A charge nurse is evaluating a newly licensed nurse's electronic documentation for several clients. Which of the following entries for medication doses should the charge nurse identify as correct?
300 mg PO od
3.0 mg PO gd
10.000 units IV dally
05 mL IM daily
The Correct Answer is A
Rationale:
A. 300 mg PO od: The dose is written clearly with no trailing zeros, and “od” (once daily) is acceptable though “daily” is preferred for clarity. This entry minimizes risk of misinterpretation and decimal errors.
B. 3.0 mg PO gd: Using a trailing zero (3.0 mg) increases the risk of a tenfold dosing error if the decimal point is missed. Also, “gd” is an incorrect abbreviation; “daily” or “once daily” should be used.
C. 10.000 units IV dally: Writing “10.000” with multiple trailing zeros is dangerous because the decimal point might be overlooked, causing a ten-thousand-fold error. Also, “dally” is a misspelling of “daily.”
D. 05 mL IM daily: Leading zeros before whole numbers (05 mL) are unnecessary and can cause confusion. The correct notation is “5 mL.” Leading zeros should only be used before decimals less than one (e.g., 0.5 mL).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Remove the client's dentures from their mouth before rigor mortis begins: Removing dentures is generally done after rigor mortis to maintain the natural appearance of the face for viewing. Premature removal can alter facial structure and affect family perceptions.
B. Turn on all the lights in the room before the family views the client's body: Bright lighting may be uncomfortable or overwhelming for grieving family members. Soft, gentle lighting is usually preferred to create a calm and respectful environment.
C. Ask the client's family about cultural or religious practices regarding postmortem care: Different cultures and religions have specific rituals and practices for caring for the deceased. Inquiring about these preferences ensures that the nurse respects the family’s beliefs and supports culturally sensitive care.
D. Position the client's bed flat without a pillow under their head: After death, the head of the bed should be slightly elevated (e.g., 15-30 degrees) to prevent blood from pooling in the face and causing discoloration, which can be distressing for the family.
Correct Answer is B
Explanation
Rationale:
A. "What coping methods help you when you feel bad?": While assessing coping mechanisms is important for long-term care planning, it does not immediately address the client's current risk for self-harm or suicide. This question is more appropriate after ensuring the client's safety.
B. "Do you have thoughts of suicide?": Determining if the client has suicidal ideation is the priority in this situation. Clients who self-harm may be at high risk for suicide, and direct questioning helps assess intent, plan, and urgency, which is crucial for ensuring immediate safety.
C. "Tell me why you hurt yourself.": Exploring the reasons behind self-injury can be valuable later during therapy or assessment, but it is not the first priority. The nurse must first evaluate the client’s current mental state and risk for further harm before exploring motives.
D. "Who can we call to support you?": Identifying a support system is important for discharge planning and ongoing therapy, but it does not address the immediate concern of suicide risk. Ensuring the client's current safety takes precedence over external support at the time of admission.
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