Author Question: A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart ... (Read 89 times)

stevenposner · **on:** Jul 22, 2018

A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?

a. 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. VO Dr. Day/J. Winds, RN, read back.
b. 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO J. Winds, RN, read back.
c. 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO Dr. Day/J. Winds, RN, read back.
d. 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO J. Winds, RN.

Question 2

Which of the following nursing assessments is most reflective of hypothermia?

a. Cyanotic lips, fingers, and toes
b. Core body temperature of 35C
c. Bradycardia of 56 beats per minute
d. Exposure to outdoor temperatures of < 0C

ambernicolefink · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The nurse receiving a TO writes down the complete order or enters it into the computer as it is being given. Then he or she reads the order back to the health care provider, called read back, and receives confirmation from the person who gave the order that it is correct. An example follows: 10/16/2011: 0815, Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO Dr. Knight/J. Woods, RN, read back. VO stands for verbal order, not telephone order. The doctor's name and read back must be included in the chart entry.

Answer to Question 2

B
Hypothermia occurs when the core body temperature is 35C or lower.
Cyanotic lips, fingers, and toes may be related to other physiological conditions.
Bradycardia of 56 beats per minute may be related to other physiological conditions.
Exposure to outdoor temperatures of lower than 0C may lead to hypothermia, but this nursing assessment would not the most reflective of hypothermia.