A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?

Call the health-care provider to see if intravenous fluids are needed.

Increase fluid intake prior to midnight to make sure the patient remains hydrated.

Remove the patient's water pitcher at the bedside shortly before midnight.

This is an example of a STAT order and should be documented in the patient's chart.

Answer and Explanation

The Correct Answer is C

A. Call the health-care provider to see if intravenous fluids are needed: This is not usually necessary unless the patient has a condition that requires it. It's more important to ensure NPO status is maintained.

B. Increase fluid intake prior to midnight to make sure the patient remains hydrated: This could be done, but it is less important than ensuring the patient follows the NPO instructions.

C. Remove the patient's water pitcher at the bedside shortly before midnight: This is the correct answer. Removing the pitcher helps prevent the patient from accidentally drinking water and violating NPO status.

D. This is an example of a STAT order and should be documented in the patient's chart: NPO orders are not STAT orders; they are routine orders related to the preparation for a procedure.

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Correct Answer is B

Explanation

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.

B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.

C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.

D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.

A. Break the lozenge in half, making it easier to swallow. B. Take the lozenge with a glass of milk. C. Swallow the medication with a drink of water. D. Suck on the lozenge until it dissolves.

Correct Answer is D

Explanation

A. "Break the lozenge in half, making it easier to swallow."
Breaking the lozenge in half may reduce the effectiveness by altering how the medication is released and absorbed. Lozenge medications are designed to dissolve slowly.

B. "Take the lozenge with a glass of milk."
Milk could coat the mouth and throat, potentially reducing the absorption of the medication and decreasing its effectiveness.

C. "Swallow the medication with a drink of water."
Swallowing the lozenge whole would bypass the intended local effect in the mouth and throat, reducing the medication’s effectiveness in treating a sore throat.

D. "Suck on the lozenge until it dissolves." Sucking on the lozenge until it dissolves allows the medication to be released slowly and absorbed directly into the tissues of the mouth and throat, where it can have the most therapeutic effect.

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A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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