A nurse is asked to administer a medication to a client because a coworker must help with an emergency. The coworker gives the nurse a syringe labelled furosemide 20 mg. The label also includes the client's name and hospital identification number. Which of the following responses by the nurse is appropriate?
"I'll go and give the medication to the client right away."
Go with me to identify the client properly, and then I'll give the medication for you
I'll go help with the emergency situation while you administer the medication.
You should ask the charge nurse to administer this medication
The Correct Answer is D
A. "I'll go and give the medication to the client right away.": Administering a medication prepared by another nurse violates the safety principle of preparing and giving only drugs you personally prepare.
B. "Go with me to identify the client properly, and then I'll give the medication for you.": Even with proper identification, administering another nurse’s prepared medication remains unsafe and against policy.
C. "I'll go help with the emergency situation while you administer the medication.": This response ignores the medication safety issue and shifts responsibility away from proper nursing protocol.
D. "You should ask the charge nurse to administer this medication.": This is the safest action, ensuring accountability and adherence to medication administration policies that prevent errors and protect both the client and nurse.
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Related Questions
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 C
Explanation
A. When the nurse determines the medication is needed.: This describes a PRN (as needed) order, not a STAT order. PRN medications are administered based on patient symptoms and nursing judgment, not immediate urgency.
B. Once and repeating at a specified time.: This refers to a single or one-time order that can be repeated later at a defined interval if prescribed, but it does not carry the urgency of a STAT order.
C. Immediately and only once.: A STAT order requires the medication to be administered right away, usually in response to an urgent or emergency situation. Lorazepam 1 mg IV STAT should be given promptly and only once unless new orders are provided.
D. On an indefinite basis.: This describes a standing or routine order that continues until discontinued by the provider. STAT orders are not ongoing; they are meant for immediate, one-time administration.
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