When taking a telephone order for a medication, which action by the nurse is most appropriate?

Verify the order with the charge nurse.

Ask the pharmacist to double-check the order.

Repeat the order to the prescriber before hanging up the telephone.

Call back the prescriber to review the order.

Answer and Explanation

The Correct Answer is C

A. The charge nurse can provide support, but they are not responsible for confirming or authorizing medical orders. Telephone orders must be verified directly with the prescriber.

B. The pharmacist can review medication safety, but they cannot confirm or validate the prescriber’s order over the phone. The responsibility for clarification remains between nurse and prescriber.
C. It's the correct answer and follows the standard safety protocol for verbal/telephone orders:

The nurse writes the order exactly as given
Then reads it back to the prescriber verbatim
The prescriber confirms accuracy before the call ends

This is known as read-back verification, and it reduces medication errors significantly.
D. While clarification may sometimes be needed, routinely hanging up and calling back is not standard practice and increases communication delays. The correct step is to confirm during the same call.

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Correct Answer is B

Explanation

Rationale- water helps dilute and flush the drug down Milk, yogurt and antacids affect absorption of tetracycline

A. Pupil dilation B. Enhanced tear production C. Increased intraocular fluid production D. Constriction of the pupil

Correct Answer is A

Explanation

A. anticholinergics act on the parasympathetic nervous system to produce pupillary dilatation for proper visualization
B. Tear production is a cholinergic effect
C. Intraocular fluid production is an adrenergic effect
D. Pupillary constriction is a cholinergic effect

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When taking a telephone order for a medication, which action by the nurse is most appropriate?

Nursing Test Bank

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