A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?

Administer the medication within 90 minutes of the provider prescribing the medication.

Administer the medication at specific times until directed by the provider.

Administer the medication at every 4-hour intervals.

Administer the medication whenever the client reports specific manifestations, such as pain.

Answer and Explanation

The Correct Answer is A

Choice A reason: Administering the medication within 90 minutes of the provider prescribing it aligns with the definition of a “NOW” order. A “NOW” order is intended to be given promptly but not as urgently as a STAT order, which requires immediate administration. This timeframe ensures that the medication is given in a timely manner to address the client’s needs without unnecessary delay.

Choice B reason: Administering the medication at specific times until directed by the provider is not appropriate for a “NOW” order. This approach is more suitable for routine or scheduled medications, where the timing is predetermined and consistent. A “NOW” order requires prompt action rather than adherence to a fixed schedule.

Choice C reason: Administering the medication at every 4-hour intervals is incorrect for a “NOW” order. This frequency is typical for PRN (as needed) medications or those requiring regular dosing intervals. A “NOW” order is a one-time directive that necessitates timely administration soon after the order is given.

Choice D reason: Administering the medication whenever the client reports specific manifestations, such as pain, is characteristic of PRN orders. PRN orders are given based on the client’s symptoms and needs at the time. A “NOW” order, however, is a one-time order that should be carried out promptly, regardless of the client’s immediate symptoms.

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Correct Answer is C

Explanation

Choice A Reason:

The client’s immediate family members may not always have the right to access the client’s protected health information (PHI) unless the client has given explicit consent. Confidentiality laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, are designed to protect the privacy of patients’ health information. These laws generally require that PHI be shared only with individuals who are directly involved in the patient’s care or who have been authorized by the patient. Therefore, while family members may be involved in the patient’s care, they do not automatically have the right to access PHI without the patient’s consent.

Choice B Reason:

The facility’s administrators typically do not need access to a specific client’s PHI unless it is necessary for administrative purposes related to the patient’s care or for compliance with legal and regulatory requirements. Administrators are generally more involved in the overall management and operation of the healthcare facility rather than in the direct care of individual patients. Sharing PHI with administrators without a valid reason could violate confidentiality laws and the patient’s right to privacy.

Choice C Reason:

Health care team members caring for the client are directly involved in the patient’s care and, therefore, have a legitimate need to access the client’s PHI. This includes doctors, nurses, therapists, and other healthcare professionals who are providing treatment, coordinating care, or ensuring the patient’s well-being. Sharing PHI with these individuals is essential for delivering safe and effective care, and it is permitted under confidentiality laws such as HIPAA.

Choice D Reason:

Clergy affiliated with the facility may provide spiritual support to patients, but they do not typically have a legitimate need to access the client’s PHI unless the patient has given explicit consent. While spiritual care is an important aspect of holistic healthcare, it does not require access to detailed medical information. Therefore, sharing PHI with clergy without the patient’s consent would generally be considered a violation of confidentiality laws.

Correct Answer is ["260"]

Explanation

Calculation
Enteral nutrition: 200 mL
Water flush before feed: 30 mL
Water flush after feed: 30 mL

Total intake = 200 mL + 30 mL + 30 mL = 260 mL

The nurse should document 260 mL as intake in the I&O.

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A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an educational program about client confidentiality. The nurse should explain that nurses may share a client’s protected health information with which individuals?

Correct Answer is C

Explanation

Correct Answer is ["260"]

Explanation

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