When an ICU nurse consults unit policy and administers a ...

[D2AR0N]

When an ICU nurse consults unit policy and administers a routinely used medication to a client admitted to the unit with severe hypotension, this is an example of the nurse implementing which of the following?
 
  1. A STAT order
  2. A one-time order
  3. A prn order
  4. A standing order

Question 2

The neonatal intensive care nurse implements several actions to prevent further complications in a newly admitted, premature infant. The nurse finds these actions in what type of document?
 
  1. Standardized care plan
  2. Protocol
  3. Standards of care
  4. Policy and procedure manual

[prumorgan]

Answer to Question 1

Correct Answer: 4
Rationale 1: A STAT order is one that must be carried out immediately.
Rationale 2: A one-time order is for an action to be done only once.
Rationale 3: prn is pro re nataLatin for as needed.
Rationale 4: Standing orders are a written document about policies, rules, regulations, or orders regarding client care.

Answer to Question 2

Correct Answer: 2
Rationale 1: Standardized care plans are preprinted guides for the nursing care of a client who has a need that arises frequently in the agencyor all nursing diagnoses associated with a particular medical condition. In this situation, the nurse is not working from the written care plan, since the baby has just been admitted.
Rationale 2: Protocols are preprinted to indicate the actions commonly required for a particular group of clients (in this case, premature infants). Protocols may include both physicians' orders and nursing interventions.
Rationale 3: Standards of care describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal nursing care.
Rationale 4: Policies and procedures are developed to govern the handling of frequently occurring situations.