{"id":138625,"date":"2024-09-15T10:56:55","date_gmt":"2024-09-15T10:56:55","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=138625"},"modified":"2024-09-15T10:56:57","modified_gmt":"2024-09-15T10:56:57","slug":"during-a-24-hour-electronic-health-record-review-of-a-client-in-acute-renal-failure","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/15\/during-a-24-hour-electronic-health-record-review-of-a-client-in-acute-renal-failure\/","title":{"rendered":"During a 24-hour electronic health record review of a client in acute renal failure"},"content":{"rendered":"\n

During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?<\/p>\n\n\n\n

A.
Telephone the nurse responsible for the error at home to report the omission of the transcription.<\/p>\n\n\n\n

B.
Call the healthcare provider and ask if the prescription is still needed since 12 hours have elapsed since it was written.<\/p>\n\n\n\n

C.
Notify the nursing supervisor of the previous shift’s omission in not transcribing the prescription.<\/p>\n\n\n\n

D.
Order the lab work as prescribed and follow procedures for completing an incident report.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The best immediate action for the nurse to take is:<\/p>\n\n\n\n

D. Order the lab work as prescribed and follow procedures for completing an incident report.<\/strong><\/p>\n\n\n\n

Explanation<\/h3>\n\n\n\n

In the scenario described, the nurse has discovered that a prescription for serum potassium levels was not transcribed into the electronic health record by the previous shift. This means the necessary lab work has not been performed, which could be crucial for monitoring and managing the client\u2019s acute renal failure.<\/p>\n\n\n\n

Here\u2019s why option D is the best course of action:<\/p>\n\n\n\n

    \n
  1. Client Safety<\/strong>: The primary concern is the client\u2019s safety and well-being. By ordering the lab work as prescribed, the nurse ensures that the required tests are performed promptly. In acute renal failure, monitoring serum potassium levels is critical, as abnormal potassium levels can lead to severe complications, including cardiac issues. Therefore, it\u2019s essential to follow the original prescription to gather the necessary data for appropriate management.<\/li>\n\n\n\n
  2. Following Protocol<\/strong>: The nurse should adhere to established protocols for addressing missed or delayed orders. This includes completing an incident report to document the error and any potential impact on patient care. Incident reporting helps in understanding the root cause of the omission and preventing future occurrences.<\/li>\n\n\n\n
  3. Immediate Action<\/strong>: The other options involve actions that are not as immediate or direct:<\/li>\n<\/ol>\n\n\n\n
      \n
    • A (Telephone the nurse responsible for the error)<\/strong>: While it might be necessary to inform the previous shift nurse eventually, it doesn\u2019t address the immediate need for lab results.<\/li>\n\n\n\n
    • B (Call the healthcare provider)<\/strong>: This could be a step after ordering the lab tests to confirm if further action is needed based on the results.<\/li>\n\n\n\n
    • C (Notify the nursing supervisor)<\/strong>: While this might be part of the follow-up, it doesn\u2019t directly address the immediate need for lab testing.<\/li>\n<\/ul>\n\n\n\n

      Ordering the lab work and completing the incident report ensures that the client receives timely care and that the situation is documented for future reference and improvement in practice.<\/p>\n","protected":false},"excerpt":{"rendered":"

      During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take? A.Telephone the nurse responsible for the error […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138625","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138625"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138625\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}