A nurse is assisting with the care of a male client.

Select the 4 findings that the nurse should report to the provider.

A. Lorazepam 0.5 mg PO PRN at bedtime: This transcription clearly specifies the drug name, exact dose with a leading zero before the decimal, route (PO), frequency (at bedtime), and PRN indication. It follows safe medication transcription guidelines, minimizing the risk of dosing errors.

B. Doxazosin .5 mg PO at bedtime: Omitting the leading zero before the decimal (0.5 mg) is unsafe, as the decimal point could be misread as 5 mg, resulting in a tenfold dosing error. Proper transcription requires a leading zero for doses less than 1 mg.

C. Heparin 5000 U subcutaneous every 8 hr: The abbreviation “U” for units can be misread as “0” or “4,” leading to potential overdose. Safe practice recommends spelling out “units” to prevent misinterpretation.

D. MgSO4 10 g PO daily: Magnesium sulfate is rarely administered orally in gram quantities without clear indication, and transcription should specify the salt form, dose, and route carefully. The prescription may be ambiguous and requires clarification before transcription.

A. Cover the wound with a transparent dressing: Transparent dressings are not appropriate for evisceration because they do not provide adequate moisture retention or protection for exposed organs, and can adhere to tissue causing further injury.

B. Position the client in semi-Fowler's position: Semi-Fowler’s may increase intra-abdominal pressure, worsening the evisceration. Elevation of the head without knee flexion is not recommended in this emergency.

C. Instruct the client to lie supine with his knees flexed: This position reduces tension on the abdominal muscles and helps prevent further protrusion of abdominal contents. It is the recommended position while preparing for emergency surgical intervention.

D. Cover the wound with a dry sterile dressing: A dry dressing can adhere to the eviscerated tissue and cause injury when removed. The wound should be covered with a sterile, moist dressing (e.g., saline-soaked sterile gauze) to protect tissue until surgery.