Nokea
A nurse is receiving a provider prescription by phone for morphine for a client who is reporting moderate to severe pain. Which of the following actions are appropriate?
- A. Repeat details of prescription back to provider
- B. Have another nurse listen to phone prescription
- C. Obtain prescriber's signature within 24 hours
- D. Decline verbal prescription because it is not an emergency situation
- E. Tell charge nurse that the provider has prescribed morphine by phone
Correct Answer: A,B,C
Rationale: Correct Answer: A, B, C
Rationale:
A: Repeating details of the prescription back to the provider ensures accuracy and reduces errors in transcription.
B: Having another nurse listen to the phone prescription provides a second verification to ensure accuracy and compliance with protocols.
C: Obtaining the prescriber's signature within 24 hours is necessary for legal documentation and accountability.
Summary:
Option D is incorrect because declining a verbal prescription in a non-emergency situation could delay necessary pain relief for the client. Option E is irrelevant to the immediate task of correctly processing the prescription.
You may also like to solve these questions
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
- A. I have my own apartment now, but it's not easy living away from my parents
- B. It's been so stressful for me to even think about having my own family
- C. I don't even know who I am yet, & now I'm supposed to know what to do
- D. My girlfriend is pregnant, & I don't think I have what it takes to be a good father
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing uncertainty about their own identity indicates a potential issue with self-awareness and self-esteem, which are foundational for healthy development. This can impact decision-making and overall well-being. Choices A, B, and D focus on external factors (living situation, family stress, and impending fatherhood) that can be addressed once the individual's self-identity is better understood. Prioritizing self-discovery and self-acceptance can lead to more effective coping mechanisms and decision-making skills for handling other stressors.
Nurse caring for 19-year-old client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
- A. Measure the vital signs
- B. Encourage HIV screening
- C. Determine client's risk factors
- D. Instruct client to use condoms
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This is the most appropriate intervention to assess the client's health promotion and disease prevention needs. By identifying the client's risk factors such as sexual behaviors, substance use, family history, and lifestyle choices, the nurse can tailor health education and intervention strategies to promote overall well-being.
A: Measure the vital signs - While important, vital signs do not directly assess health promotion and disease prevention needs in a sexually active young adult.
B: Encourage HIV screening - Important for sexual health but does not address a comprehensive assessment of health promotion and disease prevention.
D: Instruct client to use condoms - Important recommendation for safe sex practices but does not address the broader health promotion and disease prevention needs of the client.
Nurse is caring for client sitting in chair & asks to return to bed. What is the priority action for the nurse?
- A. Obtain walker for client to use to transfer back to bed
- B. Call for additional personnel to assist with transfer
- C. Use transfer belt & assist client to bed
- D. Assess client's ability to help with transfer
Correct Answer: D
Rationale: The correct answer is D: Assess client's ability to help with transfer. This is the priority action because it ensures the safety of the client by determining if they are able to assist in transferring themselves back to bed. By assessing the client's ability, the nurse can prevent injury and provide appropriate assistance.
Choice A: Obtaining a walker may be helpful, but assessing the client's ability should come first to determine if it is needed.
Choice B: Calling for additional personnel is not necessary if the client can transfer independently or with minimal assistance.
Choice C: Using a transfer belt is important for safety, but assessing the client's ability should be done before assisting them.
In summary, assessing the client's ability to help with transfer is the priority to ensure safe and appropriate care.
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
- A. Install bath rails & grab bars in bathrooms
- B. Wear helmet while skiing
- C. Install carbon monoxide detector
- D. Secure firearms in safe location
- E. Remove throw rugs from the home
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (D) to prevent accidents. Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer from PACU following thoracic surgery. To which staff member should the nurse assign this client?
- A. Charge nurse
- B. RN
- C. LPN
- D. Assistive personnel (AP)
Correct Answer: B
Rationale: The correct answer is B: RN. A registered nurse (RN) is the most appropriate staff member to care for a client awaiting transfer from PACU after thoracic surgery. RNs have the education and training to assess the client's condition, monitor vital signs, manage postoperative pain, and recognize any complications that may arise. They can also provide the necessary interventions and communicate effectively with the healthcare team. Assigning this client to an RN ensures safe and competent care.
Choice A (Charge nurse) may have administrative duties and may not be available to provide direct care. Choice C (LPN) may not have the scope of practice or training to manage postoperative care for a client following thoracic surgery. Choice D (AP) does not have the qualifications to assess and manage a client with complex postoperative needs.