A registered nurse in the United States receives a verbal medication order that is difficult to hear and could be interpreted in two different ways. What should the nurse do?
Correct answer: C. Clarify the order and read it back before implementing
- A. Choose the interpretation used most often
- B. Ask another nurse to guess the intended order
- C. Clarify the order and read it back before implementing
- D. Give the lower amount to reduce the risk of harm
Explanation
The nurse must clarify an unclear order before carrying it out and use read-back verification. Guessing or independently changing the order is outside safe nursing practice.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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