A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?

Ciprofloxacin 200 mg IV q12h x 7 days

Dx pyelonephritis

Hourly 180

Acetaminophen 1000 mg PO QD

Answer and Explanation

The Correct Answer is B

A.   Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription.
B.   "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion.
C.   "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order, but it lacks clarity.
D.   Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.

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Correct Answer is C

Explanation

A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.

C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

A. Right task B. Right communication C. Right person D. Right circumstance

Correct Answer is A

Explanation

A. The right task involves ensuring that the delegated task is appropriate for delegation. In this case, obtaining an oral temperature should have been the correct task; however, the AP
performed the axillary temperature, indicating a deviation from the right task.
B. Right communication involves clear and effective communication between the nurse and the assistive personnel but is not directly related to the task performed.
C. Right person involves ensuring that the task is delegated to a competent and qualified

individual. The issue in this scenario is with the task itself, not the competency of the individual.

D. Right circumstance involves ensuring that the conditions are appropriate for delegation. While the circumstance is important, the primary concern in this case is the mismatch between the task and the method of temperature measurement.

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A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?

Correct Answer is C

Explanation

A nurse is delegating obtaining the collection of a client's oral temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature. Which of the following rights of delegation should have prevented this situation from occurring?

Correct Answer is A

Explanation

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