A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? (Select all that apply..

Request that the provider confirm the readback of the prescription.

Instruct another nurse to record the prescription in the medical record.

Withhold the medication until the provider signs the prescription.

Ask the provider to spell out the name of the medication.

Record the date and time of the telephone prescription.

Answer and Explanation

Correct Answer : A,D,E

A.   Correct. Confirming the readback ensures accurate communication and understanding of the prescription.
B.   It's the responsibility of the nurse receiving the prescription to document it in the medical record.
C.   Withholding medication until the provider signs the prescription may delay needed treatment.
D.   Correct. Asking the provider to spell out the medication name prevents errors due to miscommunication.
E.   Correct. Recording the date and time of the telephone prescription is essential for documentation and accountability.

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Correct Answer is D

Explanation

A. The decision to place a loved one in long-term care is complex and should be made based on the family's needs and situation, not dictated by the nurse.
B. Suggesting the son find other family members for help is a reasonable idea, but it does not directly address his fatigue.
C. While taking care of a loved one is important, making the son feel obligated is not supportive or helpful.
D. Correct. Respite care provides temporary relief to caregivers and can help address the son's fatigue while ensuring his mother's needs are met.

A. "I will take two 325 milligram aspirin tablets at the same time." B. "I will stop what I am doing and lie down." C. "I will call the provider after taking one dose of nitroglycerin." D. "I will hold my breath and bear down."

Correct Answer is B

Explanation

The correct answer is choice b. “I will stop what I am doing and lie down.”

Choice A rationale:

Taking two 325 milligram aspirin tablets at the same time is not the recommended immediate action for chest pain. Aspirin can help in preventing blood clots, but it is not the first step in managing acute angina.

Choice B rationale:

Stopping activity and lying down is the correct initial response to chest pain. This helps reduce the heart’s workload and can alleviate the pain.

Choice C rationale:

Calling the provider after taking one dose of nitroglycerin is important, but it is not the first step. The client should first stop activity and lie down, then take nitroglycerin if prescribed.

Choice D rationale:

Holding the breath and bearing down (Valsalva maneuver) is not appropriate for managing chest pain and can actually increase the heart’s workload, potentially worsening the situation.

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A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? (Select all that apply..

Nursing Test Bank

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