An 11-year-old client is admitted to the healthcare facility with ...

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An 11-year-old client is admitted to the healthcare facility with severe head injury following a traffic accident. The physician orders the nurse to start the client on STAT mannitol therapy to prevent cerebral edema.
 
  What measures should the nurse employ when administering medications with STAT orders? A) Assess the patient's age and what symptoms have prompted the STAT order.
  B) Chart the STAT medications before they are given and recheck the vital signs.
  C) Make sure the order is on the physician's orders and the medication administration record.
  D) Enter client's initials next to the order after giving STAT drugs and have the administration witnessed by two nurses.

Question 2

A 60-year-old male client with hemiplegia is to be discharged from the healthcare facility. Which resource should the nurse tell the client to visit with regard to medical reimbursement?
 
  A) Client case manager
  B) Laboratory instructor
  C) Hospital administrator
  D) Attending physician

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Answer to Question 1

C
Feedback:
The nurse should first make sure that the STAT order is on the medication administration record and then administer the medication as soon as possible. The nurse need not assess what symptoms prompted the STAT order. The nurse assesses what symptoms have prompted the client to ask for PRN medication. STAT medications should be documented as soon as they are given and not before their administration. The nurse should document the date, time, and the nurse's initials next to the original order and not the client's initials.

Answer to Question 2

A
Feedback:
The client case manager oversees the care and treatment of the client and acts as the client's advocate. Thus, the nurse should instruct the client to approach the client case manager. The nurse should not instruct the client to approach the laboratory instructor, the hospital administrator, or the physician, because they are not responsible for providing medical reimbursement.

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