The nurse is giving medications to a newly admitted patientwho is to receive nothing by mouth (NPO status) and findsan order written as follows: “Digoxin, 250 mcg stat.” Whichaction is appropriate?a. Give the medication immediately (stat) by mouth becausethe patient has no intravenous (IV) access at this time.b. Clarify the order with the prescribing physician beforegiving the drug.c. Ask the charge nurse what route the physician meant touse.d. Start an IV line and then give the medication IV so that it willwork faster, because the patient’s status is NPO at this time.
Question
The nurse is giving medications to a newly admitted patientwho is to receive nothing by mouth (NPO status) and findsan order written as follows: “Digoxin, 250 mcg stat.” Whichaction is appropriate?a. Give the medication immediately (stat) by mouth becausethe patient has no intravenous (IV) access at this time.b. Clarify the order with the prescribing physician beforegiving the drug.c. Ask the charge nurse what route the physician meant touse.d. Start an IV line and then give the medication IV so that it willwork faster, because the patient’s status is NPO at this time.
Solution
The appropriate action in this scenario would be to (b) Clarify the order with the prescribing physician before giving the drug. The patient is on NPO status, which means they should not receive anything by mouth, including medication. Therefore, it's important to confirm with the physician about the route of administration for the medication. Starting an IV line without a specific order to do so or assuming the route of administration could potentially harm the patient.
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