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 A
Explanation
A) ADL (Activities of Daily Living): This abbreviation is commonly used in healthcare documentation to refer to the routine tasks individuals perform independently for self-care, such as bathing, dressing, grooming, and toileting. Reminding the newly licensed nurse to use the abbreviation ADL ensures clear and concise documentation of the client's functional status and care needs.
B) SQ: While SQ could stand for subcutaneous (as in SQ injection), it's generally recommended to use the full term "subcutaneous" in documentation to avoid confusion or misinterpretation. Using abbreviations like SQ can lead to errors or miscommunication in healthcare settings.
C) AU: This abbreviation typically stands for "each ear" when documenting information related to the ears, such as when administering eardrops or assessing for symptoms. However, similar to SQ, it's preferable to use the full term "each ear" in documentation to ensure clarity and avoid ambiguity.
D) HS: HS commonly stands for "hour of sleep" or "at bedtime" when documenting medication administration times. However, like other abbreviations, it's advisable to use the full term "at bedtime" to prevent misunderstandings or errors related to medication dosing schedules.
Correct Answer is A
Explanation
A) I will take chemotherapy since my family wants me to:
This statement indicates a potential lack of autonomy and decision-making by the client. The nurse should act as a client advocate by ensuring that the client's decisions regarding treatment are based on their own wishes, values, and preferences, rather than solely on the desires of others.
B) I will discuss treatment options next week after thinking about this:
This statement demonstrates the client's intent to participate in the decision-making process regarding their treatment options. While it indicates autonomy and contemplation, it does not necessarily require the nurse to act as a client advocate at this time.
C) I do not want to have any surgery for my cancer:
This statement reflects the client's autonomy and preference regarding their treatment plan. While the nurse should respect the client's decision, it does not directly prompt the nurse to act as a client advocate.
D) I have contacted another surgeon to get a second opinion:
This statement shows the client's proactive approach to gathering additional information about their treatment options, which is commendable. However, it does not specifically indicate a need for the nurse to advocate for the client's rights or preferences.
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