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.)
Ask the provider to spell out the name of the medication.
Request that the provider confirm the read-back of the prescription.
Withhold the medication until the provider signs the prescription.
Record the date and time of the telephone prescription.
Instruct another nurse to record the prescription in the medical record
Correct Answer : A,B,D
The nurse should take the following actions when receiving a telephone prescription from a client's provider:
- Ask the provider to spell out the name of the medication: This is important to ensure accurate transcription of the medication name. Spelling out the name helps prevent errors due to similar-sounding medications or confusion with abbreviations.
- Request that the provider confirm the read-back of the prescription: This step ensures that the nurse and the provider are on the same page and that the prescription has been accurately transcribed. It allows for verification and correction if any discrepancies are identified.
- Record the date and time of the telephone prescription: Documenting the date and time of the telephone prescription is essential for tracking and reference purposes. It helps establish a clear timeline of events and ensures proper documentation of the medication order.
It is not necessary to withhold the medication until the provider signs the prescription, as telephone prescriptions are typically followed up with a written prescription or electronic verification.
Instructing another nurse to record the prescription in the medical record may not be necessary, as the nurse who received the telephone prescription is responsible for accurately documenting the order in the medical record. However, if necessary, the nurse can delegate the task of documentation to another qualified staff member under their supervision, ensuring accuracy and completeness.
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Correct Answer is D
Explanation
Epinephrine is a medication commonly used to treat severe allergic reactions, also known as anaphylaxis. One of the hallmark signs of anaphylaxis is difficulty breathing or shortness of breath. Epinephrine works by constricting blood vessels, relaxing smooth muscles in the airways, and reducing swelling, which can help relieve the symptoms of respiratory distress. Epinephrine is not typically used to treat nausea, hyperglycemia, or hand tremors.
Nausea can be caused by various factors and is usually managed with antiemetic medications. Hyperglycemia, which refers to high blood sugar levels, is typically managed with appropriate diabetes management, including insulin or other glucose-lowering medications. Hand tremors can have different underlying causes, and their treatment depends on the specific etiology.
Correct Answer is C
Explanation
For a client with a prepregnancy BMI of 30.5, the acceptable weight gain during pregnancy would be around 11 to 20 pounds (5 to 9 kilograms) according to the guidelines set by the Institute of Medicine (IOM).
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