A nurse reviews the following medication onders for accuracy and completeness. Which order is considered complete and appropriate for safe administration?
3/30/08: Fran Jones DOB 2/2/72 Demerol (meperidine) 50 mg IM for pain Dr. James Brown
3/30/08: Fran jones DOB 2/2/72 morphine sulfate 4mg IV stat Dr. James Brown
3/30/08: Fran jones DOB 2/2/72 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown
3/30/08: Fran jones DOB 2/2/72 Digoxin (Lanoxin) 0.5 mg orally every day Dr. James Brown
The Correct Answer is B
A. 3/30/08: Fran Jones DOB 2/2/72 Demerol (meperidine) 50 mg IM for pain Dr. James Brown: The order does not specify a frequency or timing for administration, making it incomplete for safe nursing administration. “For pain” is vague and does not provide actionable guidance.
B. 3/30/08: Fran Jones DOB 2/2/72 morphine sulfate 4 mg IV stat Dr. James Brown: This order includes all necessary components for safe administration: client identifiers, date, drug, dose, route (IV), timing (stat), and prescriber signature. It provides clear, actionable instructions for the nurse.
C. 3/30/08: Fran Jones DOB 2/2/72 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown: The order lacks a specified route of administration, which is required for safe medication administration. Without this, the nurse cannot accurately deliver the medication.
D. 3/30/08: Fran Jones DOB 2/2/72 Digoxin (Lanoxin) 0.5 mg orally every day Dr. James Brown: While most components are present, the order does not specify the exact time of day for administration, which is important for medications like digoxin with a narrow therapeutic index.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Capsule: A capsule contains medication enclosed in a gelatin shell, which may contain powder, liquid, or granules. It is not a liquid form dissolved in water or saline.
B. Syrup: A syrup is a sweetened liquid preparation containing medication dissolved in sugar and water. While liquid, it is typically used for taste masking and is not the standard term for a medication simply dissolved in water or saline.
C. Suspension: A suspension contains medication particles dispersed in a liquid but not fully dissolved. The particles may settle over time and require shaking before administration.
D. Solution: A solution is a homogeneous liquid preparation in which the medication is completely dissolved in a solvent such as water or saline. It allows for uniform dosing and immediate absorption when administered.
Correct Answer is A
Explanation
A. Enteral: Enteral administration involves delivering medication directly into the gastrointestinal tract, including oral, sublingual, or via feeding tubes. This route allows absorption through the digestive system and is commonly used for systemic effects.
B. Topical: Topical medications are applied to the skin, mucous membranes, or other body surfaces for local effect. They do not primarily utilize the digestive tract for absorption.
C. IV: Intravenous administration delivers medication directly into the bloodstream, bypassing the gastrointestinal tract entirely. It provides rapid systemic effect but is not considered enteral.
D. Parenteral: Parenteral administration refers to routes outside the gastrointestinal tract, such as subcutaneous, intramuscular, or intravenous injections. It bypasses digestion and absorption through the gut.
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