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:

Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3. This client’s pH is low, indicating acidosis, not alkalosis.

Choice B rationale:

Respiratory acidosis is correct. It is characterized by a low pH and high PaCO2, as seen in this client’s results. This condition occurs when the lungs can’t remove enough CO2, causing it to build up in the blood and lower the pH.

Choice C rationale:

Metabolic acidosis is incorrect because it would present with a low pH and low HCO3. This client’s HCO3 is normal.

Choice D rationale:

Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2. This client’s pH is low and PaCO2 is high.

A. Respiratory acidosis. B. Metabolic acidosis. C. Respiratory alkalosis. D. Metabolic alkalosis.

Correct Answer is D

Explanation

Choice A rationale:

Respiratory acidosis is characterized by a high PaCO2 and a low pH. The client’s ABG results do not match this pattern.

Choice B rationale:

Metabolic acidosis is characterized by a low HCO3 and a low pH. The client’s ABG results do not match this pattern.

Choice C rationale:

Respiratory alkalosis is characterized by a low PaCO2 and a high pH. The client’s ABG results do not match this pattern.

Choice D rationale:

Metabolic alkalosis is characterized by a high HCO3 and a high pH. The client’s ABG results match this pattern. Normal values for pH, PaCO2, and HCO3 are 7.35-7.45, 35-45 mm Hg, and 22-26 mEq/L respectively.

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Which step ensures the prescription is clear and appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose arterial blood gas results show the following results: pH: 7.2, PaCO2: 50 mm Hg, HCO3: 24 mEq/L. The nurse should identify the client is experiencing which of the following acid-base conditions?

Correct Answer is B

Explanation

A nurse is reviewing the arterial blood gas (ABG) results of a client.The client's ABGs are: pH: 7.6. PaCO2: 40 mm Hg. HCO3: 32 mEq/L. Which of the following acid-base conditions should the nurse identify the client is experiencing?

Correct Answer is D

Explanation

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