A nurse is receiving a telephone prescription for a client who reports having severe nausea. The provider states to administer ondansetron 4 mg every 6 hr as needed for nausea. Which of the following should the nurse clarity when reading back the prescription?

Client

Route

Medication

Dose

Answer and Explanation

The Correct Answer is B

A. Client: The nurse should verify the client’s identity when administering any medication, but the client’s name is usually clearly stated in the prescription and is not ambiguous in this scenario. Clarifying the client is not the primary concern when reading back the prescription.

B. Route: The provider did not specify the route of administration (oral, intravenous, or sublingual), which is critical for safe medication administration. Clarifying the route ensures the nurse administers the drug correctly and avoids potential complications from using the wrong method.

C. Medication: The medication name, ondansetron, is clearly stated and unambiguous. There is no need for clarification unless there is a similar-sounding drug, which is not indicated in this scenario.

D. Dose: The dose of 4 mg every 6 hours as needed is clearly stated. The nurse does not need to clarify the dose since it is complete and within standard dosing guidelines for ondansetron.

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Correct Answer is B

Explanation

A. Coffee: Coffee is a stimulant and can increase gastrointestinal motility, which may worsen diarrhea. It does not help restore the balance of gut flora disrupted by antibiotics and is not recommended.

B. Yogurt: Yogurt contains probiotics, which help replenish healthy intestinal bacteria that can be reduced during antibiotic therapy. Consuming yogurt can help restore gut flora balance and reduce the likelihood or severity of antibiotic-associated diarrhea.

C. Apple juice: Apple juice is high in sugar and can have an osmotic effect in the intestines, potentially worsening diarrhea. It does not contribute to restoring normal gut flora and is not recommended to prevent antibiotic-related diarrhea.

D. Ice cream: Ice cream contains lactose, which can be difficult for some clients to digest, especially when gut flora is disrupted by antibiotics. This may exacerbate diarrhea rather than reduce it, making it inappropriate.

A. Administer filgrastim B. Monitor the effects of dantrolene. C. Initiate protective isolation D. Wear a dosimeter when providing client care.

Correct Answer is C

Explanation

A. Administer filgrastim: Filgrastim is used to stimulate white blood cell production in clients with neutropenia. It is not a standard intervention for burn patients unless they develop severe immunosuppression.

B. Monitor the effects of dantrolene: Dantrolene is indicated for malignant hyperthermia, not for burn management. Monitoring its effects is not relevant to the care of clients with partial- and full-thickness burns.

C. Initiate protective isolation: Clients with significant burns are at high risk for infection due to skin barrier loss. Protective isolation helps minimize exposure to pathogens, which is critical for preventing sepsis and promoting wound healing.

D. Wear a dosimeter when providing client care: Dosimeters are used to monitor exposure to ionizing radiation, which is not relevant in standard burn care. This intervention is unnecessary for routine burn management.

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A nurse is receiving a telephone prescription for a client who reports having severe nausea. The provider states to administer ondansetron 4 mg every 6 hr as needed for nausea. Which of the following should the nurse clarity when reading back the prescription?

Nursing Test Bank

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Explanation

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