The nurse calls the healthcare provider using SBAR Communication. Which statement should the nurse make first?

Collaborate with the prescriber about the order. This is because the nurse has a responsibility to ensure the safety and effectiveness of the medication administration and to question any orders that seem inappropriate or unclear. The nurse should not administer the medication as ordered without verifying it first, as this could cause harm to the client or result in a medication error. The nurse should not check to see if previous shift nurses gave the medication, as this does not address the issue of the current order and could lead to missed or duplicated doses. The nurse should not administer only the standard dose of the medication, as this could be against the prescriber’s intention and could compromise the client’s treatment or outcome.

Choice A is wrong because it does not follow the principle of safe medication administration and could put the client at risk of adverse effects or overdose.

Choice B is wrong because it does not respect the prescriber’s authority and could result in underdosing or ineffective therapy for the client.

Choice C is wrong because it does not solve the problem of the current order and could cause confusion or inconsistency in the medication administration.

Choice D is correct because it demonstrates critical thinking and professional accountability, and ensures that the order is appropriate and accurate for the client’s condition and needs.

The normal ranges for medication dosages depend on various factors, such as the type of medication, the route of administration, the client’s age, weight, renal function, liver function, and other comorbidities.

The nurse should always consult reliable sources of information, such as drug guides, pharmacists, or prescribers, to determine the safe and effective dosages for each client

Ineffective protection related to chemotherapy side effects. This nursing diagnosis takes priority for a client who is receiving chemotherapy

treatment for cancer because chemotherapy can cause immunosuppression and increase the risk of infection, bleeding, and other complications.

According to the NANDA-I taxonomy, ineffective protection is defined as “decreased ability of an individual to guard the self from internal or external threats such as illness or injury” (NANDA International, 2018).

Choice A is wrong because situational low self-esteem related to job loss due to chemotherapy side effects is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although chemotherapy can affect the client’s self-image and emotional well-being, it is not a life-threatening condition and can be addressed after ensuring the client’s safety and physiological needs.

Choice C is wrong because anticipatory grieving related to a cancer diagnosis is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although cancer can cause emotional distress and grief for the client and their family, it is not an immediate threat to the client’s health and can be managed with psychological support and counseling.

Choice D is wrong because fatigue related to cancer treatments is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although chemotherapy can cause fatigue and weakness, it is not a critical condition and can be alleviated with rest, nutrition, and energy conservation strategies.