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NCLEX-RN

Category - Safety

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Abby, a nurse working the medical ward, was given a verbal order to give digoxin (Lanoxin), 25 mg IV every six hours for the first 24 hours. How should the nurse respond to this order?

Ask the physician to repeat the order.
Repeat the order out loud for verification and document immediately.
Have the physician sign the documented verbal order within the day.
Do not carry out the order.

Explanation

Answer: D - The most appropriate response of the nurse is to refuse to carry out the verbal order. The recommended dosage of digoxin is 0.25 mg IV. If the client follows the physician’s order without proper evaluation this would place the client in more danger. Options A, B and C are correct actions but would result in irreparable harm to the client.

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