A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?

Administer the medication within 90 minutes of the provider prescribing the medication.

Administer the medication at specific times until directed by the provider.

Administer the medication at every 4-hour intervals.

Administer the medication whenever the client reports specific manifestations, such as pain.

Answer and Explanation

The Correct Answer is A

Choice A reason: Administering the medication within 90 minutes of the provider prescribing it aligns with the definition of a “NOW” order. A “NOW” order is intended to be given promptly but not as urgently as a STAT order, which requires immediate administration. This timeframe ensures that the medication is given in a timely manner to address the client’s needs without unnecessary delay.

Choice B reason: Administering the medication at specific times until directed by the provider is not appropriate for a “NOW” order. This approach is more suitable for routine or scheduled medications, where the timing is predetermined and consistent. A “NOW” order requires prompt action rather than adherence to a fixed schedule.

Choice C reason: Administering the medication at every 4-hour intervals is incorrect for a “NOW” order. This frequency is typical for PRN (as needed) medications or those requiring regular dosing intervals. A “NOW” order is a one-time directive that necessitates timely administration soon after the order is given.

Choice D reason: Administering the medication whenever the client reports specific manifestations, such as pain, is characteristic of PRN orders. PRN orders are given based on the client’s symptoms and needs at the time. A “NOW” order, however, is a one-time order that should be carried out promptly, regardless of the client’s immediate symptoms.

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Correct Answer is B

Explanation

Choice A reason: A history of hypothyroidism is not a contraindication for magnet therapy. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone, but it does not interfere with the use of magnetic fields. Therefore, patients with hypothyroidism can safely use magnet therapy.

Choice B reason: Having a pacemaker is a significant contraindication for magnet therapy. Magnetic fields can interfere with the functioning of pacemakers, potentially leading to serious complications. Patients with pacemakers should avoid magnet therapy to prevent any risk of device malfunction.

Choice C reason: A history of narcolepsy is not a contraindication for magnet therapy. Narcolepsy is a neurological disorder that affects the control of sleep and wakefulness, but it does not interact with magnetic fields. Therefore, patients with narcolepsy can use magnet therapy without concern.

Choice D reason: An indwelling catheter is not a contraindication for magnet therapy. Indwelling catheters are used for urinary drainage and do not interact with magnetic fields4. Patients with indwelling catheters can safely undergo magnet therapy.

A. Rub soap on hands for 20 seconds. B. Allow hands and arms to dry. C. Hold the hands higher than the elbows. D. Adjust the water temperature to feel hot.

Correct Answer is A

Explanation

Effective hand hygiene is crucial in preventing the spread of infections in healthcare settings. The Centers for Disease Control and Prevention (CDC) and other health organizations provide guidelines on proper hand hygiene techniques to ensure maximum effectiveness.

Choice A Reason:

“Rub soap on hands for 20 seconds.”

This is the correct action for effective hand hygiene. According to the CDC, scrubbing your hands for at least 20 seconds is essential to remove germs effectively. This duration ensures that all surfaces of the hands, including the backs, between the fingers, and under the nails, are thoroughly cleaned. The CDC recommends singing the “Happy Birthday” song twice as a timer to ensure you scrub for the full 20 seconds.

Choice B Reason:

“Allow hands and arms to dry.”

While drying hands is an important step in hand hygiene, it is not the primary action that makes hand hygiene effective. The focus should be on the thorough scrubbing and cleaning of the hands. After washing, hands should be dried using a clean towel or air dryer to prevent the transfer of germs from wet hands.

Choice C Reason:

“Hold the hands higher than the elbows.”

This technique is often used in surgical hand antisepsis to prevent water from running from the hands down to the elbows, potentially contaminating the hands again. However, for routine hand hygiene, this is not necessary. The primary focus should be on the thorough washing and scrubbing of the hands.

Choice D Reason:

“Adjust the water temperature to feel hot.”

The temperature of the water is less important than the act of scrubbing itself. The CDC states that hands can be washed with either warm or cold water. The key is to use soap and scrub all surfaces of the hands for at least 20 seconds. Hot water can actually be harsh on the skin and is not required for effective hand hygiene.

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A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client wants to start doing magnet therapy. The nurse should explain to the client, which would be a contraindication for the use of magnet therapy?

Correct Answer is B

Explanation

A nurse is preparing to perform hand hygiene. Which action should the nurse take for hand hygiene to be effective?

Correct Answer is A

Explanation

A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?

A nurse is assessing a client’s cranial nerves. What cranial nerve would be assessed when checking a client’s gag reflex?

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