The physician has prescribed your patient pain medication as needed, following surgery. This is an example of a:
STAT Order
Standing Order
PRN Order
Routine Order
The Correct Answer is C
A. STAT Order.: A STAT order is for medication that must be administered immediately, usually in emergency or urgent situations. It is a one-time order that requires prompt action and is not given on an as-needed basis.
B. Standing Order.: A standing order is a pre-established protocol allowing nurses to administer specific medications or treatments under defined conditions without obtaining a new order each time. It is typically used for standard care procedures rather than individualized pain management.
C. PRN Order.: A PRN (pro re nata) order means “as needed.” It allows the nurse to administer medication when the patient reports symptoms such as pain, nausea, or anxiety. In this case, postoperative pain medication prescribed as needed is a PRN order.
D. Routine Order.: A routine order specifies medications to be given at regular, scheduled intervals, such as daily or every 8 hours. It does not depend on the patient’s symptom presentation like a PRN order does.
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Correct Answer is D
Explanation
A. Demerol (meperidine HCL) 50 mg, IM, prior to surgery.: This order specifies administration before surgery, which serves as its clear endpoint. It is a single preoperative dose and therefore has a defined termination point.
B. Mevacor (lovastatin) 10 mg, po, every 12 hours for 7 days.: The inclusion of “for 7 days” provides a definite duration, meaning the order will automatically terminate after the specified treatment period ends.
C. Lasix (furosemide) 40 mg, IV, STAT.: A STAT order is intended for immediate, one-time administration, so it has an inherent termination after that single dose is given.
D. Motrin (ibuprofen) 400 mg, po, daily.: This order does not specify a stop date or duration of therapy, meaning it would continue indefinitely until changed or discontinued by the provider. It is therefore written without a termination.
Correct Answer is B
Explanation
A. Determine your opinion of the best route for giving the medications: The nurse must always follow the prescribed route as ordered by the healthcare provider to ensure therapeutic effectiveness and patient safety.
B. Chart only those medications that she or he personally gave the patient: Each nurse is responsible for documenting only the medications they personally administer, maintaining accountability and accurate medical records.
C. Chart all the medications given for the day at one time: Medications should be documented immediately after administration, not in bulk, to prevent omissions or duplications.
D. Chart medications before administering them: Documenting before administration can lead to serious errors if the medication is withheld or refused by the patient.
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