Q : The doctor orders a medication for which the patient is allergic. The nurse places a call to the physician, but the call is not returned before the first dose is due. Which of the following is the appropriate next step the nurse should take in this situation?
1. Notify the nursing supervisor of the situation.
2. Give the medication as ordered by the doctor.
3. Hold the medication and wait to speak to the physician.
4. Call the pharmacist and discuss the patient’s allergies.
Answer: 1
Rationale: The nurse should notify the supervisor of the situation. The patient should not be disadvantaged by the fact that he or she is not receiving medication that is needed. The physician has not returned the nurse’s telephone call, and the supervisor needs to assist and support the nurse. Failing to give the medication or giving a medication to which the patient is allergic would be a medication error. By notifying the supervisor, the nurse will be supported in the decision not to administer the medication.
Rationale: The nurse should notify the supervisor of the situation. The patient should not be disadvantaged by the fact that he or she is not receiving medication that is needed. The physician has not returned the nurse’s telephone call, and the supervisor needs to assist and support the nurse. Failing to give the medication or giving a medication to which the patient is allergic would be a medication error. By notifying the supervisor, the nurse will be supported in the decision not to administer the medication.
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