A nurse is preparing to administer an anti-anxiety medication to a patient prior to an MRI. Which type of medication order is this an example of?
Standing order
PRN order
One-time order
STAT order
The Correct Answer is C
A. Standing order: Standing orders are scheduled, routine prescriptions that are carried out at regular intervals until discontinued or modified. This does not apply because the medication is needed only for a specific event.
B. PRN order: PRN (“as needed”) orders allow medication administration based on patient symptoms or need. While an anti-anxiety medication could be PRN, in this case it is given specifically before a procedure, not based on subjective symptom assessment.
C. One-time order: A one-time order specifies a single administration of a medication for a particular purpose or event, such as prior to an MRI. This ensures the patient receives the drug exactly when needed and does not continue beyond the intended timeframe.
D. STAT order: STAT orders require immediate administration due to urgent or emergent conditions. Administering a pre-procedure medication does not typically constitute an emergency, so STAT is not appropriate here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Skip manual checks since barcoding ensures accuracy: Barcoding significantly reduces errors but is not infallible. System errors, mislabeling, or scanning failures can occur, so skipping verification can compromise patient safety.
B. Use the barcoding system only for high-risk medications: Barcoding should be applied to all medications to ensure consistency and safety, not limited to high-risk drugs. Limiting its use increases the potential for errors with routine medications.
C. Rely solely on the barcoding system for verification: While barcoding aids in verification, nurses must also apply clinical judgment and confirm correct patient, medication, dose, route, and timing. Sole reliance on technology can miss errors the system does not detect.
D. Conduct a manual check of the medication with the MAR before administration to ensure the medications match: Performing a manual comparison between the medication and the MAR provides an additional safety layer. This step verifies that the correct drug, dose, and route are administered to the right patient, complementing the barcoding system.
Correct Answer is C
Explanation
A. Pediatric use: Peripheral IVs are commonly used in pediatric patients for short-term access to fluids, medications, and blood products. They provide reliable vascular access for small-volume or intermittent therapies.
B. Rapid use: Peripheral IVs are suitable for rapid administration of fluids or medications, such as bolus infusions, in urgent or emergent situations. They can deliver therapy quickly if the vein size and catheter gauge are appropriate.
C. Long-term use: Peripheral IVs are not intended for long-term therapy because repeated insertion can cause phlebitis, infiltration, or infection. Central venous access is preferred for prolonged administration of medications or total parenteral nutrition.
D. Small-dose use: Peripheral IVs are appropriate for administering small doses of medications intermittently. They allow easy access for titration or scheduled dosing in short-term therapy settings.
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