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. Vital signs should be monitored every 15 minutes because naloxone has a short duration and the client may experience opioid re-sedation as the antagonist wears off.
B. Naloxone should be administered over 2 minutes, not 15 seconds, to reduce abrupt opioid withdrawal symptoms.
C. Naloxone has a rapid onset (1-2 minutes IV, 2-5 minutes IM).
D. The effects of naloxone last only 30-90 minutes, requiring repeated doses if opioids are still in the system.
Correct Answer is C
Explanation
A. Nylon socks should be avoided as they do not allow moisture to escape, which can promote fungal infections.
B. Toenails should be trimmed straight across rather than rounded to prevent ingrown toenails, which can lead to infections.
C. This is the correct answer. Clients with peripheral vascular disease (PVD) should use lamb’s wool between toes that rub together to prevent pressure ulcers and skin breakdown.
D. Compression stockings can be harmful in PVD if not prescribed by a provider because they may impair circulation further.
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