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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heart rate 148/min – Correct. A heart rate of 148/min in a 3-year-old is elevated (tachycardia) and may indicate worsening dehydration or shock.
B. Potassium 3.9 mEq/L – Incorrect. This potassium level is within the normal range (3.5–5.0 mEq/L).
C. Respiratory rate 22/min – Incorrect. This is within the expected range for a 3-year-old.
D. Sodium 142 mEq/L – Incorrect. This sodium level is within the normal range (135–145 mEq/L).
Correct Answer is B
Explanation
A. MRSA is a serious infection but is not nationally required to be reported to health departments in all cases.
B. This is the correct answer. Pulmonary tuberculosis (TB) is a reportable disease due to its public health risk, as it is highly contagious and requires monitoring.
C. Herpes simplex virus is not a reportable disease.
D. Fibromyalgia syndrome is a chronic pain condition and is not infectious or reportable.
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