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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Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

We know:

The prescribed dose is 25 mg.
The available concentration is 125 mg per 5 mL.

Step 2 is to set up the calculation.

We will use the formula: (Desired Dose in mL) = (Prescribed Dose in mg × Volume Available in mL) ÷ Concentration Available in mg

Step 3 is to plug in the values into the formula.

(Desired Dose in mL) = (25 mg × 5 mL) ÷ 125 mg

Step 4 is to perform the multiplication first.

25 mg × 5 mL = 125

Step 5 is to perform the division.

125 ÷ 125 mg = 1 mL

Step 6 is the result.

The nurse should administer 1 mL per dose.

A. The family priest B. Ethics committee C. Joint Commission D. The blood bank

Correct Answer is B

Explanation

Choice A reason: Consulting the family priest may provide spiritual support and guidance to the family, but it is not the most appropriate action for resolving a medical and ethical dilemma. The family priest may not have the necessary medical or ethical expertise to address the complexities of the situation

Choice B reason: The ethics committee is the appropriate body to consult in this situation. Ethics committees are composed of healthcare professionals, ethicists, and legal advisors who can provide guidance on complex ethical issues. They can help navigate the conflict between the parents’ religious beliefs and the medical necessity of the blood transfusion for the newborn. The committee can also ensure that the hospital’s actions align with legal and ethical standards.

Choice C reason: The Joint Commission is an accrediting body for healthcare organizations and does not provide direct assistance in individual patient care situations. While the Joint Commission sets standards for ethical practices, it is not involved in resolving specific ethical dilemmas at the patient level.

Choice D reason: The blood bank is responsible for the collection, testing, and distribution of blood products. While they can provide information about blood transfusions, they are not equipped to handle ethical conflicts related to the refusal of blood transfusions on religious grounds. The ethics committee is better suited for this role.

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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

Correct Answer is ["1"]

Explanation

The nurse is caring for a newborn requiring a life-saving blood transfusion. The parents are practicing Jehovah’s Witnesses and refuse the transfusion. Who would the nurse consult for assistance in this situation?

Correct Answer is B

Explanation

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