The standing orders for a patient include acetaminophen (Tylenol) 650 mg every 4 hours prn for headache
After assessing the patient, identifying the need for headache relief, and determining that the patient has not had Tylenol in the past 4 hours, the nurse a. Notifies the health care provider to obtain a verbal order.
b. Directs the nursing assistant to give the Tylenol.
c. Administers the Tylenol.
d. Performs a pain assessment only after administering the Tylenol.
C
A standing order is a preprinted document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems. Notifying the health care provider is not necessary if a standing order exists. The nursing assistant is not licensed to administer medications; therefore, medication administration should not be delegated to this person. A pain assessment should be performed before and after pain medication administration to assess the need for and effectiveness of the medication.
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After instructing the client concerning her prescription for acetazolamide for glaucoma, the nurse recognizes a need for further teaching when the client responds,
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The child enjoys outdoor activities and sports. The parents express concern about the child continuing these activities. The best response would be:
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