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 A
Explanation
A. Set the suction device to 120 mm Hg: For nasopharyngeal suctioning in adults, the suction pressure should typically be set between 100 and 120 mm Hg to prevent injury to the mucous membranes while effectively clearing secretions.
B. Apply suction to the catheter during insertion: Suction should not be applied during insertion of the catheter, as this can cause trauma to the mucous membranes. Suctioning should only occur when the catheter is in the appropriate position and being withdrawn.
C. Have the client tuck his chin to his chest during suctioning: The client should not tuck the chin to the chest during suctioning. Instead, the client should be asked to either cough or breathe normally. Tucking the chin may obstruct the airway and make suctioning difficult.
D. Apply a petroleum-based lubricant to the catheter: Petroleum-based lubricants should not be used as they can cause a fire hazard when oxygen is present. Instead, a water-soluble lubricant should be applied to the catheter if needed.
Correct Answer is ["A","C","D"]
Explanation
A. "Empty the ostomy pouch when it becomes one-third full of contents.": It is important to empty the ostomy pouch when it is about one-third full to prevent leakage and pressure on the stoma. This helps avoid skin irritation and maintain comfort.
B. "Expect the stoma to turn a purple-blue color as it heals.": A stoma should be a reddish-pink color. A purple or blue color indicates poor circulation and may signal complications such as ischemia, which requires immediate attention.
C. "Cut the opening of the pouch an inch larger than the stoma.": The opening of the ostomy pouch should be cut about one-quarter to one-half inch larger than the stoma to prevent irritation or pressure on the stoma. This ensures a good fit and reduces risk of skin damage.
D. "Place a piece of gauze over the stoma while changing the pouch.": Placing gauze over the stoma during pouch changes protects the skin around the stoma fromcontact with stooland absorbs any drainage.
E. "Use povidone-iodine to clean around the stoma.": Povidone-iodine is too harsh for cleaning the stoma area and may cause skin irritation. The recommended cleaning solution is warm water and mild soap, followed by proper drying, to avoid skin damage and infection.
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