A nurse is reviewing a newly written treatment order for a client who is admitted with hypertension. The order reads: “Administer enalapril 25 mg PO daily.” What should the nurse do next?
Administer the medication as ordered, since it matches the prescription details.
Document the order in the medical record and take no action.
Clarify the order with the prescribing provider before administering the medication.
Delay administration of the medication until further changes to the plan of care are made.
The correct response involves verifying the treatment order with the prescribing provider because the normal starting dose of enalapril is typically lower than 25 mg for most clients, especially those with hypertension, to avoid hypotension. The nurse must clarify the order to verify its accuracy and appropriateness. Administering the medication without clarification may put the client at risk for adverse effects. Simply documenting or delaying care without clarification does not address the potential error.
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