Documenting Nursing Activities (Record System Used in an Agency)
Documenting Nursing Activities (Record System Used in an Agency) ( 27 Questions)
A nurse is taking a telephone order from a radiologist for a client who needs an urgent chest x-ray.
Which of the following statements by the nurse is correct for verifying the order?
It does not verify the order, but simply repeats it.
The nurse should not assume that the order is correct without confirmation from the radiologist.
It asks the radiologist to repeat the order, which is inefficient and may cause confusion or errors.
The nurse should repeat the order to the radiologist, not the other way around.
It uses a closed-ended question that can be answered with a yes or no, which may not reflect the radiologist’s true intention or understanding of the order.
The nurse should use an open-ended statement that requires the radiologist to acknowledge or correct the order.
This is the best way to verify a telephone order from a radiologist, as it ensures that the nurse has accurately transcribed the order and that the radiologist has confirmed it.
Reading back the order also allows the nurse to clarify any doubts or questions about the order, such as the urgency, the reason, or the patient’s condition.
“I read back the order for a chest x-ray for Mr. Jones in room 20.”.
This is the best way to verify a telephone order from a radiologist, as it ensures that the nurse has accurately transcribed the order and that the radiologist has confirmed it.
Reading back the order also allows the nurse to clarify any doubts or questions about the order, such as the urgency, the reason, or the patient’s condition.
Choice A is wrong because it does not verify the order, but simply repeats it.
The nurse should not assume that the order is correct without confirmation from the radiologist.
Choice B is wrong because it asks the radiologist to repeat the order, which is inefficient and may cause confusion or errors.
The nurse should repeat the order to the radiologist, not the other way around.
Choice C is wrong because it uses a closed-ended question that can be answered with a yes or no, which may not reflect the radiologist’s true intention or understanding of the order.
The nurse should use an open-ended statement that requires the radiologist to acknowledge or correct the order.
According to federal regulations and accreditation standards, verbal and telephone orders should be authenticated by the prescriber within a specified time frame, usually 24 hours. Some states may have different or more stringent requirements, so nurses should be familiar with their state laws and regulations. Verbal and telephone orders should also be documented and signed by two nurses or one nurse and one enrolled endorsed nurse for verification and administration.