Final answer:
When a nurse finds a medication order exceeds the standard dose, they should call the physician to discuss the order to ensure patient safety and prevent medication errors. It is not within the nurse's authority to alter prescribed dosages without consultation.
Step-by-step explanation:
When a nurse reviews a physician's order and finds that the medication amount is greater than the standard dose, the correct action would be to call the physician to discuss the order. It's crucial for medical personnel to ensure the safety and efficacy of drug administration, and this involves verifying unusual orders. It is not within the nurse's scope of practice to autonomously decide to give the standard dose or to administer a dosage that appears incorrect. Additionally, involving the nursing supervisor may be appropriate depending on hospital policy and the severity of the situation. Consulting with the physician helps to clarify the order, ensure patient safety, and prevent potential medication errors.
Dosages are critical in medical practice and should always be double-checked, especially when dealing with high-risk drugs or vulnerable populations. Optimal therapeutic drug levels must be achieved without causing significant toxicity to the patient. Factors such as patient's mass, liver or kidney function, and metabolism must be carefully considered when determining the appropriate dosage. Communicating with the prescribing physician is the most responsible action to take when facing a potential discrepancy in medication orders.