A nurse is reviewing a new medication order for a client and notes that the prescribed dosage is significantly higher than the recommended range in a drug reference guide. What is the nurse's priority action?
Administer the medication as prescribed and document the concern.
Refuse to give the medication and complete an incident report.
Ask another nurse to double-check the prescribed dosage.
Contact the prescribing health care provider to clarify the order.
The correct action is to contact the prescribing health care provider to clarify the order. Nurses have a professional and legal responsibility to ensure patient safety. This includes questioning any order that appears incorrect or potentially harmful. Administering a medication with a questionable dosage without clarification could lead to a medication error and harm the patient. While asking another nurse to check the order is a good practice, it does not resolve the discrepancy with the prescriber. Refusing to give the medication is part of the process, but the immediate priority is to communicate with the provider to clarify the intended dose. Documenting a concern without taking action is negligent.
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