what is the correct procedure for taking a telephone order from a provider

ATI LPN

PN ATI Comprehensive Predictor

1. What is the correct procedure for taking a telephone order from a provider?

A. State patient name, drug, dose, route, frequency, and read back the order
B. State the medication and ask for a witness to listen to the order
C. Write down the order and verify with the provider within 12 hours
D. Have the provider verify the order during the next in-person visit

Correct answer: A

Rationale: The correct procedure for taking a telephone order from a provider is to state the patient's name, drug, dose, route, frequency, and then read back the order to ensure accuracy. This process helps in preventing errors and ensures that all relevant information is correctly documented. Choice B is incorrect because having a witness listen to the order is not a standard practice and may not guarantee accuracy. Choice C is incorrect as verifying the order within 12 hours may lead to delays in patient care. Choice D is incorrect because waiting for the provider to verify the order during the next in-person visit could result in a significant delay in administering necessary medication.

2. A nurse is caring for a client who has a serum sodium level of 125 mEq/L. Which of the following findings should the nurse expect?

A. Numbness of the extremities.
B. Abdominal cramping.
C. Bradycardia.
D. Positive Chvostek's sign.

Correct answer: B

Rationale: Abdominal cramping is a common manifestation of hyponatremia, as the sodium imbalance affects muscle function. Numbness of the extremities (Choice A) is more commonly associated with electrolyte imbalances such as hypocalcemia. Bradycardia (Choice C) is not typically a direct manifestation of hyponatremia. Positive Chvostek's sign (Choice D) is related to hypocalcemia, not hyponatremia.

3. A nurse is caring for a client who delivered a full-term newborn 16 hours ago. The nurse notes excessive lochia discharge. Which of the following actions should the nurse take first?

A. Administer pain medication
B. Perform a fundal massage
C. Check the baby's heart rate
D. Apply an ice pack

Correct answer: B

Rationale: Performing a fundal massage is the priority action in a postpartum client experiencing excessive lochia discharge. Fundal massage helps prevent postpartum hemorrhage by ensuring the uterus contracts effectively. Administering pain medication, checking the baby's heart rate, and applying an ice pack are not the initial interventions needed to address excessive lochia discharge.

4. What intervention is key when managing a client with delirium?

A. Administer antipsychotic medication to calm the client
B. Identify any reversible causes of delirium
C. Provide a low-stimulation environment
D. Increase environmental stimulation

Correct answer: B

Rationale: The correct intervention when managing a client with delirium is to identify any reversible causes. Delirium can be caused by various factors such as infections, medications, dehydration, or metabolic imbalances. Administering antipsychotic medications (Choice A) may worsen delirium and should be avoided unless necessary for specific indications. Providing a low-stimulation environment (Choice C) is beneficial as it can help reduce agitation and confusion in individuals with delirium. Increasing environmental stimulation (Choice D) is contraindicated as it can exacerbate symptoms in delirious patients. Therefore, the priority should be on identifying and addressing reversible causes to effectively manage delirium.

5. What are the key steps in administering oral medications to a patient with dysphagia?

A. Crush medications and mix with food
B. Use a straw to facilitate swallowing
C. Encourage the patient to drink thickened liquids
D. Have the patient lie flat during administration

Correct answer: A

Rationale: The correct answer is A: Crush medications and mix with food. When administering oral medications to a patient with dysphagia, crushing the medications and mixing them with food is a common method to aid in swallowing. Choice B is incorrect because using a straw could pose a choking hazard for patients with dysphagia. Choice C is incorrect as thickened liquids may not always be suitable for all medications. Choice D is incorrect because having the patient lie flat can increase the risk of aspiration, which is not recommended for patients with dysphagia.