The nurse practitioner orders lorazepam (Ativan) 1 mg IV STAT. The medication is given:
when the nurse determines the medication is needed
once and repeating at a specified time
immediately and only once
on an indefinite basis
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. SR.: SR stands for “sustained release” and is an accepted, clear abbreviation used to describe the medication’s formulation. It is not considered error-prone because it has a standardized meaning in pharmacology and does not cause confusion in prescribing or administration.
B. DC.: “DC” can be misinterpreted as “discontinue” or “discharge,” leading to potential medication errors if the order is unclear. The Joint Commission lists it as an error-prone abbreviation and recommends using full words to avoid ambiguity.
C. QD.: “QD,” meaning “once daily,” is on the list of error-prone abbreviations because it can easily be mistaken for “QID” (four times daily). To ensure clarity, prescribers should write “daily” instead of using this abbreviation.
D. HS.: “HS” can be misread as “half strength” or “hour of sleep,” which may result in incorrect dosing or timing. Writing out “at bedtime” or “half strength” is recommended to prevent misinterpretation.
Correct Answer is C
Explanation
A. A tablet given orally.: Oral administration is considered an enteral route because the drug passes through the gastrointestinal tract for absorption. It is convenient and noninvasive but not classified as parenteral since it does not involve injection.
B. A tablet given sublingually.: The sublingual route allows for rapid absorption through the mucous membranes under the tongue, bypassing first-pass metabolism. However, it is still classified as an enteral route because it involves absorption through the alimentary canal.
C. A subcutaneous injection.: Parenteral administration involves delivering medication by injection through the skin or directly into body tissues. A subcutaneous injection is a parenteral route because it bypasses the gastrointestinal tract and allows for rapid systemic absorption.
D. A liquid medication given orally.: Like oral tablets, oral liquids are administered enterally because they enter the digestive system for absorption. They are suitable for clients who have difficulty swallowing but do not qualify as parenteral medications.
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