The prescriber has written admission orders, and 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 a colleague what the order says.
Contact the prescriber to clarify the order.
Wait until the prescriber makes rounds again to clarify the order.
Ask the patient what medications he takes at home.
The Correct Answer is B
A. Ask a colleague what the order says:
This option involves seeking assistance from a colleague to interpret the illegible handwriting. While collaboration among healthcare professionals is important, relying on a colleague to interpret unclear handwriting may introduce the risk of miscommunication or misinterpretation.
B. Contact the prescriber to clarify the order:
This is the recommended and safest option. Contacting the prescriber directly to seek clarification ensures accurate information and reduces the risk of misinterpretation or errors related to illegible handwriting.
C. Wait until the prescriber makes rounds again to clarify the order:
This option involves delaying clarification until the prescriber is available during rounds. Waiting may not be ideal if the patient requires prompt intervention or if there is an urgency in administering the medication. Timely communication is crucial for patient safety.
D. Ask the patient what medications he takes at home:
This option is unrelated to the issue of illegible handwriting on the prescription. While obtaining a patient's medication history is important for comprehensive care, it does not address the immediate need to clarify the unclear order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Blood dyscrasias: This is a correct choice. Phenytoin can cause blood dyscrasias, including conditions like leukopenia, thrombocytopenia, and anemia.
B. Hyperglycemia: This is not typically associated with phenytoin. The primary adverse effects related to blood sugar are usually changes in glucose metabolism or hypoglycemia.
C. Urinary retention: This is not a common adverse effect of phenytoin. It is more associated with other medications or medical conditions.
D. Gingival hyperplasia: This is a correct choice. Phenytoin is known to cause gingival hyperplasia, which is an overgrowth of the gum tissue.
E. Sedation: This is not a common adverse effect of phenytoin. Phenytoin is more known for causing CNS-related side effects like nystagmus, ataxia, and dizziness.
Correct Answer is ["C","D","E"]
Explanation
A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.
B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.
C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.
D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.
E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.
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