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 B

Explanation

Choice A reason: Exercising 15 minutes twice weekly is below the 150-minute weekly guideline for hypertension. Scientifically, inadequate aerobic activity fails to lower blood pressure effectively, showing misunderstanding of lifestyle changes needed for cardiovascular health improvement.

Choice B reason: Reducing salt to 2 grams (2000 mg) aligns with hypertension guidelines, lowering fluid retention and pressure. Scientifically, this reflects sodium’s role in vascular tone, indicating correct understanding of dietary impact on mild hypertension management.

Choice C reason: A goal of 130/84 mmHg exceeds the 120/80 target for mild hypertension control. Scientifically, this misaligns with optimal blood pressure reduction, suggesting incomplete grasp of therapeutic lifestyle outcomes per evidence-based standards.

Choice D reason: Two glasses of wine nightly exceeds moderation (one drink), raising blood pressure. Scientifically, excess alcohol counters hypertension control, as it vasoconstricts, indicating misunderstanding of lifestyle limits for cardiovascular health maintenance.

A. "Swallow the tablet whole to minimize your headaches." B. "You can discontinue the medication until the headache goes away." C. "You should take the medication on an empty stomach to prevent a headache." D. "The headaches should decrease as you get used to the medication."

Correct Answer is D

Explanation

Choice A reason: Swallowing isn’t an option for chewable isosorbide; it’s designed for sublingual absorption. This advice is incorrect and won’t address vasodilatory headache effects.

Choice B reason: Discontinuing isosorbide risks angina exacerbation in cardiac patients. Headaches are tolerable side effects, so stopping isn’t advised without provider input.

Choice C reason: Empty stomach intake doesn’t reduce isosorbide’s vasodilatory headaches. Timing doesn’t alter its nitrate-induced vessel dilation, making this ineffective advice.

Choice D reason: Headaches from isosorbide’s vasodilation typically subside with tolerance over time. This reassures the client, aligning with expected nitrate therapy adaptation.

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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 about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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