A patient is admitted to the cardiac unit.

Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered. This is an example of which type of order?

Standing order

PRN order

Single order

Stat order

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Standing orders are pre-approved orders that nurses can implement for specific patient situations without requiring a new order from a provider each time. They are designed to streamline care, promote efficiency, and ensure consistency in treatment. In this case, the standing order for EKGs on all cardiac unit admissions serves several key purposes:

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale:

Tetanus is an acute infectious disease caused by spores of the bacterium Clostridium tetani.The spores are found everywhere in the environment, particularly in soil, ash, intestinal tracts/feces of animals and humans, and on the surfaces of skin and rusty tools like nails, needles, barbed wire, etc.Anyone can get tetanus, but the disease is particularly common and serious in newborn babies and pregnant women who have not been sufficiently immunized with tetanus-toxoid-containing vaccines.

To ensure that there is adequate antitoxin to neutralize tetanus toxin in the case of a tetanus-prone injury, a booster dose is advised if it has been longer than 10 years since the last tetanus vaccine dose.This is because a single dose of tetanus toxoid produces a rapid anamnestic response. Therefore, if a patient with a puncture wound has not received a tetanus toxoid vaccination in the last 10 years, they would require an additional injection before being discharged from the emergency department.

Choice B rationale:

While it might seem prudent to administer a tetanus toxoid vaccination every year, this is not necessary according to current medical guidelines.Over-vaccination could potentially lead to an increased risk of adverse reactions without providing additional benefits. Therefore, a tetanus toxoid vaccination is not required every year.

Choice C rationale:

A 5-year interval for tetanus toxoid vaccination is not the standard recommendation for general population.However, in some specific cases, such as when indicated for wound management, a tetanus toxoid–containing vaccine might be administered if ≥5 years have elapsed since the previous receipt of any tetanus toxoid–containing vaccine.

Choice D rationale:

A 2-year interval for tetanus toxoid vaccination is not the standard recommendation.The tetanus toxoid vaccination provides protection for a much longer period, and therefore, it is not necessary to administer the vaccine every 2 years.

A. One pill B. Two pills C. Three pills D. Four pills

Correct Answer is A

Explanation

Step 1: Convert the prescribed dose to milligrams. 400 mcg = 0.4 mg (since 1 mg = 1000 mcg)

Step 2: Compare the prescribed dose to the pill strength. The prescribed dose is 0.4 mg.

The pill strength is 0.4 mg.

Step 3: Determine the number of pills needed.

Since the prescribed dose and pill strength are equal, only one pill is needed to administer the correct dose.

Rationale for Choice A:

Correct: One pill of 0.4 mg will provide the exact dose of 400 mcg that has been prescribed.

Direct match: The pill strength matches the prescribed dose, eliminating the need for any calculations or adjustments.

Therapeutic equivalence: Administering one pill ensures that the patient receives the intended amount of medication to achieve the desired therapeutic effect.

Adherence to prescription: Conforms to the healthcare provider's instructions, promoting accurate and safe medication administration.

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A patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered. This is an example of which type of order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with a puncture wound. How much time must have passed since the patient’s last tetanus toxoid vaccination for the patient to require an additional injection before being discharged from the emergency department?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A patient is admitted to the cardiac unit.

Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered. This is an example of which type of order?