Complete the following using the list of options.

The nurse is admitting a new client to the hall.

While looking at the orders, she notes a medication order for Lasix 40 mg PO daily.
The nurse knows that this is an example of?

Standing order.

Routine order.

STAT order.

PRN order.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A standing order is a pre-written medication order and protocol that applies to a specific patient population or clinical situation, allowing nurses to initiate treatment without immediate physician consultation. While it provides a framework, a daily medication is more specifically classified by its regular administration schedule, distinguishing it from general standing orders.

Choice B rationale

A routine order signifies a medication order that is carried out as prescribed until a discontinuation order or change is made. The medication is given on a regular, scheduled basis, often daily, multiple times a day, or weekly. This ensures consistent therapeutic levels for chronic conditions. Lasix 40 mg PO daily fits this description, as it is given consistently each day.

Choice C rationale

A STAT order (statim) means "immediately" and indicates that the medication must be administered as soon as possible, typically within 30 minutes of the order. This type of order is reserved for urgent situations where delay could significantly impact patient outcomes. Lasix ordered daily does not fall into this urgent category.

Choice D rationale

A PRN order (pro re nata) means "as needed.”. This type of order allows the nurse to administer medication based on the patient's symptoms or specific criteria rather than on a fixed schedule. Since Lasix is ordered "daily," it implies a fixed schedule, not an "as needed" administration.

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Correct Answer is A

Explanation

Choice A rationale

Cranial nerve X, the vagus nerve, plays a crucial role in innervating the pharynx and larynx, influencing speech and swallowing. Observing the movement of the soft palate and uvula when the patient says "ahh" assesses the motor function of the vagus nerve, as its bilateral innervation is essential for the symmetrical elevation of these structures.

Choice B rationale

Having the patient stick out the tongue and observing for tremors or pulling to one side assesses the function of cranial nerve XII, the hypoglossal nerve. This nerve controls the intrinsic and extrinsic muscles of the tongue, and abnormalities can indicate nerve damage or neurological issues affecting tongue movement.

Choice C rationale

Using a wisp of cotton to brush over the eyelashes and observing for blinking assesses the corneal reflex, which involves both cranial nerve V (trigeminal, sensory) and cranial nerve VII (facial, motor). This test evaluates the integrity of the reflex arc rather than solely cranial nerve X.

Choice D rationale

With eyes closed, touching various areas on the face with a wisp of cotton and having the patient identify where touched assesses the sensory function of cranial nerve V, the trigeminal nerve. This nerve is responsible for transmitting touch, pain, and temperature sensations from the face.

A. Metabolism. B. Excretion. C. Absorption. D. Distribution.

Correct Answer is B

Explanation

Choice A rationale

Metabolism is primarily carried out by the liver, involving enzymatic biotransformation of drugs into more hydrophilic metabolites for excretion. While liver function can be impacted by systemic illness, renal failure's direct effect on drug metabolism is less significant than its impact on elimination. The liver's cytochrome P450 system typically remains functional.

Choice B rationale

Excretion is the primary elimination pathway for many drugs and their metabolites, mainly via the kidneys. In end-stage renal disease, glomerular filtration rate and tubular secretion are severely impaired, leading to accumulation of drugs and their toxic metabolites, necessitating dose adjustments or alternative elimination methods. Normal creatinine clearance is 80-120 mL/min.

Choice C rationale

Absorption refers to the movement of a drug from its administration site into the bloodstream. While renal failure can indirectly affect absorption through gastrointestinal changes (e.g., uremia-induced nausea), it is not the primary pharmacokinetic phase directly compromised by impaired kidney function. Bioavailability might be altered but not the fundamental absorption process.

Choice D rationale

Distribution involves the reversible movement of a drug from the systemic circulation into the interstitial and intracellular fluids. Renal failure can impact drug distribution due to fluid imbalances, altered protein binding (e.g., hypoalbuminemia), and changes in tissue perfusion, but it is not the most significant or direct pharmacokinetic impairment compared to excretion.

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Complete the following using the list of options. The nurse is admitting a new client to the hall. While looking at the orders, she notes a medication order for Lasix 40 mg PO daily. The nurse knows that this is an example of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these statements best describes how the nurse should assess the function of cranial nerve X?

Correct Answer is A

Explanation

The nurse is administering medications to the patient who is in renal failure resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would most likely have problems with which pharmacokinetic phase?

Correct Answer is B

Explanation

During an interview, the nurse states, "You mentioned shortness of breath. Tell me more about that.”. Which verbal skill is used with this statement?

Thirty minutes after taking a prescribed medication, the client has the following symptoms: wheezing, anxiety, dizziness, and large red blotches on the face. The nurse will:

The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase:

The six (6) eye muscles that control eye movement are innervated by cranial nerves:

A medication order requiring a nurse's judgment to determine that the client's condition necessitates the drug's administration is:

The physician orders 52 units of Humulin NPH insulin and 16 units of Humulin R insulin subcutaneously every morning. The medication is supplied in 100 units/mL. How many units will the nurse administer? (Shade SYRINGE #3; LABEL CORRECTLY TO RECEIVE CREDIT)

When a nurse is preparing an injection from an ampule, which of these actions should be taken when withdrawing the medication from the ampule?

The client asks what the effect of taking a medication on an empty stomach would be. The nurse answers:

Complete the following using the list of options.

The nurse is admitting a new client to the hall.

While looking at the orders, she notes a medication order for Lasix 40 mg PO daily.
The nurse knows that this is an example of?