A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)
2 mg
MSO4
30 mL
bid
Q.D.
Correct Answer : A,C,D
A. 2 mg: This is an acceptable abbreviation for the dosage of medication, as it uses standard metric units that are clear and precise.
B. MSO4: This abbreviation for morphine sulfate is not recommended due to the potential for confusion with magnesium sulfate. The use of "morphine sulfate" is preferred to avoid ambiguity.
C. 30 mL: This is an acceptable abbreviation for the volume of a liquid medication or fluid, using standard metric units.
D. bid: This abbreviation stands for "twice a day" and is generally acceptable in medical documentation, though "twice a day" is preferable to avoid errors.
E. Q.D.: This abbreviation for "every day" is not recommended because it can be confused with "QID" (four times a day). The use of "daily" is preferred for clarity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Specific characteristics of the medications: This is correct. The primary consideration for determining the medication schedule is the specific characteristics of each medication, including its pharmacokinetics, such as how often it should be administered and whether it needs to be taken with food or at certain times of the day.
B. Time at which the medication can be available from the pharmacy: While this may affect the timing of administration, it is not the primary factor. Medications should be scheduled based on their specific requirements for effectiveness and safety, regardless of pharmacy availability.
C. Institutional policies regarding routine medication administration times: Although institutional policies may provide guidelines for routine administration, they should be adjusted based on the specific needs of the medication and the client.
D. Schedule of administration that the client follows at home: While this may be relevant for maintaining continuity of care, the primary factor in determining the administration schedule should be the specific characteristics and requirements of the medications themselves.
Correct Answer is B
Explanation
A. Shake the inhaler for 3 to 5 seconds: While shaking the inhaler is necessary, the recommendation is typically to shake it for 5 seconds before use, not 3.
B. Wait 2 minutes between inhalations: Waiting 2 minutes between inhalations allows time for the medication to work and reduces the risk of side effects. This is a correct practice for using an MDI.
C. Press down twice on the MDI canister: Generally, pressing down once per dose is the correct action. Pressing down twice might not be necessary unless directed by specific instructions.
D. Rinse the mouth with mouthwash after inhaling the medication: It is recommended to rinse the mouth with water, not mouthwash, to prevent oral thrush, especially after using inhaled corticosteroids.
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