A nurse reads a health care provider's order as "Fentanyl 25 mg IV q 3-4 hrs. PRN for pain" and is concerned because the dosage of this medication should read "mcg." Which of these actions should the nurse take?
a. Call the pharmacy and have the pharmacist clarify the order.
b. Contact the health care provider and clarify the order.
c. Give the dose as ordered by the health care provider.
d. Have another nurse review the order and give the dose in mcg if in agreement.
B
Standards of practice are derived from many different sources. Boards of nursing establish standards of practice, and these are reflected in the nurse practice act. Professional organizations, such as the American Nurses Association (ANA) and the National Federation of Licensed Practical Nurses (NFLPN), also develop standards of practice for registered nurses and licensed practical/vocational nurses, respectively. The policy and procedure manuals in each health care facility determine specific ways that certain activities are to be performed in that facility.
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