During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?
Telephone the nurse responsible for the error at home to report the omission of the transcription.
Call the healthcare provider and ask if the prescription is still needed since 12 hours have elapsed since it was written.
Notify the nursing supervisor of the previous shift's omission in not transcribing the prescription.
Order the lab work as prescribed and follow procedures for completing an incident report.
The Correct Answer is D
Choice A rationale: This option involves contacting the nurse at home, which may not be appropriate or effective for addressing the immediate issue of the transcription omission.
Choice B rationale: Contacting the healthcare provider is important, but the nurse should first order the lab work as prescribed and complete and incident report.
Choice C rationale: Notifying the nursing supervisor of the previous shift's omission is important but the nurse should first order the lab work as prescribed.
Choice D rationale: Ordering the lab work as prescribed and following procedures for completing an incident report is the best action for the nurse to take because it ensures that the client's serum potassium levels are monitored and that the error is documented and reported.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The priority is to ensure the client's safety and comfort. If the client is restrained for bed linen change, alternative methods that don't involve wrist restraints should be considered. The nurse manager should advise the staff nurse to remove the restraints promptly.
Choice B rationale: Determining whether the client has a PRN prescription for an antianxiety agent is not the priority in this situation. The immediate concern is the use of restraints for a non-emergency purpose.
Choice C rationale: Contacting the healthcare provider to ensure a prescription for restraints was written may be needed, but the immediate concern is addressing the use of restraints for changing bed linens.
Choice D rationale: Closing the door to the room to avoid disturbing other clients is not the priority in this situation. The primary concern is the use of restraints for a non emergency purpose.
Correct Answer is B
Explanation
Choice A rationale: Waiting until 0830 and administering the aspirin would not address the client's immediate need for pain relief.
Choice B rationale: Obtaining a prescription for a PRN analgesic is the most appropriate action to provide the client with effective pain relief.
Choice C rationale: Assessing the client's prothrombin time (PT)/international normalized ratio (INR) is not necessary in this context and does not address the immediate pain concern.
Choice D rationale: Administering the prescribed daily aspirin now would not address the client’s lower back pain at the moment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.