792. The unit clerk reports to the charge nurse that a healthcare provider has written several prescriptions that are illegible and it appears the healtheare provider used several unapproved abbreviations in the prescriptions. What actions should the charge nurse take?
A. Complete and file an incident (variance) report
B. Call the healthcare provider who wrote the prescription
C. Contact the healthcare provider review board for instructions
D. Report the situation to the house supervisor
814. The home health nurse is preparing to make daily visits to a group of clients. Which client should the nurse visit first?
A. A client with congestive heart failure who reports a 3 pound weight gain in the last two days
B. An immobile client with a stage 3 pressure ulcer on the coccyx who is having low back pain
C. A client diagnosed with chronic obstructive pulmonary disease (COPD) who is short of breath
D. A terminally ill older adult who has refused to eat or drink anything for the last 48 hours
741. After an elderly female client receives treatment for drug toxicity, the HCP prescribes a 24- hour creatinine clearance test. Prior to starting the urine collection, the nurse notes that the client's serum creatinine is 0.3mg/dl. What action should the nurse implement?
A. Initiate the urine collection as prescribed.
B. Notify the HCP of the results.
C. Evaluate the client's serum BUN level.
D. Assess the client for signs of hypokalemia.
792. Answer is: B. Call the healthcare provider who wrote the prescription.
Because, the nurse has to be very clear to follow the prescription, so there is any confusion in any abbreviation used by the healthcare provider which is unapproved. For this, she can directly communicate to the healthcare provider who wrote the prescription.
814. Answer is: A. A client with congestive heart failure who reports a 3 pound weight gain in the last two days.
Because congestive heart failure is more serious condition and weight gaining during this can make it at more risk. As compared to the conditions mentioned in other option, a nurse should visit to the patient on the basis of preference to be given in the condition of the patients.
741. Answer is: B. Notify the HCP of the results
Nurse should notify the health care providers for the immediately.
The unit clerk reports to the charge nurse that a healthcare provider has written several prescriptions that are illegible and it appears the healtheare provider used several unapproved abbreviations in the prescriptions.