NURSING 2362 MODULE5 EXAM | 13 Pages | 28+ Questions | Best for 2022 Exam Revision | PDF |

13. ID: 5The nurse calls a health care provider to report that a client with congestive heart failure (CHF) is exhibiting dyspnea and worsening of wheezing. The health care provider, who is in a hurry because of a situation in the emergency department, gives the nurse a telephone prescription for furosemide (Lasix) but does not specify the route of administration. What is the appropriate action on the part of the nurse? Calling the health care provider who gave the telephone prescription to clarify the prescription Correct Calling the nursing supervisor for assistance in determining the route of administration Administering the medication intravenously, because this route is generally used for clients with CHF Administering the medication orally and clarifying the prescription once the health care provider has finished caring for the client in the emergency department Rationale: Telephone prescriptions involve a health care provider’s dictating a prescribed therapy over the telephone to the nurse. The nurse must clarify the prescription by repeating the prescription clearly and precisely to the physician. The nurse then writes the prescription on the physician’s prescription sheet. Under no circumstances should the nurse try to interpret an unclear prescription or administer a medication by a route that has not been expressly prescribed. The nurse must call the health care provider who gave the telephone prescription and clarify the prescription. Test-Taking Strategy: Eliminate the options that are comparable or alike in that they indicate that the nurse should administer the medication without clarifying the physician’s prescription. Review: the procedures for accepting telephone prescriptions . Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp. 699, 700). St. Louis: Mosby. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Ethical/Legal Giddens Concepts: Health Care Policy, Safety HESI Concepts: Health Policy/Systems—Health Care Policy, Safety Awarded 1.0 points out of 1.0 possible points. 14. ID: 5A nurse is assisting a health care provider in assessing a hospitalized client. During the assessment, the health care provider is paged to report to the recovery room. The health care provider leaves the client’s bedside after giving the nurse a verbal prescription to change the solution and rate of the intravenous (IV) fluid being administered. What is the appropriate nursing action in this situation? Calling the nursing supervisor to obtain permission to accept the verbal prescription Changing the solution and rate of the IV fluid per the physician’s verbal prescription Asking the health care provider to write the prescription in the client’s record before leaving the nursing unit Correct Telling the health care provider that the prescription will not be implemented until it is documented in the client’s record Rationale: The health care provider should write all prescriptions. Verbal prescriptions are not recommended, because they increase the risk for error. If a verbal prescription is necessary, such as during an emergency, it should be written and signed by the health care provider as soon as possible, usually within 24 hours. The nurse must follow agency policies and procedures regarding verbal prescriptions. The appropriate nursing action would be to ask the health care provider to write the prescription in the client’s record before leaving the nursing unit. Changing the solution in keeping with the verbal prescription and contacting the supervisor to obtain permission to accept the verbal prescription each imply that the nurse accepts the verbal prescription. Telling the health care provider that the prescription will not be implemented until it is documented in the client’s record delays necessary treatment. Test-Taking Strategy: and note the strategic word “appropriate.” Eliminate the options that are comparable or alike in that they imply acceptance of the verbal prescription by the nurse. To select from the remaining options, recall the guidelines and principles for implementing health care provider prescriptions. This will direct you to the correct option. Review: nursing responsibilities related to verbal prescriptions . Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp. 699, 700). St. Louis: Mosby. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Ethical/Legal Giddens Concepts: Health Care Policy, Safety HESI Concepts: Health Policy/Systems—Health Care Policy, Safety Awarded 1.0 points out of 1.0 possible points. 15. ID: 1A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical procedure but was never told about the risks of the surgery. The nurse serves as the client’s advocate by taking which action? Reassuring the client that the risks are minimal Calling the surgeon and asking that the risks be explained to the client Correct Noting in the client’s record that the client was not told about the risks of the surgery Writing a note on the front of the client’s record so that the surgeon will see it when the client arrives in the operating room Rationale: A nurse serves as a client advocate by protecting the right of the client to be informed and to participate in decisions regarding care. The only option that ensures that the client will be informed of the risks of the surgery is contacting the surgeon and asking that the risks be explained to the client. Telling the client that the risks are minimal is false reassurance. Putting a note on the client’s chart or documenting that the client was not informed about the risks does ensure that the client will be informed. Test-Taking Strategy: Focus on the subject, the guidelines and principles of obtaining informed consent. Focusing on the words “never told about the risks of the surgery” will direct you to the correct option, the only option that ensures that the client will be told about the risks. Review: the role of a nurse as a client advocate . References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues: Trends & management (4th ed., p. 179). St. Louis: Mosby. Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp. 352-357). St. Louis: Mosby. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Ethical/Legal Giddens Concepts: Health Care Policy, Safety HESI Concepts: Health Policy/Systems—Health Care Policy, Safety Awarded 1.0 points out of 1.0 possible points. 16. ID: 6The nurse is planning to administer an oral antibiotic to a client with a communicable disease. The client refuses the medication and tells the nurse that the medication causes abdominal cramping. The nurse responds, “The medication is needed to prevent the spread of infection, and if you don’t take it orally I will have to give it to you in an intramuscular injection.” Which statement accurately describes the nurse’s response to the client? The nurse could be charged with battery. The nurse could be charged with assault. Correct The nurse is justified in administering the medication by way of the intramuscular route, because the client has a communicable disease. The nurse will be justified in administering the medication by the intramuscular route once a prescription has been obtained from the physician. Rationale: Assault is an intentional threat to bring about harmful or offensive contact. If a nurse threatens to give a client a medication that the client refuses or threatens to give a client an injection without the client’s consent, the nurse may be charged with assault. Therefore the nurse is not justified in administering the medication. Battery is any intentional touching without the client’s consent. Test-Taking Strategy: Focus on the data in the question and the nurse’s statement. Note that the nurse threatens the client. Next, recall the definition of assault, which will direct you to the correct option. Review: violations of client rights .