Certified Medical-Surgical Registered Nurse Practice Test

Which action should the nurse take when receiving a telephone order from a physician?

1. Inform the physician that telephone orders are not permitted

2. Write the order in the patient's medical record immediately

3. Write down the order and then read back the complete order to the physician

4. Immediately carry out the order

The correct answer is: Write down the order and then read back the complete order to the physician

When receiving a telephone order from a physician, it is crucial for the nurse to write down the order accurately and then read back the complete order to the physician. This process ensures that there are no misunderstandings or errors in transcription, and it allows the physician to confirm that the order was accurately communicated. Verbalizing the order back to the physician helps in verifying the details and promotes patient safety by reducing the risk of medication errors or other issues that may arise from miscommunication. Option A is incorrect as it is vital for healthcare professionals to be prepared and competent in receiving and implementing telephone orders when necessary. Option B is not the most appropriate action immediately after receiving a telephone order since verifying the order with the physician through read back is a critical safety measure that should not be skipped. Option D is not the best course of action because the nurse should always verify the order with the physician before carrying it out to ensure accuracy and patient safety.