During a routine chart review, what is the nurse’s responsibility when there is a discrepancy in the physician’s orders?
Correct the physician’s orders to match the chart.
Ignore the discrepancy as it’s the physician’s responsibility.
Document the discrepancy but take no further action.
Document the discrepancy and notify the physician.
The Correct Answer is D
Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While promoting employee engagement on social media platforms can be a benefit, it is not the primary purpose of a healthcare organization’s social media policy. The main goal is to ensure appropriate use of social media to protect patient privacy and maintain professional standards.
Choice B rationale
Restricting employees from using social media during work hours may be a component of the policy, but it is not the primary purpose. The policy aims to provide guidelines on how to use social media appropriately rather than simply restricting its use.
Choice C rationale
Encouraging employees to share confidential patient information online is a violation of HIPAA regulations and is not a purpose of a social media policy. The policy should ensure that patient information is kept private and secure.
Choice D rationale
Providing guidelines on appropriate social media use is the primary purpose of a healthcare organization’s social media policy. The policy outlines what constitutes acceptable behavior on social media to protect patient privacy, maintain professional standards, and ensure compliance with regulations.
Correct Answer is B
Explanation
Choice A rationale
Evaluation is the phase of the nursing process where the nurse assesses the effectiveness of the interventions and determines whether the patient’s goals have been met. Checking blood sugar before administering insulin is not part of the evaluation phase.
Choice B rationale
Assessment is the phase of the nursing process where the nurse gathers information about the patient’s condition. Checking the client’s blood sugar before administering insulin is an assessment activity, as it involves collecting data to determine the patient’s current blood glucose level.
Choice C rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data. Checking blood sugar is not part of the planning phase; it is an assessment activity.
Choice D rationale
Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the plan of care. While administering insulin is part of the implementation phase, checking blood sugar is an assessment activity that occurs before the implementation of the intervention.
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