,B,E
A. Anesthesiologists: Anesthesiologists have full prescriptive authority as licensed physicians, allowing them to provide telephone medication orders. Their prescribing rights apply in various healthcare settings, following institutional policies and legal guidelines.
B. Physician assistants: Physician assistants have prescriptive authority under physician supervision and can give telephone medication orders where permitted. Their prescribing ability depends on state regulations and facility policies but generally includes routine and emergency prescriptions.
C. Facility pharmacists: Facility pharmacists dispense medications and provide guidance on drug therapy but do not have the legal authority to prescribe. While they collaborate with providers, they cannot issue telephone medication prescriptions.
D. Mental health technicians: Mental health technicians assist with patient care in psychiatric settings but lack the training and licensure required to prescribe medications. Their responsibilities focus on supportive tasks, and they cannot give telephone medication prescriptions.
E. Nurse practitioners: Nurse practitioners have independent or collaborative prescriptive authority depending on state regulations. They can provide telephone medication orders within their scope of practice, ensuring timely medication management for patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.
B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.
C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.
D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.
Correct Answer is D
Explanation
A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.
B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.
C. Oxybutynin: Oxybutynin is an anticholinergic used to treat overactive bladder symptoms. It can be prescribed for clients with UTIs to help relieve bladder spasms, but verification may depend on the individual client’s medical history.
D. Phenazopyridine: Phenazopyridine is a urinary analgesic that helps relieve pain and discomfort associated with UTIs. However, it does not treat the infection itself and can mask symptoms. It is essential to verify this prescription with the provider to ensure it is appropriate for the client, especially if the provider has not specified it or if there are concerns about potential misuse.
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