A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?
"Let me clarify that you want the medication given qid, correct?"
"Will you please spell the name of that medication for me?"
"I will sign my name now and leave a space for you to sign your name.”
"Let me provide you with the client's medical record number for identification."
The Correct Answer is A
A. "Let me clarify that you want the medication given gid, correct?": When receiving a telephone prescription, it is essential to clarify any unclear aspects of the order, such as the dosage frequency. This ensures that the prescription is accurately understood and implemented and helps prevent medication errors.
B. "Will you please spell the name of that medication for me?": Although confirming the medication name is important, it is more critical to clarify the specific directions for administering the medication, such as the frequency, rather than spelling.
C. "I will sign my name now and leave a space for you to sign your name.": Offering to leave a space for the provider's signature is standard practice. However, it's not the most critical communication safety check during the verbal order itself.
D. "Let me provide you with the client's medical record number for identification.": While important for ensuring correct patient identification, the nurse should first focus on accurately obtaining the medication prescription and other critical details before providing identification information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "How often do you have trouble sleeping?": While this question might help assess general sleep issues, it doesn’t specifically address narcolepsy symptoms. Narcolepsy is characterized by excessive daytime sleepiness and episodes of sudden muscle weakness.
B. "Do you snore loudly?": Loud snoring is more commonly associated with sleep apnea rather than narcolepsy. Although both conditions can affect sleep quality, this question doesn’t directly relate to the hallmark symptoms of narcolepsy.
C. "Do you ever suddenly lose muscle control?": Sudden loss of muscle control, or cataplexy, is a key symptom of narcolepsy. Cataplexy occurs when a person experiences sudden muscle weakness or paralysis in response to strong emotions, such as laughter or surprise.
D. "Do you wake up with headaches?": Waking up with headaches could be related to sleep disorders such as sleep apnea or tension headaches, but it is not a defining feature of narcolepsy. The nurse should focus on symptoms directly related to narcolepsy.
Correct Answer is A
Explanation
A. "Do you snore loudly?": Loud snoring is a common symptom of sleep apnea, particularly obstructive sleep apnea. The nurse should inquire about snoring, as it may indicate airway obstruction during sleep, a key feature of the condition.
B. "What time do you go to bed?": While bedtime habits are relevant to sleep hygiene, the specific timing of going to bed is not as directly related to diagnosing sleep apnea. Other questions, such as snoring or breathing patterns, are more relevant for this assessment.
C. "How often do you have trouble sleeping?": Trouble sleeping can be a symptom of various sleep disorders, but it is not specific to sleep apnea. The nurse should focus on symptoms like snoring, choking, or stopping breathing during sleep, which are more indicative of sleep apnea.
D. "Do you fall asleep unexpectedly?": Falling asleep unexpectedly may suggest excessive daytime sleepiness, which can be a result of sleep apnea. However, snoring is a more direct and common symptom of sleep apnea that should be prioritized in the initial assessment.
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