Practice Quiz

NCLEX-PN

Category - Coordinated Care

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The RN is currently attending the clients in the unit. The attending physician of one of the clients is giving a telephone order to the LPN. Which of the following principles should the LPN follow in receiving a telephone order?
  1. Telephone orders are only acceptable during urgent or emergent cases or when the physician does not have access to a preferred delivery system
  2. LPNs are not allowed to receive telephone orders regardless of the situation
  3. The prescriber should follow-up the order by co-signing anytime he’s able to do so
  4. Telephone orders are never considered by any member of the entire nursing team
Explanation
Answer: A - Telephone and verbal orders should only be given under urgent or emergent circumstances or when the physician does not have access to a preferred delivery system. Fax or computer generated orders are preferable since they eliminate errors in carrying out the orders. LPNs may obtain and transcribe the telephone orders, although this may vary by facility. In general, the prescriber should countersign the telephone order within 24 hours of giving the order. JCAHO recommends that all physician telephone orders be read back to the physician for accuracy
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