Which step ensures the prescription is clear and appropriate?

Asking any part of the prescription that is unclear or inappropriate.

Repeat the prescription back to the provider.

Transcribe the prescription into the client's medical record.

Obtain the provider's signature within 48 hours.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.

Choice B rationale:

Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.

Choice C rationale:

Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.

Choice D rationale:

Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.

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Correct Answer is B

Explanation

Choice A rationale:

Discarding any partial doses found in the cabinet in the sharps container is not the correct procedure. Partial doses should be wasted in the presence of another nurse.

Choice B rationale:

Verifying that the amounts of each medication counted match the amounts on the inventory record is the correct procedure. This ensures accurate accounting of controlled substances.

Choice C rationale:

Setting aside any controlled substances the nurse plans to give during her shift is not the correct procedure. Medications should be removed from the secure cabinet as needed.

Choice D rationale:

Co-signing any notations of wasting controlled substances on the previous shift is not the correct procedure. Wasting should be witnessed and co-signed at the time it occurs.

A. Tachycardia. B. Diminished urine output. C. Cold clammy skin. D. Unconsciousness.

Correct Answer is A

Explanation

Choice A rationale:

Tachycardia, or a rapid heart rate, is a common early sign of hypovolemic shock as the body tries to compensate for the decreased blood volume by increasing the heart rate.

Choice B rationale:

Diminished urine output is a sign of hypovolemic shock, but it is not typically an early sign.

Choice C rationale:

Cold, clammy skin is a sign of hypovolemic shock, but it is not typically an early sign.

Choice D rationale:

Unconsciousness is a late sign of hypovolemic shock, indicating severe blood loss and inadequate perfusion to the brain.

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Which step ensures the prescription is clear and appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to count the controlled substances in the secure cabinet.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?

Before administering client medications, the nurse must identify the client.Which of the following methods of identification should the nurse use?

A charge nurse is observing a nurse performing a Mantoux tuberculin skin test for a client.Which of the following actions should prompt the charge nurse to intervene?

A nurse is caring for a client who is conscious and has an airway obstruction.Which of the following actions should the nurse take?

A nurse is caring for a client who wants information about a complementary or alternative healing modality to help her reduce stress.The nurse should suggest which of the following modalities in which the client can practice poses and meditation to achieve wellness?

A nurse is dining at a restaurant when a woman calls for help because her partner is choking.Which of the following actions should the nurse take first?

A nurse is collecting data from a client who has hypocalcemia.Which of the following findings should the nurse expect?