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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Related Questions
Correct Answer is C
Explanation
A. 12/16/25: Counting 7 days from 12/08/25 and including the start date results in a 7-day course ending on 12/15/25, not 12/16/25. Selecting 12/16/25 would extend the therapy by one extra day.
B. 12/08/25: The start date is 12/08/25; terminating on the same day would only allow a single dose, which does not complete the prescribed 7-day regimen.
C. 12/15/25: A 7-day course beginning on 12/08/25 concludes on 12/15/25. This includes the initial dose on 12/08/25 and provides the full duration of therapy as ordered.
D. 12/25/25: Ending on 12/25/25 would result in a 17-day course, exceeding the prescribed duration. This would lead to unnecessary antibiotic exposure and increase the risk of adverse effects or resistance.
Correct Answer is C
Explanation
Calculation:
- Identify the total volume and infusion rate
Total Volume: 900 mL
Infusion Rate: 75 mL/hr
- Calculate the time the bag will last
Time (hours) = Total Volume ÷ Infusion Rate
Time = 900 ÷ 75
= 12 hours
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