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.
2
Rationale 1: Administering the drug via the route the nurse determines is operating outside of the scope of nursing practice.
Rationale 2: The nurse must clarify the route of administration because Lasix (furosemide) is generally ordered in different dosages depending on the route of administration.
Rationale 3: Administering the drug via the route the nurse determines is operating outside of the scope of nursing practice.
Rationale 4: Holding the medication would put the client in danger.
Global Rationale: 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.
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