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)

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

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

Withhold the medication until the provider signs the prescription.

Record the date and time of the telephone prescription.

Request that the provider confirm the read-back of the prescription.

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Instructing another nurse to record risks errors; the receiving nurse must document directly for accuracy. Scientifically, this violates chain-of-command and transcription protocols, as firsthand recording ensures fidelity to the provider’s intent, reducing miscommunication in medication orders.

Choice B reason: Asking for spelling clarifies the medication, preventing errors like sound-alikes (e.g., Celexa vs. Celebrex). Scientifically, this aligns with safety standards, as precise identification ensures correct drug administration, critical in telephone orders where auditory mistakes are common.

Choice C reason: Withholding until signed delays care; telephone orders allow immediate action with later signature (e.g., 24-48 hours). Scientifically, this contradicts urgent care needs, as timely treatment outweighs procedural lag, provided documentation and verification are complete.

Choice D reason: Recording date and time establishes a legal timeline, ensuring accountability and sequence of care. Scientifically, this is mandatory in telephone orders, supporting traceability and adherence to protocols, critical for auditing and patient safety in medication administration.

Choice E reason: Read-back confirmation verifies accuracy, reducing errors in verbal orders. Scientifically, this is evidence-based, as it ensures the provider’s intent matches the nurse’s record, safeguarding against misheard doses or drugs, a key step in safe prescribing practices.

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Correct Answer is D

Explanation

Choice A reason: Increased caloric intake contradicts methylphenidate’s appetite-suppressant effect, a stimulant for ADHD. It boosts dopamine and norepinephrine, enhancing focus, not hunger. This suggests ineffectiveness or misreporting, as the drug typically reduces eating, misaligning with its pharmacological action on behavior.

Choice B reason: A better grasp of reality is vague and unrelated to ADHD or methylphenidate’s core effects. The drug improves attention and impulse control, not perception of reality, which is more relevant to psychosis. This does not indicate efficacy for ADHD scientifically.

Choice C reason: Weight loss is a common side effect of methylphenidate due to appetite suppression, not a direct efficacy marker. While it may occur, it does not confirm improved ADHD symptoms like focus, making it secondary to the drug’s therapeutic goal in treatment.

Choice D reason: Completing homework on time reflects improved focus and impulse control, methylphenidate’s primary goals in ADHD. By increasing dopamine in the prefrontal cortex, it enhances executive function, enabling task completion, a direct measure of efficacy per scientific intent.

A. Puffed rice cereal B. Tomato juice C. Bran muffin D. Cottage cheese E. None F. None

Correct Answer is C

Explanation

Choice A reason: Puffed rice cereal lacks significant fiber, offering minimal bulk to stimulate peristalsis. It’s a poor choice for constipation relief, as it doesn’t soften stool or aid movement.

Choice B reason: Tomato juice provides hydration and some nutrients, but its low fiber content doesn’t effectively combat constipation. High-fiber foods are needed to increase stool bulk instead.

Choice C reason: Bran muffins are high in insoluble fiber, adding bulk and water to stool, promoting bowel movements. This choice reflects understanding of constipation management through diet.

Choice D reason: Cottage cheese is low in fiber, offering protein but no relief for constipation. It doesn’t enhance intestinal motility or stool consistency, making it an ineffective option.

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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

A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?

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Correct Answer is C

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