A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?

Document the prescription as a telephone prescription in the medical record.

Read back the prescription to the provider.

Ensure that the provider signs the prescription.

Write down the complete prescription.

Answer and Explanation

The Correct Answer is D

When a nurse receives a new prescription over the telephone from a client's provider, the first action the nurse should take is to write down the complete prescription. This ensures that the nurse has an accurate record of the prescription and can refer to it when administering medication or providing care.

Option a is incorrect because documenting the prescription as a telephone prescription in the medical record is important but not the first action.

Option b is incorrect because reading back the prescription to the provider is important but not the first action.

Option c is incorrect because ensuring that the provider signs the prescription is important but not the first action.

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Correct Answer is A

Explanation

When providing end-of-life care for a client, the nurse should encourage the client to make choices regarding their hygiene. This allows the client to have some control over their care and can help them feel more comfortable.

Option b is incorrect because oﬀering the client sips of a citrus ﬂavored soda may not be appropriate for all clients and should be based on individual preferences and needs.

Option c is incorrect because positioning the client supine in bed may not be comfortable for all clients and should be based on individual preferences and needs.

Option d is incorrect because suctioning the client's airway every hour may not be necessary and should be based on individual needs.

A. Ileostomy stoma is pink. B. Stoma draining moderate brown liquid stool. C. Client will not look at the stoma. D. Client states they are not interested in learning about stoma care E. Intake: 2,200 mL over the last 24 hr F. Skin surrounding the stoma is reddened and appears iritated G. Urine output: 650 mL over the last 24 hr

Correct Answer is ["F"]

Explanation

f) Skin surrounding the stoma is reddened and appears irritated.

The information that requires intervention by the nurse is that the skin surrounding the stoma is reddened and appears irritated. This may indicate that the client is experiencing skin irritation or breakdown, which can lead to infection or other complications. The nurse should assess the skin and initiate appropriate interventions to prevent further skin damage.

Options a, b, c, d, e, and g do not necessarily require intervention by the nurse. A pink ileostomy stoma and moderate brown liquid stool drainage are normal findings. The client's refusal to look at the stoma or learn about stoma care may be concerning, but it is not an immediate priority for intervention. An intake of 2,200 mL over 24 hours and a urine output of 650 mL over 24 hours are within normal limits.

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A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing end-of-life care for a client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Correct Answer is ["F"]

Explanation

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