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    ATI RN Pharmacology 2023 IV proctored exam

    A nurse is transcribing a new prescription for a client which states, "Diphenhydramine 50 mg NOW." Which of the following actions should the nurse take?

    Explanation & Rationale

    C. When in doubt or when there is ambiguity in the prescription, contacting the provider is essential to clarify the intended dose, timing, and indication for diphenhydramine. "NOW" could mean different things depending on the clinical context. It might imply an urgent need for treatment or administration within a specific timeframe. Contacting the provider allows the nurse to confirm the correct interpretation and ensure the medication is administered safely and appropriately. A. While this action may seem appropriate, simply notifying the pharmacy does not guarantee that the medication will be available for immediate administration. Additionally, the nurse must ensure that the prescription is clear and appropriate before proceeding with administration. B. This option implies informing the client that a prescription is available if they choose to use it. This response does not address the immediate need for clarification of the prescription or ensure timely administration as indicated by "NOW." D. This option suggests a timeframe for administration that may not align with the urgency implied by "NOW." "NOW" typically signifies an immediate need for the medication, and waiting up to 90 minutes may not be appropriate depending on the clinical situation. Immediate clarification with the provider is necessary to determine the correct timing and urgency of administration.

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