Module 23
Module 23
Module 23
Rationale: The following are examples of standing orders: Tetracycline 500 mg PO q6h, Decadron 10 mg
daily × 5 days.
2. Answer: B
Rationale: An example of a prn order is: Morphine sulfate 2 mg IV q2h prn for incisional pain. This order
indicates that the patient needs to wait at least 2 hours between doses and can take the medication if
experiencing pain at the incision.
3. Answer: C
Rationale: Sometimes a health care provider orders a medication to be given once at a specified time.
This is common for preoperative medications or medications given before diagnostic examinations.
4. Answer: D
Rationale: A STAT order signifies that a single dose of a medication is to be given immediately and only
once. STAT orders are often written for emergencies when a patient's condition changes suddenly.
5. Answer: A
Rationale: A now order is more specific than a 1-time order and is used when a patient needs a
medication quickly but not right away, as in a STAT order. When receiving a now order, the nurse has up
to 90 minutes to administer the medication. Only administer now medications 1 time.
6. Answer: A, B, C, D, E
7. Answer: B, C, D, E
Rationale: All statements provided are correct except choice 'A'. Do not interpret illegible handwriting;
clarify with health care provider.
8. Answer: D
Rationale: If you are in a setting that requires you to prepare oral medications, only use enteral syringes
when preparing the medication. The enteral syringes are often a different color than the parenteral
syringes and are clearly labeled for oral or enteral use. The syringe tips of enteral syringes will not
connect with parenteral medication administration systems.
9. Answer: C
Rationale: To administer medications safely, you need to know why a medication is ordered for certain
times of the day and whether you are able to alter the time schedule. For example, two medications are
ordered, one q8h (every 8 hours) and the other 3 times a day. Both medications are scheduled for 3
times within a 24-hour period. You need to give the q8h medication every 8 hours ATC to maintain
therapeutic blood levels of the medication.
10. Answer: A, B, D, E
Rationale: To ensure the right dose, al statements provided are correct except for choice 'C'. To
promote patient safety in inpatient settings, pharmacists split the medications, label and package them,
and then send them to the nurse for administration
LESSON WRAP-UP