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 C

Explanation

A. Assisting the client to the bathroom at regular intervals helps prevent falls due to toileting needs.

B. Locking the wheels on the bed prevents unwanted movement and reduces the risk of falls when the client is in bed.

C. Raising all four side rails is considered a restraint, which can increase the risk of falls or injury if the client tries to climb over them. Restraints should be avoided unless absolutely necessary and prescribed by a healthcare provider. In most cases, raising two side rails is sufficient to prevent the client from accidentally rolling out of bed while allowing them to safely exit the bed.

D. Clearing the path from obstacles and furniture reduces the risk of falls by providing a safe and unobstructed route to the bathroom.

A. Restrain the child's upper extremities. B. Place a padded tongue blade in the child's mouth. C. Turn the child onto their back. D. Place a pillow under the child's head.

Correct Answer is D

Explanation

A. Restraining the child's upper extremities is not recommended during a seizure as it can cause injury.
B. Placing a padded tongue blade in the mouth can lead to injury and is not recommended during a seizure.
C. Turning the child onto their back is appropriate to ensure a clear airway, but it should be done gently without forcing movements.
D. Correct. Placing a pillow under the child's head helps protect their head from injury during the seizure.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

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