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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Ephedra:

Ephedra is an herb that contains ephedrine, a stimulant known to cause symptoms such as severe headache, diaphoresis, and restlessness. Ephedrine has been associated with cardiovascular side effects, leading to its restriction or banning in many countries.

B. Feverfew:

Feverfew is an herb commonly used for migraine prevention. It is not typically associated with severe headache, diaphoresis, or restlessness. Instead, it is known for its potential benefits in reducing the frequency and severity of migraines.

C. Garlic:

Garlic is an herb often used for various health purposes, including cardiovascular health. It is not known to cause severe headache, diaphoresis, or restlessness.

D. St. John's Wort:

St. John's Wort is an herb commonly used for mood-related conditions, such as mild to moderate depression. It is not associated with the symptoms described, and its primary effects are related to mood regulation.

A. Dietary restriction while taking hydrocodone B. Instructions not to exceed recommended dosage C. Instructions not to use alcohol or CNS depressants while taking hydrocodone D. Instructions on how to prevent constipation E. Side effects to report

Correct Answer is ["B","C","D","E"]

Explanation

A. Dietary restriction while taking hydrocodone

There are no specific dietary restrictions associated with hydrocodone use. This option is not relevant to hydrocodone therapy.

B. Instructions not to exceed recommended dosage

It is crucial to emphasize to the patient not to exceed the recommended dosage of hydrocodone. Exceeding the prescribed dose can lead to adverse effects, including respiratory depression.

C. Instructions not to use alcohol or CNS depressants while taking hydrocodone

Hydrocodone is a central nervous system (CNS) depressant. Combining it with alcohol or other CNS depressants can increase the risk of respiratory depression and sedation. Patients should be advised to avoid alcohol and other drugs that depress the CNS.

D. Instructions on how to prevent constipation

Opioid medications, including hydrocodone, can cause constipation. Patients should receive instructions on how to prevent constipation, such as increasing fluid and fiber intake and incorporating regular physical activity.

E. Side effects to report

Patients should be educated about potential side effects of hydrocodone and instructed to report any unusual or severe side effects to their healthcare provider promptly. This may include symptoms such as respiratory distress, severe drowsiness, or allergic reactions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient presents to the emergency department complaining of a severe headache. She is diaphoretic and is unable to sit still. Her family tells the nurse that the client has been taking "some herb." Which herb does the nurse suspect the client has been taking?

Correct Answer is A

Explanation

What information should the nurse include in a teaching plan for a patient who is being discharged home after knee surgery with a prescription for hydrocodone? Select All That Apply

Correct Answer is ["B","C","D","E"]

Explanation

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