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 D

Explanation

A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.

While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.

B. Aspirin has the potential to cause hyperglycemia.

Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.

C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.

Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.

D. Aspirin has the potential to cause Reye's syndrome in children.

This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.

A. bethanechol (Urecholine) B. albuterol (Proventil) C. rivastigmine D. edrophonium (Enlon)

Correct Answer is C

Explanation

A. Bethanechol (Urecholine)

Bethanechol is a cholinergic agonist used to treat urinary retention. It is not indicated for Alzheimer's disease.

B. Albuterol (Proventil)

Albuterol is a bronchodilator used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not indicated for Alzheimer's disease.

C. Rivastigmine

Rivastigmine is a medication commonly used for the treatment of Alzheimer's disease. It belongs to a class of drugs called cholinesterase inhibitors, which work by increasing the levels of acetylcholine in the brain. This can help improve cognitive function in individuals with Alzheimer's disease.

D. Edrophonium (Enlon)

Edrophonium is a medication used for the diagnostic evaluation of Myasthenia Gravis. It is not used in the treatment of Alzheimer's disease.

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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 father presents to the emergency department with his 4 year old son. The father explains that his son had a fever, so he gave the child baby aspirin to decrease the fever and it has not worked. What should concern the nurse about a 4 year old receiving aspirin?

Correct Answer is D

Explanation

A 70-year-old female patient has just been diagnosed with Alzheimer's disease. Which of the following drug is used for the treatment of Alzheimer's disease?

Correct Answer is C

Explanation

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