Select the example of a medication order that is written without a termination.

A. Client refuses their morning medications.: Refusal to take medications indicates a lack of adherence or understanding of the treatment plan. This situation requires nursing intervention, education, or possible adjustment to ensure the client receives the intended therapeutic benefits.

B. Client states he doesn't understand why he is taking so many meds.: This response reflects confusion or poor understanding of the medication regimen, which may contribute to noncompliance. The nurse should provide further teaching and clarification rather than adjusting the dosage.

C. Client has achieved a therapeutic response.: When the client attains the desired therapeutic effect without signs of toxicity or adverse reactions, the current dosage is considered appropriate. This outcome indicates that the medication regimen is effective and does not require dosage modification.

D. Client had an adverse reaction or interaction.: The occurrence of an adverse effect or drug interaction suggests that the current dose or combination may be unsafe. In such cases, the healthcare provider must reassess and adjust the medication plan accordingly.

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.