The nurse is caring for a client with dyspnea resulting from pulmonary edema secondary to congestive heart failure. The health care provider is notified, and the nurse receives a verbal order for Lasix 40 mg STAT
Which action by the nurse is the most appropriate?
1. Administer the medication immediately.
2. Clarify the route for administration.
3. Give the medication IV because the client is in distress and rapid effects are needed.
4. Hold the medication until the prescriber comes to the unit to clarify route and sign the order.
Correct Answer: 2
The nurse must clarify the route of administration because Lasix (furosemide) is generally ordered in different dosages depending on the route of administration. Administering the drug via the route the nurse determines is operating outside of the scope of nursing practice. Holding the medication would put the client in danger.
You might also like to view...
Seven days after a traumatic head injury, a patient has elevated intracranial pressure that is refractory to sedation, paralysis, cerebrospinal fluid drainage, and osmotic diuretics. The patient's arterial blood gas results are pH 7
45, PaCO2 33, and bicarbonate ion 18 . What is the best nursing decision? A) Reduce respiratory rate B) Administer intravenous bicarbonate C) Increase intravenous sedation D) Continue with current plan of care
A healthcare provider giving medications must know the ________ for giving the drug
Fill in the blank(s) with correct word
A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The nurse will anticipate teaching the patient about
a. alteplase (tPA). b. aspirin (Ecotrin). c. warfarin (Coumadin). d. nimodipine (Nimotop).
Assessment of a patient indicates complicated grief. Which statements would the nurse identify as supporting this reaction? Select all that apply
A) "It's been 2 months, and I still want my son back." B) "I still wait for him to come right through the door every day." C) "I'm really struggling with trusting anybody anymore." D) "I wish I could go back to the days before he died." E) "Life seems so empty now that he's gone. What will I do?"