A nurse discovers that the physician has prescribed a higher than recommended dose of a medication for a client. Which is the most appropriate action for the nurse to take?

give the recommended dose of the medication based on the client's diagnosis

Hold the ordered dose & document their rationale regarding the dose.

Call the pharmacy to report a mistake

Call the prescribing physician to clarify the order

Answer and Explanation

The Correct Answer is D

D. Calling the prescribing physician to clarify the order is the most appropriate action in this situation. Direct communication with the physician allows the nurse to express concerns, seek clarification, and ensure that the medication order is appropriate and safe for the client.
A. Administering a medication at a higher than recommended dose could potentially harm the client and is not in line with safe medication administration practices. It's essential to follow the established guidelines and recommendations for medication dosing to avoid adverse effects or complications.
B. Holding the ordered dose and documenting the rationale is an appropriate initial action. This allows the nurse to pause the administration of the medication, prevent potential harm to the client, and provide a clear record of the decision-making process. Holding the dose also provides an opportunity for further clarification with the prescribing physician.
C. While reporting a mistake to the pharmacy is important, it may not be the most immediate action to take when dealing with a higher than recommended dose of medication. Direct communication with the prescribing physician is necessary to clarify the order and ensure appropriate action is taken promptly.

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Correct Answer is ["A","C"]

Explanation

A. Enteral nutrition can be used when a client is unable to consume adequate nutrition orally or when oral intake is contraindicated. It can be used as a supplement to oral intake or as the sole source of nutrition, depending on the client's condition and nutritional needs.
C. Enteral nutrition can be administered either intermittently, where feedings are given at specific times throughout the day, or continuously, where a steady infusion is delivered over an extended period, typically 16 to 24 hours. The method of administration depends on the client's tolerance, nutritional needs, and clinical condition.
B. Enteral nutrition typically consists of liquid formulas specifically designed to provide complete and balanced nutrition. These formulas come in various formulations, including standard polymeric formulas, high-protein formulas, elemental formulas, and disease-specific formulas. They are not thinned pureed food, which is typically used for clients with dysphagia or swallowing difficulties who are receiving oral feeding.
D. While some enteral nutrition formulas may contain dairy-based ingredients, such as milk protein or lactose, not all enteral formulas are milk-based. There are various types of enteral formulas available, including those that are lactose-free, soy-based, or elemental (containing predigested nutrients), to accommodate different dietary preferences and tolerances.
E. Enteral nutrition is administered directly into the gastrointestinal tract, typically through a feeding tube that is inserted into the stomach or small intestine. It is not given intravenously (through a vein), which would be parenteral nutrition.

A. Respiratory therapy (RT) B. Physical therapy (PT) C. Speech therapy & language pathology (STLP) D. occupational therapy (OT)

Correct Answer is B

Explanation

B. Physical therapy, also known as physiotherapy, is a discipline focused on the preservation, enhancement, or restoration of movement and physical function. Physical therapists assess and treat individuals with musculoskeletal, neuromuscular, cardiovascular, and other conditions to improve mobility, strength, flexibility, balance, and coordination through therapeutic exercises, manual therapy techniques, and functional training.
A. Respiratory therapy focuses on the assessment, treatment, and management of patients with respiratory and cardiopulmonary disorders. Respiratory therapists specialize in providing interventions such as oxygen therapy, mechanical ventilation, and pulmonary rehabilitation to optimize respiratory function and improve breathing.
C. Speech therapy and language pathology, also known as speech-language pathology (SLP), is a discipline that focuses on the assessment and treatment of communication disorders, swallowing difficulties (dysphagia), and cognitive-communication impairments. Speech-language pathologists assess and treat individuals with speech sound disorders, language delays, voice disorders, fluency disorders (stuttering), and communication difficulties associated with neurological conditions or injuries.
D. Occupational therapy is a discipline focused on promoting health and well-being through meaningful engagement in daily activities (occupations). Occupational therapists assess and treat individuals of all ages who are experiencing physical, cognitive, psychosocial, or sensory impairments that affect their ability to participate in activities of daily living (ADLs), work, leisure, education, and social participation. Occupational therapy interventions aim to enhance independence, functional performance, and quality of life.

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A nurse discovers that the physician has prescribed a higher than recommended dose of a medication for a client. Which is the most appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to receive enteral nutrition. Which information should the nurse provide to the client and family? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C"]

Explanation

A client requires a type of therapy for the preservation, enhancement, or restoration of movement. Which abbreviation would describe this type of discipline?

Correct Answer is B

Explanation

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