Nokea
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?
- A. Use the provider’s initials after the prescription
- B. Repeat the prescription to the provider
- C. Write the prescription in shorthand
- D. Read back the prescription to the provider
Correct Answer: D
Rationale: The correct answer is D: Read back the prescription to the provider. This is crucial to ensure accuracy and prevent errors. By reading back the prescription, the nurse confirms understanding and allows the provider to clarify any misunderstandings immediately. This step promotes patient safety and effective communication.
Choice A (Use the provider’s initials after the prescription) is incorrect because it does not address the need for verification of the prescription details. Choice B (Repeat the prescription to the provider) is not as effective as reading back, as it may not ensure complete accuracy. Choice C (Write the prescription in shorthand) can lead to misinterpretation and errors.
You may also like to solve these questions
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the 'E' in the NURSE mnemonic?
- A. It sounds like you are exhausted
- B. You have so much to deal with, how can I be of help to you?
- C. Tell me more about how you are feeling
- D. It is impressive how you have managed to deal with this situation
Correct Answer: A
Rationale: The correct answer is A. In the NURSE mnemonic, 'E' stands for empathy. By acknowledging the client's feeling of being overwhelmed and reflecting it back by saying "It sounds like you are exhausted," the nurse demonstrates empathy. This response shows understanding and validation of the client's emotions, which can help the client feel heard and supported.
Choice B focuses more on offering help without directly addressing the client's emotional state. Choice C is about exploring the client's feelings but does not directly acknowledge the expressed emotion of being overwhelmed. Choice D praises the client's coping skills but does not address the current emotional state of feeling overwhelmed.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
- A. Crushing the medication would release all the medication at once, rather than over time
- B. Crushing the medication might cause you to have a stomachache or indigestion
- C. Crushing the medication is a good idea, and I can mix in some ice cream for you
- D. Crushing is unsafe, as it destroys the ingredients in the medication
Correct Answer: B
Rationale: The correct answer is B. Crushing enteric-coated aspirin can lead to stomachache or indigestion because the coating is designed to protect the stomach lining from irritation. By crushing it, the medication can be released too quickly, causing irritation. Choice A is incorrect because it focuses on the timing of medication release rather than the potential harm of crushing it. Choice C is incorrect as adding ice cream does not address the issue of medication safety. Choice D is incorrect as it does not provide a specific reason why crushing is unsafe.
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round off to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: Correct Answer: 1
Rationale: To calculate the number of tablets per dose, divide the total dose (5 mg) by the dose per tablet (0.5 mg).
5 mg / 0.5 mg = 10 tablets for the total dose.
Since the total dose is divided into 3 equal doses, divide the total tablets by 3.
10 tablets / 3 = 3.33 tablets per dose.
Round off to the nearest tenth, which is 3.3.
Since we cannot administer a partial tablet, the nurse should administer 1 tablet per dose.
Summary:
A: 1 - Correct. Calculated based on dividing total dose by dose per tablet and rounding off.
B: 2 - Incorrect. Not the correct calculation based on the dose per tablet.
C: 3 - Incorrect. Not the correct calculation based on the dose per tablet.
D: 4 - Incorrect. Not the correct calculation based on the dose per tablet.
E
A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?
- A. Muscle mass
- B. Bone density
- C. Joint flexibility
- D. Muscle strength
Correct Answer: C
Rationale: Passive range of motion exercises are performed to maintain or improve joint flexibility in clients who are unable to move their joints independently. This helps prevent contractures and stiffness. Joint flexibility allows for better mobility and reduces the risk of injury. The other choices are incorrect because: A) Muscle mass is not directly affected by passive range of motion exercises. B) Bone density is not the primary focus of passive range of motion exercises. D) Muscle strength is not the main goal of passive range of motion exercises.
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
- A. I will wear earphones during this test
- B. A small probe is placed inside my ear
- C. A tuning fork is placed on my head
- D. Small electrodes are placed on my scalp
Correct Answer: C
Rationale: The correct answer is C: A tuning fork is placed on my head. In the Rinne test, a tuning fork is first placed against the client's mastoid bone behind the ear and then moved near the ear canal. The client should hear the sound louder when the fork is near the ear if the test is normal. Choice A is incorrect because earphones are not used in the Rinne test. Choice B is incorrect as a probe is not inserted into the ear. Choice D is incorrect as electrodes are not part of the Rinne test. Placing a tuning fork on the head is the correct step in performing the Rinne test to assess hearing conduction.