Author Question: The LPN is taking a telephone order for medication for a client whose condition is deteriorating. ... (Read 14 times)

charchew · **on:** Jul 16, 2018

The LPN is taking a telephone order for medication for a client whose condition is deteriorating. Which of the following is a recommended guideline for this practice?

A) The LPN may take telephone orders only if the institution clearly defines the practice.
B) The physician ordering the medication is responsible for the accuracy of the order.
C) The primary provider must sign the telephone order within 4 hours.
D) The LPN may allow unlicensed assistive personnel to take the order and cosign it.

Question 2

An adolescent is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?

A) It is an extended attack of irresistible sleep.
B) It is caused by an underlying physical condition.
C) It interrupts nighttime sleep.
D) It is accompanied by an early appearance of REM sleep.

itsakadoozi · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

A
Feedback:
The LPN/LVN may take telephone or verbal orders only if the practice is clearly defined by the institution's policies. The nurse taking them and carrying them out must take responsibility for their accuracy and the primary provider must sign or acknowledge any verbal order as soon as possible (no later than 24 hours after given). Certain orders, such as those for client safety devices/restraints, must be cosigned by the physician within 1 hour. The nursing student or other unlicensed person never takes verbal or telephone orders.

Answer to Question 2

D
Feedback:
Narcolepsy is a brief attack of irresistible sleep. An alteration in the young person's emotional state often precipitates this condition. Underlying contributing factors for narcolepsy may be traced to some type of conflict, competition, or unacceptable aggression. Boys are more likely to be affected than girls. Nighttime sleep is basically normal; however, tests usually detect an earlier appearance of REM sleep, which under normal circumstances, occurs toward morning and is marked by dreams.