Texas Board of Nursing (BON) Practice Exam

What should a nurse do if a physician's order appears to be unclear?

1. Proceed with the order to avoid conflict

2. Document the order as is in patient records

3. Verify the order with the physician before proceeding

4. Ask a fellow nurse for their interpretation

The correct answer is: Verify the order with the physician before proceeding

When a physician's order appears unclear, it is crucial for the nurse to verify the order with the physician before proceeding. This action ensures that there is a clear understanding of the patient's needs and the treatment plan. Clarifying any uncertainties directly with the prescribing physician minimizes the risk of errors and potential harm to the patient. Nurses have a responsibility to advocate for patient safety, and by seeking clarification, they demonstrate professional diligence and commitment to high-quality care. Proceeding with an unclear order could lead to unintended consequences, such as administering the wrong medication or treatment, which could adversely affect the patient's health. Similarly, simply documenting the order as it is without clarification does not address the ambiguity and could leave the nurse liable for any mistakes that may arise. Asking a fellow nurse for interpretation, while possibly helpful, does not provide the authoritative clarification needed to ensure safe practice. It is the nursing responsibility to communicate directly with the physician when there are doubts about an order.