A nurse is receiving a telephone prescription from a provider for propranolol 40 mg PO BID. When reading back the information to the provider. which of the following actions should the nurse take?
Verify the medication name along with its intended purpose.
Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."
Transcribe the medication name using the trade me.
Remind the provider to countersign the prescription in 72 hr.
The Correct Answer is A
A. Verify the medication name along with its intended purpose.
Rationale:
Verifying the medication name along with its intended purpose is crucial to ensure accuracy and patient safety. In this scenario, the nurse should confirm that the medication name "propranolol" matches the intended medication prescribed by the provider. Additionally, understanding the purpose of the medication ensures that the nurse can correctly communicate this information to the patient, reinforcing patient education and adherence to the prescribed treatment plan. Verifying the medication name and purpose helps prevent medication errors and promotes safe medication administration practices.
B. Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."
Verbalizing the letters "B-I-D" for the dosing frequency instead of saying "twice per day" is not the most appropriate action in this situation. While using medical abbreviations like "B-I-D" (which stands for "bis in die" or "twice a day") is common in healthcare settings, it's essential to ensure clear communication with all involved parties, including patients and providers. Using layman's terms like "twice per day" helps avoid confusion and promotes better understanding, reducing the risk of medication errors due to misinterpretation.
C. Transcribe the medication name using the trade name.
Transcribing the medication name using the trade name is not appropriate unless specifically instructed by the provider or if there is a specific reason to do so. In this scenario, the nurse should use the generic name "propranolol" when transcribing the medication to ensure consistency and accuracy in documentation and communication. Using trade names can lead to confusion, especially in environments where multiple brand names may exist for the same generic medication.
D. Remind the provider to countersign the prescription in 72 hr.
Reminding the provider to countersign the prescription in 72 hours is not relevant to the immediate task of verifying and reading back the prescription information. While ensuring proper documentation and authorization of prescriptions is important, it should not be addressed during the initial verification and communication process. This action can be addressed separately, following the completion of the prescription verification process.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Select the appropriate dressing:
Choosing the appropriate dressing is an essential step in the process of changing a wound dressing. However, before selecting a dressing, the nurse should first review the available dressing types to ensure that the choice is based on a comprehensive understanding of the client's wound characteristics, such as size, depth, exudate level, and presence of infection. Jumping straight to selecting a dressing without reviewing available options may result in choosing an inadequate or inappropriate dressing for the client's specific wound care needs.
B) Review available dressing types:
This is the most appropriate initial step in the process of changing a wound dressing. Before proceeding with the dressing change, the nurse should assess the client's wound and review the available dressing types to determine which one is most suitable. Factors to consider include the wound's characteristics, such as size, depth, and exudate level, as well as any specific requirements based on the stage of the pressure ulcer and the client's overall condition. Reviewing available dressing types ensures that the nurse makes an informed decision and selects the most appropriate dressing for promoting wound healing and preventing complications.
C) Document the dressing change:
Documentation is an essential aspect of wound care, as it provides a record of the client's progress, the interventions performed, and the client's response to treatment. While documenting the dressing change is important, it should occur after the dressing change itself. Documenting before completing the dressing change could lead to incomplete or inaccurate documentation, as the nurse may need to record details about the wound's appearance, the type of dressing used, and any observations made during the procedure.
D) Change the dressing:
Changing the dressing is a necessary step in the wound care process, but it should not be the first action taken without assessing the wound and reviewing available dressing options. Proceeding directly to changing the dressing without considering the client's specific wound care needs and available dressing types may result in suboptimal wound management and compromise the client's healing process.
Correct Answer is D
Explanation
A) Determine possible alternatives:
After identifying the ethical problem, determining possible alternatives comes later in the ethical reasoning process. This step involves brainstorming potential courses of action or solutions to address the ethical dilemma.
B) Examine the outcomes:
Examining the outcomes occurs after identifying possible alternatives. In this step, the nurse evaluates the potential consequences or outcomes of each alternative to determine which course of action aligns best with ethical principles and achieves the desired goals.
C) Develop a plan of action:
Developing a plan of action is a subsequent step in the ethical reasoning process, following the identification of the problem and consideration of possible alternatives. Once the nurse has evaluated the outcomes of various options, they can formulate a plan that outlines the chosen course of action and its implementation steps.
D) Identify the problem:
Identifying the problem is the first step in the ethical reasoning process. This involves recognizing the presence of an ethical dilemma or issue that requires resolution. By clearly defining the problem, the nurse can begin to explore relevant ethical principles, values, and considerations to guide decision-making and problem-solving.
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