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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Administering nitroglycerin on an as-needed basis for sudden, crushing chest pain is inappropriate because the immediate nature of the pain requires rapid intervention. Myocardial ischemia, often causing such pain, necessitates swift vasodilation to improve coronary blood flow and oxygen supply, preventing irreversible cardiac muscle damage. Delay can exacerbate ischemia.
Choice B rationale
Administering nitroglycerin on a prescribed schedule is typically reserved for prophylactic use in conditions like stable angina to prevent episodes, not for acute, sudden onset chest pain. This type of pain indicates an acute event, potentially myocardial infarction, demanding immediate action to mitigate cardiac damage through rapid vasodilation.
Choice C rationale
Administering medication at the earliest convenience is not appropriate for a STAT order in a patient experiencing sudden, crushing chest pain. "STAT" signifies an urgent need for the medication, indicating a life-threatening or rapidly evolving condition requiring immediate pharmacological intervention to avert significant physiological compromise.
Choice D rationale
Administering nitroglycerin immediately is crucial for sudden, crushing chest pain as it suggests acute myocardial ischemia or infarction. Nitroglycerin causes vasodilation, reducing preload and afterload, which decreases myocardial oxygen demand and improves coronary blood flow, thereby limiting cardiac damage and alleviating symptoms rapidly.
Correct Answer is ["0.5"]
Explanation
Step 1: The order is 10,000 units.
Step 2: The available concentration is 20,000 units per 1 mL.
Step 3: Calculate the volume to administer: 10,000 units ÷ (20,000 units ÷ 1 mL) = 0.5 mL. Answer: 0.5 mL.
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