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 ["2250"]
Explanation
To calculate the total volume of IV fluid intake, we need to calculate the volume administered during each time period and then sum them up.
First 3 hours: 500 mL/hr * 3 hr = 1500 mL
Next 3 hours: 200 mL/hr * 3 hr = 600 mL
Last 2 hours: 75 mL/hr * 2 hr = 150 mL
Now, we add these volumes together:
1500 mL + 600 mL + 150 mL = 2250 mL
Therefore, the total volume the nurse should document for the client's IV fluid intake is 2250 mL.
Correct Answer is B
Explanation
Rationale:
A. Call the nurse who made the error to discuss the medication error – This is not the appropriate action. The focus should be on client safety and proper reporting, not on discussing the error with the previous nurse.
B. File an incident report within 24 hr – This is the correct action. Incident reports should be completed promptly to document the error and ensure proper follow-up.
C. Notify the facility's pharmacist within 1 hr of the incident – While the pharmacist may be informed if a medication reversal or adjustment is needed, this is not the primary action to take.
D. Place an incident report in the client’s medical record – Incident reports are internal documents and should not be placed in the medical record to avoid legal concerns.
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