The nurse has received a verbal STAT order for a critical care patient from the health-care provider at 11:30 a.m. and is preparing to administer the medication. Which is the priority nursing action?
Contact the pharmacist to verify the order.
Wait until the information is updated in the patient's medication profile.
Schedule the medication to be given at noon.
Administer the medication now.
The Correct Answer is D
A. Contact the pharmacist to verify the order: While verifying orders is important, for a STAT order, the priority is to administer the medication immediately. Verification can be done simultaneously or afterward if needed.
B. Wait until the information is updated in the patient's medication profile: Waiting to update the profile could delay crucial treatment. For a STAT order, immediate administration takes precedence.
C. Schedule the medication to be given at noon: Scheduling is not appropriate for a STAT order, which requires immediate administration due to its urgency.
D. Administer the medication now: This is the correct answer. STAT orders are meant to be administered as quickly as possible to address critical conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Standing orders: Standing orders are prewritten orders for specific situations. For a patient post-procedure, standing orders might include pain management protocols that would be activated based on the pain assessment.
B. STAT orders: STAT orders are urgent and are typically used in emergency situations. A pain score of 5/10 does not usually warrant a STAT order.
C. Automatic stop orders: Automatic stop orders are used to discontinue a medication after a certain period or dosage has been reached. They don’t apply directly to managing current pain levels.
D. Verbal orders: Verbal orders are given in person or over the phone when a written order is not possible. These should be minimized to avoid errors and are less likely to be used for routine pain management.
Correct Answer is A
Explanation
A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.
B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.
C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.
D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.
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