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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 D

Explanation

A. Establishing the priorities of client care is part of the planning phase, not the implementation phase.

B. Comparing laboratory values is an assessment activity that occurs before planning and implementing care.

C. Asking the client about pain is an assessment activity used to gather information rather than an implementation task.

D. Reinforcing teaching about the client's diagnosis is an action that occurs during the implementation phase, as it involves executing the care plan and providing direct client education.

Correct Answer is B

Explanation

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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