A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Consult the pharmacist about the client's prescribed medications.

Call the provider to clarify the client's prescribed medications.

Compare the client's medication administration record with the prescriptions on the transfer orders.

Review the intended purpose of the prescribed medications with the client.

Answer and Explanation

The Correct Answer is C

A.   Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B.   Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C.   Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D.   Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.

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Correct Answer is A

Explanation

A. Verify the spelling of the medication with the provider: This is important to ensure accuracy in transcription and to prevent medication errors. Verifying the spelling of the medication with the provider helps confirm the correct medication is being prescribed.

B. Transcribe prescriptions received via a voicemail recording: Transcribing prescriptions from voicemail recordings may introduce errors and is not a recommended practice due to potential misinterpretation or misunderstanding of the information.
C. Use standard abbreviations when obtaining a telephone prescription: While using standard abbreviations is generally encouraged in healthcare documentation, it's essential to prioritize clarity and accuracy when transcribing prescriptions, especially over the phone.
D. Request that the provider call prescriptions in to the pharmacy: While this may be a part of the process, it does not address the essential step of verifying the medication details with the provider to ensure accuracy.

A. Complete similar tasks for all clients before moving on to the next task. B. Document nursing interventions as they are completed. C. Skip breaks to complete tasks if short on time. D. Complete the lowest priority task at the beginning of the shift. E. None F. None

Correct Answer is B

Explanation

A. Complete similar tasks for all clients before moving on to the next task:
While grouping similar tasks can be helpful, it may not always be the most efficient if client needs vary. Flexibility is needed to address immediate priorities.

B. Document nursing interventions as they are completed:
This ensures that documentation is accurate and timely, preventing delays and reducing the risk of forgetting important details later.

C. Skip breaks to complete tasks if short on time:
Skipping breaks is not a good time-management strategy. Breaks help prevent burnout and maintain productivity.

D. Complete the lowest priority task at the beginning of the shift:
Low-priority tasks should not be prioritized first; urgent, higher-priority tasks should be completed first to ensure client safety and care efficiency.

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A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Nursing Test Bank

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