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 C
Explanation
Choice A rationale
Reserving a facility for the program is a logistical step, not a SMART goal. SMART goals should be Specific, Measurable, Achievable, Relevant, and Time-bound. This choice does not meet those criteria.
Choice B rationale
Having clients share their feelings is important for support and motivation, but it is not a SMART goal. It lacks specificity and measurability, making it difficult to assess progress and success.
Choice C rationale
Setting a goal for 50% of the clients to stop smoking within 3 weeks is a SMART goal. It is Specific (50% of clients), Measurable (stop smoking), Achievable (within 3 weeks), Relevant (smoking cessation), and Time-bound (3 weeks). This goal provides a clear target and timeframe for evaluating the program’s effectiveness.
Choice D rationale
Discussing smoking cessation techniques is an important part of the program, but it is not a SMART goal. It lacks specificity and measurability, making it difficult to assess the program’s success.
Correct Answer is A
Explanation
Choice A rationale
Notifying the surgeon and clarifying the discrepancy before proceeding is crucial to ensure patient safety. The time-out procedure is designed to prevent wrong-site, wrong-procedure, and wrong-person surgeries. Any discrepancy must be resolved to avoid potential harm to the patient.
Choice B rationale
Proceeding with the planned procedure as written without addressing the discrepancy can lead to serious errors, such as performing surgery on the wrong site or patient. This action is not aligned with the safety protocols established by the Joint Commission.
Choice C rationale
Discussing the discrepancy with the patient after the surgery does not prevent the error from occurring. The purpose of the time-out procedure is to catch and correct any discrepancies before the surgery begins.
Choice D rationale
Ignoring the discrepancy as it is not significant undermines the entire purpose of the time-out procedure, which is to ensure all details are correct before proceeding with surgery. Even seemingly minor discrepancies can lead to major errors.
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