The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be. The pediatrician is contacted and says to administer the medication as ordered
What is the next action that the nurse should take? (Select all that apply.) a. Notify the nursing supervisor.
b. Check the chain of command policy for such situations.
c. Give the medication as ordered.
d. Give the amount calculated to be correct.
e. Contact the pharmacy for clarification.
A, B
Nurses follow health care providers' orders unless they believe the orders are in error or may harm patients. Therefore, the nurse needs to assess all orders. If an order seems to be erroneous or harmful, further clarification from the health care provider is necessary. If the health care provider confirms an order and the nurse still believe that it is inappropriate, the nurse should inform the supervising nurse or follow the established chain of command. The supervising nurse should be able to help resolve the questionable order, but only the health care provider who wrote the order or a health care provider covering for the one who wrote the order can change the order. Harm to the infant could occur if the medication dosage was too high. The nurse cannot change an order. Giving the amount calculated to be correct would not be what another nurse would do in the same situation. Although the pharmacy is an excellent resource, only the health care provider can change the order.
You might also like to view...
The patient informs the nurse that he has been having difficulty reading the newspaper because his eyes are un able to focus on the words on the page. The nurse is aware that the ability of the eye to focus and refocus is called:
A) Enucleation B) Papilledema C) Accommodation D) Astigmatism
__________ results from knowledge, expertise, or experience in a particular area
Fill in the blank(s) with correct word
A nurse has promoted the introduction of health care technology into lesser-developed countries, but this has led to less-than-satisfactory results. Which of the following best describes why this has happened?
a. People do not want to use newer technol-ogy. b. The cost is so high that they cannot afford to use new technology. c. The community may not be ready for this technology. d. Technology is too complex for people in lesser-developed countries.
Nursing skills needed for enabling empowerment include:
a. active listening and communication. b. collaboration and negotiation. c. intuitive and intellectual knowing. d. a and b. e. all of the above.