A nurse receives an order to administer nitroglycerin 0.4 mg sublingually for a patient experiencing chest pain. The order states 'STAT. What does this indicate?
The medication should be given every four hours.
The medication should be given after the next meal.
The medication should be given twice a day.
The medication should be given immediately and only once.
The Correct Answer is D
A. The medication should be given every four hours: Administration every four hours is indicated by the abbreviation Q4H, not STAT. This schedule reflects routine dosing rather than an urgent intervention.
B. The medication should be given after the next meal: Timing after meals is specified by the abbreviation PC (post cibum). STAT does not relate to meal timing or routine administration.
C. The medication should be given twice a day: Twice-daily administration is indicated by BID (bis in die). STAT orders override routine schedules and require immediate action.
D. The medication should be given immediately and only once: STAT indicates that the medication must be administered as soon as possible, typically for an acute or emergent condition. In this case, sublingual nitroglycerin is given immediately to relieve chest pain and prevent myocardial ischemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Calculation:
- Identify the child’s weight and recommended dose range
Weight: 27 kg
Recommended dose: 25–50 mg/kg/day
- Calculate the safe dosage range
Minimum dose = 25 × 27
= 675 mg/day
Maximum dose = 50 × 27
= 1350 mg/day
Safe range = 675–1350 mg/day
- Compare the ordered dose to the safe range
Ordered Dose: 150 mg/day
150 mg is below the minimum recommended dose of 675 mg/day. The ordered dose is subtherapeutic and may not provide adequate treatment.
Correct Answer is C
Explanation
A. Skip the identity verification step to avoid delaying medication administration: Omitting verification increases the risk of medication errors and patient harm. All clients, regardless of cognitive status, require proper identification before medications are administered.
B. Ask a colleague who is familiar with the client to confirm their identity: Colleague verification is not a reliable substitute for objective identifiers such as the ID band. Medication safety relies on standardized verification methods rather than personal familiarity.
C. Verify the client's identity using the MAR and the client's identification band: When a client cannot communicate, checking the identification band against the MAR ensures correct identity. This approach maintains patient safety and adheres to legal and professional standards for medication administration.
D. Proceed with the administration as the nurse knows the client well: Familiarity does not replace formal identification procedures. Administering medication without verification risks errors and violates safe medication administration protocols.
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