During a period of time when the computerized medication order system was down, the prescriber wrote admission the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
Ask the client what prescribed medications are taken at home
Contact the prescriber to clarify the order.
Wait until the prescriber makes rounds again to clarify the order
Ask a colleague what the order says.
The Correct Answer is B
A) Ask the client what prescribed medications are taken at home: While obtaining information about the client's home medications is important, this action does not address the specific issue of the unclear order. It is not an appropriate substitute for clarifying the medication order that the nurse is having difficulty transcribing.
B) Contact the prescriber to clarify the order: This is the best action for the nurse to take. If the nurse is unsure about the order due to illegible handwriting, the safest and most effective way to clarify the order is to directly contact the prescriber. This ensures that the nurse administers the correct medication and dose, reducing the risk of medication errors.
C) Wait until the prescriber makes rounds again to clarify the order: Waiting for the prescriber to make rounds is not an appropriate or timely solution. Medication administration should not be delayed due to unclear orders, as it could lead to treatment delays or potential harm to the patient. Immediate clarification is necessary.
D) Ask a colleague what the order says: While consulting a colleague might be helpful, it is not the most reliable or safe course of action. The nurse should not rely on others to interpret unclear orders, as there may be different interpretations or misunderstandings. Contacting the prescriber directly ensures the order is clarified accurately and safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
Identify the total units of heparin in the bag:
The IV bag contains 25,000 units of heparin in 250 mL.
Identify the desired hourly dose:
The client is ordered to receive 2,000 units of heparin per hour.
Calculate the mL containing 2,000 units:
We can set up a proportion:
(25,000 units) / (250 mL) = (2,000 units) / (x mL)
Solving for x, we get:
x = (2,000 units x 250 mL) / 25,000 units x = 20 mL
Correct Answer is ["4"]
Explanation
Convert micrograms (mcg) to milligrams (mg):
The prescribed dose is 200 mcg.
We know that 1 mg = 1000 mcg.
Therefore, 200 mcg = 200 / 1000 = 0.2 mg.
Calculate the number of tablets:
Each tablet contains 0.05 mg of levothyroxine.
The desired dose is 0.2 mg.
We can use the following formula: (Desired dose) / (Tablet strength) = Number of tablets
(0.2 mg) / (0.05 mg/tablet) = 4 tablets
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