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A nurse is receiving a telephone prescription from a provider for propranolol 40 mg PO BID. When reading back the information to the provider, which of the following actions should the nurse take?

A.

Remind the provider to countersign the prescription in 72 hr.

B.

Verify the medication name along with its intended purpose.

C.

Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."

D.

Transcribe the medication name using the trade name.

Answer and Explanation

The Correct Answer is B

A. While the provider may need to countersign the prescription, this does not affect the accuracy of the order at the time of receiving it.  

 

B. Verifying the medication name along with its intended purpose helps ensure clarity and reduces the risk of medication errors, especially during telephone orders where miscommunication is more likely.  

 

C. Verbalizing "B-I-D" rather than "twice per day" could cause confusion; clear language is essential, and "twice per day" is more understandable.  

 

D. Using the generic name rather than the trade name is recommended to avoid confusion with similar brand names.


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Correct Answer is C

Explanation

A. Placing a midstream urine sample in a specimen refrigerator is an appropriate practice and does not pose an infection control hazard.

B. Wiping a countertop with chlorhexidine solution is a correct practice following a blood spill and contributes to infection control.

C. Pouring sterile 0.9% sodium chloride irrigation solution directly onto an open pressure wound before collecting a specimen poses an infection control hazard, as it can introduce contaminants to the wound and affect the culture results.

D. Using alcohol-based antiseptic to clean hands after interacting with a client who has varicella zoster is an appropriate infection control measure and reduces the risk of spreading infection.

Correct Answer is A

Explanation

A. Initiating oxygen therapy for a client with COPD is a priority because oxygenation is critical for clients with respiratory conditions. Hypoxia can lead to serious complications, making this intervention urgent.

B. While initiating a 24-hour urine collection is important for monitoring kidney function, it does not require immediate action compared to the need for oxygen therapy in a client with respiratory distress.

C. Administering antibiotics is essential, especially for a client with an infection like MRSA; however, the need for immediate oxygen therapy takes precedence over medication administration.

D. Changing the dressing for a decubitus ulcer is important for preventing infection and promoting healing but is not as time-sensitive as ensuring adequate oxygenation for the client with COPD.

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