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 C

Explanation

Choice A reason: Droplet precautions need a mask, not always gown and gloves, unless contact is likely. Scientifically, this overstates requirements, as droplet spread (e.g., flu) prioritizes respiratory protection, indicating partial misunderstanding of PPE specifics.

Choice B reason: Bleach at 1:20 is too dilute; 1:10 is standard for blood spills. Scientifically, this weakens disinfection, as higher chlorine concentration kills pathogens like hepatitis, showing incorrect grasp of spill management protocols.

Choice C reason: Biohazard disposal for soiled dressings prevents pathogen spread, aligning with infection control. Scientifically, this ensures safe waste handling, as dressings may harbor bacteria or viruses, reflecting accurate understanding of standard precautions.

Choice D reason: Alcohol doesn’t kill C. difficile spores; soap and water are required. Scientifically, this misapplies hand hygiene, as spore-forming bacteria resist alcohol, indicating a key error in infection control knowledge for this pathogen.

A. Cantaloupe B. Orange juice C. Sweet potato D. Baked chicken breast

Correct Answer is D

Explanation

Choice A reason: Cantaloupe is potassium-rich, about 400 mg per cup, due to its fruit sugar content. It’s unsuitable for low-potassium diets, as it elevates serum levels significantly.

Choice B reason: Orange juice contains around 500 mg potassium per cup, a high amount. Its citric nature doesn’t offset this, making it inappropriate for potassium restriction.

Choice C reason: Sweet potato has over 500 mg potassium per serving, concentrated in its starchy flesh. It’s a poor choice for minimizing potassium in electrolyte imbalances.

Choice D reason: Baked chicken breast offers less than 300 mg potassium per serving, far lower than fruits or tubers. It’s the best option for a low-potassium diet here.

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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)

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