The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be based upon the drug book's information
The pediatrician is contacted and says to administer the medication as ordered. Which actions should the nurse take next? (Select all that apply.)
a. Notify the nursing supervisor.
b. Administer the medication as ordered.
c. Give the amount listed in the drug book.
d. Ask the mother to give the drug to her child.
e. Check the chain of command policy for such situations.
ANS: A, E
If the health care provider confirms an order and the nurse still believes that it is inappropriate, the nurse should inform the supervising nurse and follow the established chain of command. 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. 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 is given as ordered. The nurse cannot change an order by giving the amount listed in the drug book. Asking the mother to give the drug is inappropriate.
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