A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?

Repeat the complete prescription back to the provider.

Have a provider who is on site sign the prescription.

Have the unit secretary enter the prescription on the provider's order form.

Verify the accuracy of the prescription with the pharmacist.

Answer and Explanation

The Correct Answer is A

A. Repeat the complete prescription back to the provider – This is the correct action to ensure accuracy and prevent medication errors. The nurse must read back the prescription, including the medication name, dosage, route, and frequency, for verification.

B. Have a provider who is on site sign the prescription – The prescribing provider must sign the order within a specific timeframe, but this step occurs after verifying and documenting the prescription.

C. Have the unit secretary enter the prescription on the provider's order form – Only licensed personnel (nurses, pharmacists, or providers) can transcribe and verify medication orders. The unit secretary cannot enter prescriptions.

D. Verify the accuracy of the prescription with the pharmacist – The nurse should first confirm the order with the provider, not the pharmacist. The pharmacist’s role comes after the order is documented and entered.

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Correct Answer is A

Explanation

A. "I'll place him in the back seat facing the back seat." – This is the correct answer. Infants should always ride in a rear-facing car seat in the back seat until at least 2 years of age.

B. "I'll place him in the front seat facing the front of the car." – The front seat is not safe for infants due to airbag deployment risks.

C. "I’ll place him in the back seat facing the back of the front seat." – This wording is unclear, but the safest position is directly facing the back of the car.

D. "I’ll place him in the front seat facing the back of the car.” – Infants should not be placed in the front seat, even if rear-facing.

A. Muscle twitching B. Hypertension C. Bounding pulse D. Hypoactive bowel sounds

Correct Answer is A

Explanation

A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.

B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.

C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.

D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.

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A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?

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