The nurse receives this order: Administer Ativan (lorazepam) 0.1 ...

[newbem]

The nurse receives this order: Administer Ativan (lorazepam) 0.1 mg IV whenever seizure occurs. The nurse recognizes this as which type of medication order?
 
  1. Stat order
  2. Single order
  3. Routine order
  4. PRN order

Question 2

The nurse prepares a narcotic analgesic for the client. When the nurse enters the client's room to administer the medication, the client drops the capsule on the floor. Which action by the nurse is the most appropriate?
 
  1. Wipe it off and administer it anyway because it's a narcotic.
  2. Throw the pill in the trash can in the client's room and get a replacement.
  3. Discard the tablet according to facility policy, with another nurse cosigning the waste, and obtain a new capsule to administer to the client.
  4. Discard the tablet according to facility policy, with the unlicensed assistive personnel cosigning the waste, and obtain a new capsule to administer to the client.

[taylorsonier]

Answer to Question 1

Correct Answer: 4
PRN orders are administered only when predetermined circumstances occur, such as pain, seizures, insomnia, and so on, so this is a PRN order to be given only when a seizure occurs. It is not a single order because it specifies the medication is to be given whenever a seizure occurs, indicating it may be given multiple times. Stat orders are orders requesting a medication be given immediately. Routine orders are given on a regular basis, without condition, and usually on a specific schedule, whether twice per day, every other day, weekly, or any schedule indicated by the medication in question.

Answer to Question 2

Correct Answer: 3
When wasting a narcotic, it must be witnessed by another licensed staff member, and cannot be witnessed by an unlicensed assistive personnel. Another capsule should be signed out and administered to the client. The wasted narcotic should be disposed of in the sink, the toilet, or someplace where it cannot be retrieved. Any medication that falls to the floor must be discarded, and can never be administered.