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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Guilt-tripping with duty ignores caregiver burden, risking burnout. Scientifically, this lacks support for Alzheimer’s care, as emotional pressure doesn’t address practical needs, potentially worsening family stress and health outcomes contrary to holistic care principles.
Choice B reason: Offering respite care info supports the son, reducing stress with temporary relief options. Scientifically, this aligns with caregiver well-being research, as breaks improve mental health and sustain home care for Alzheimer’s, addressing his needs effectively.
Choice C reason: Suggesting other family help assumes availability, potentially straining dynamics without solutions. Scientifically, this shifts burden without support, less effective than respite, as it doesn’t guarantee aid or address the son’s immediate caregiving capacity.
Choice D reason: Long-term care is a major step, not initial support, and may feel dismissive. Scientifically, it skips intermediate options like respite, which better sustain home care for mild conditions, misaligning with gradual care escalation principles.
Correct Answer is B
Explanation
Choice A reason: Limiting coffee reduces acid stimulation, but it’s not the primary GERD strategy. Elevating the bed prevents reflux via gravity, making this a secondary suggestion compared to positional therapy.
Choice B reason: Elevating the bed head keeps acid in the stomach during sleep, reducing esophageal irritation. This evidence-based intervention is a key GERD management technique for symptom relief.
Choice C reason: Large meals increase gastric pressure, exacerbating reflux in GERD. Smaller, frequent meals are advised instead, so this contradicts best practice, worsening the condition rather than helping.
Choice D reason: Lying down after eating promotes acid reflux into the esophagus, worsening GERD. Upright positioning post-meal is preferred, making this an incorrect and harmful recommendation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.