A nurse is reviewing new orders for an ambulate patient four times a day.
AC & HS.
NG.
DNR.
STAT.
The Correct Answer is A
Choice A rationale
AC and HS is a common abbreviation in medical orders that stands for "ante cibum" (before meals) and "hora somni" (at bedtime). Therefore, "ambulate patient four times a day AC & HS" means the patient should ambulate before breakfast, before lunch, before dinner, and at bedtime.
Choice B rationale
NG is an abbreviation for nasogastric, which refers to a tube inserted through the nose into the stomach and is not related to ambulation orders.
Choice C rationale
DNR stands for "do not resuscitate," which is a medical order regarding end-of-life care and is not related to ambulation.
Choice D rationale
STAT is an abbreviation meaning "immediately" and is typically used for urgent medications or treatments, not for routine ambulation orders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
To convert 12: am to military time, for any time between 12: am and 12: am, the 12 is replaced with 00. Therefore, 12: am becomes 0018 in military time.
Choice B rationale
2418 is not a valid representation of time in either standard or military format. Military time ranges from 0000 to 2359.
Choice C rationale
1218 in military time represents 12: pm in standard time, not 12: am. In the afternoon and evening, 12 is added to the standard hour to convert to military time (e.g., 1 pm is 1300).
Choice D rationale
0118 in military time represents 1: am in standard time. The hour remains the same for times between 1: am and 9: am, with a leading zero added to the hour. .
Correct Answer is ["B","D"]
Explanation
Choice B rationale
Reinserting a urinary catheter requires a physician's order as it is an invasive procedure that falls outside the scope of independent nursing practice. Catheterization carries risks of infection and trauma, necessitating medical authorization.
Choice D rationale
Administering a medication, even a mild stool softener, requires a physician's prescription. Nurses cannot independently prescribe or initiate medication therapy. This intervention is based on a medical order to manage or prevent constipation.
Choice A rationale
Calculating fluid intake and output is a routine nursing assessment and monitoring activity that nurses perform independently to evaluate a patient's hydration status and kidney function. It does not require a physician's order.
Choice C rationale
Encouraging fluid and fiber intake are independent nursing interventions aimed at promoting healthy bowel function. Nurses can educate patients and suggest lifestyle modifications without a direct physician's order.
Choice E rationale
Assessing the abdomen for distention, bowel sounds, and tenderness is a physical assessment skill that nurses use independently to gather data about a patient's gastrointestinal system. It is a part of the nursing assessment process.
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