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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.)

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

Answer and Explanation

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

The nurse should identify Naproxen as an over-the-counter product that is unsafe for use with enoxaparin. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when used in combination with anticoagulant medications like enoxaparin. Both enoxaparin and Naproxen have anticoagulant effects, and using them together can significantly increase the risk of bleeding complications.

On the other hand, calcium supplements, docusate (a stool softener), and cimetidine (an H2 blocker) do not have direct interactions or pose significant risks when used with enoxaparin. However, it is always important for the client to inform their healthcare provider about all medications, including over-the-counter products, they are taking to ensure there are no potential interactions or contraindications specific to their individual situation.

A. Establish a patent airway for the client B. Administer oxygen to the client C. Place a pulse oximeter on the client's finger D. Check the client's pulse rate

Correct Answer is A

Explanation

A respiratory rate of 8 breaths per minute with shallow respirations and cyanosis indicates significant respiratory distress and inadequate oxygenation. The client's airway needs to be assessed and cleared to ensure a proper flow of air into the lungs. This can involve positioning the client appropriately, providing manual or mechanical assistance with ventilation, or using other airway management techniques as necessary.

While administering oxygen to the client and placing a pulse oximeter on the client's finger are important interventions to improve oxygenation and monitor oxygen saturation, they should not delay the immediate priority of establishing a patent airway.

Checking the client's pulse rate is also important and should be done in a timely manner, but it should not take precedence over ensuring a clear and open airway for the client.

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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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