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 ["A","B","E"]

Explanation

The nurse should write an incident report for the following events:
1. An approximate amount of urine was recorded after the urine leaked from the client's catheter bag. This indicates a potential issue with the catheter or its proper functioning, which needs to be documented and addressed.
2. A client received an 0900 daily medication at 1000. This is a medication administration error as the medication was given later than the prescribed time. Medication errors should be reported and documented to ensure proper follow-up and prevent future occurrences.
3. A client fell when ambulating to the bathroom alone. Falls are considered significant incidents and should always be documented and reported to ensure appropriate evaluation, intervention, and prevention of future falls.
The following events do not require an incident report:
A client who has an infection refused the evening meal. While it is important to document a client's refusal of meals, it does not typically warrant an incident report unless there are specific concerns related to the client's health or safety.

A client received the first dose of an antibiotic 1 hr before the collection of blood for culture and sensitivity testing. This may not require an incident report unless there are specific

circumstances or contraindications related to the timing of the antibiotic administration and blood collection, which need to be documented and reviewed.

A. The client can shower with the cast after 24 hr. B. The client's extremity should be elevated after the cast is applied. C. The client should use a hair dryer in a warm setting to relieve itching inside the cast. D. The client should keep the cast covered until it is dry.

Correct Answer is B

Explanation

A. Incorrect. Plaster casts are not waterproof and can become weakened if exposed to moisture, so showering with the cast is generally not recommended.
B. Correct. Elevating the extremity can help reduce swelling and promote comfort after the cast is applied.
C. Incorrect. Using a hair dryer inside the cast can cause burns and is not recommended for relieving itching.
D. Incorrect. Keeping the cast covered is not necessary, and covering it can trap moisture, potentially causing skin problems.

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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..

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Naxlex Comprehensive Predictor Exams

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