Which of these types of medication orders requires the nurse's judgment about the client's condition before the drug is administered?
a. scheduled c. stat
b. single-dose d. PRN
D
PRN orders describe medications that can be administered as needed by a client, including analgesics and laxatives; even though a client may request that a medication be administered, the nurse determines whether the client should receive the medication.
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The nurse is caring for a woman with epidural anesthesia for pain control during a vaginal delivery. A risk for injury related to epidural anesthesia has been identified by the nursing staff. What interventions are appropriate for the nurse to implement related to this diagnosis? (Select all that apply.)
a. Assess leg movement and sensation before ambulating. b. Administer antibiotic as ordered. c. Observe for signs of impending birth. d. Provide sacral pressure as needed. e. Assess fetal position frequently.
A nurse has assessed the skin of a newborn with the AWHONN Neonatal Skin Condition Score Tool and determines that her patient has a score of 3. What action by the nurse is most appropriate?
A. Document the findings and continue to monitor. B. Elevate the child's lower extremities on pillows. C. Implement pressure ulcer prevention measures. D. Request a consultation by the wound care nurse.
The nurse is assessing a newborn immediately after delivery. Which symptom would lead the nurse to suspect the newborn had a transposition of the great arteries?
A) blood pressure greater in the arms than in the legs B) hypoxia that improves with oxygen administration C) cyanosis that is relieved when the newborn is placed in a knee-chest position D) hypoxia that does not improve with oxygen administration
A patient complains of having to void frequently, burning on urination, and odorous urine. Based on these assessment findings, the nurse would suspect the patient has which of the following conditions?
A) stress incontinence C) urinary tract infection B) urge incontinence D) lower colon infection