The primary care NP is prescribing a medication for an off-label use. To help prevent a medication error, the NP should:
a. write "off-label use" on the prescription and provide a rationale.
b. call the pharmacist to explain why the instructions deviate from common use.
c. write the alternative drug regimen on the prescription and send it to the pharmacy.
d. tell the patient to ignore the label directions and follow the verbal instructions given in the clinic.
A
When prescribing a drug for an off-label use, the provider should specify this on the written prescription and should provide a rationale so that the pharmacist understands why the prescription is different from the normal use. Calling the pharmacist would not provide written documentation. Merely writing the different instructions can lead to errors if the pharmacist changes the label to conform to usual standards. The patient may forget verbal instructions and follow the usual regimen instead.
You might also like to view...
Researchers have determined four common features to transitions. Which of the following is not one of the four features?
a. A stage of denial b. An altered time perspective c. Disturbances in bodily function d. A phase of turmoil
The home care nurse is providing palliative care to a patient. Which of the following symptoms might this patient experience?
a. Fluid retention c. Pain b. Cardiac arrhythmia d. Confusion
A trusting relationship with a patient can be fostered by
a. introducing oneself and stating one's role. b. identifying the patient by room number. c. seeing the patient every 5 to 7 minutes. d. making up answers when one does not know the answer.
A client presents with severe inflammation of the knee. The physician prescribes a corticosteroid and asks the client to return to the office in 10 days for follow-up. How does the nurse explain these instructions?
1. "We need to check to see if this is the correct treatment." 2. "We need to re-examine the knee after a few days of treatment." 3. "Corticosteroids should only be taken for 1 to 3 weeks." 4. "You may be able to change to an NSAID at that visit." 5. "You may need a 3-month prescription for a stronger corticosteroid at that time."