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 ["A","C","D"]

Explanation

A. Allergy shot: Patients should be observed for at least 15 minutes after receiving an allergy shot because of the risk of anaphylactic reactions, which can be life-threatening if not treated promptly.

B. B12 shot: Observation after a B12 shot is not typically necessary as it is generally well tolerated and does not carry a high risk of immediate allergic reactions.

C. Antibiotics: Some antibiotics, especially when given by injection, can cause allergic reactions, including anaphylaxis. Therefore, it’s prudent to observe the patient for 15 minutes after administration.

D. Immunizations: Like allergy shots, immunizations can sometimes cause allergic reactions or anaphylaxis, so patients are often observed for 15 minutes following administration.

A. Nonscheduled medication B. Schedule III medication C. Schedule I medication D. Schedule V medication

Correct Answer is A

Explanation

A. Non-scheduled medication: OTC cough suppressants are typically classified as non-scheduled medications because they are not considered controlled substances and do not require a prescription for purchase.

B. Schedule III medication: Schedule III medications are controlled substances with a moderate potential for abuse and dependence. OTC cough suppressants do not fall under this category.

C. Schedule I medication: Schedule I medications are drugs with no accepted medical use and a high potential for abuse (e.g., heroin). OTC cough suppressants are not classified in this schedule.

D. Schedule V medication: Schedule V medications are controlled substances with a lower potential for abuse. While some cough medications containing codeine may be Schedule V, common OTC cough suppressants do not fall under this category unless they contain specific controlled substances.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D"]

Explanation

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