The nurse caring for a newly admitted client is reviewing the ...

[fox]

The nurse caring for a newly admitted client is reviewing the medication prescription sheet in preparation for administering medications to the client.
 
  The nurse notes that the physician has prescribed a medication dose that is twice the amount that the client has reported taking prior to admission. The most appropriate nursing action is to: 1. Contact the physician directly.
  2. Administer the medication as prescribed.
  3. the client regarding the accuracy of the reported dosage.
  4. Ask the physician about the prescription the next time the physician makes rounds.

Question 2

A hospitalized client tells the registered nurse (RN) that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures.
 
  The client asks the RN for assistance in obtaining a witness to the will. The most appropriate response to the client is which of the following? 1. I will sign as a witness to your signature.
  2. You will need to find a witness on your own.
  3. Whoever is available at the time will sign as a witness for you.
  4. I will call the nursing supervisor to seek assistance regarding your request.

[kbennett34]

Answer to Question 1

1

Rationale: If the nurse determines that a physician's prescription is unclear or if the nurse has a question about a prescription, the nurse should contact the physician prior to implementing it. Under no circumstances should the nurse carry out the prescription unless the prescription is clarified. Questioning the client regarding the accuracy of the dosage of the medication may seem like a viable option, but this action may also cause the client to become upset. The nurse would not administer the medication nor would the nurse administer an altered dosage. Waiting until the physician makes rounds delays treatment.

Answer to Question 2

4

Rationale: Living wills are required to be in writing and signed by the client. The client's signa-ture must be either witnessed by specified individuals or notarized. Many states prohibit any em-ployee, including a nurse of a facility where the declaring is receiving care, from being a witness. You will need to find a witness on your own. is nontherapeutic and not a helpful response. The RN should seek the assistance of the nursing supervisor.