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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Hemolysis: This is a severe reaction to blood transfusion involving the destruction of red blood cells and requires different management strategies.

B. Urticaria: Diphenhydramine is used to prevent or treat urticaria (hives), which is a mild allergic reaction and can be managed with antihistamines.

C. Fever: This is typically managed with antipyretics or by addressing the underlying cause rather than antihistamines.

D. Fluid overload: This condition requires management with diuretics and careful monitoring of fluid intake rather than antihistamines.

A. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side. B. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion. C. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body. D. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.

Correct Answer is C

Explanation

A. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side: The direction of the snap is not as critical as ensuring the use of proper technique to avoid injury and contamination.

B. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion: Breaking the ampule downward could risk contamination and injury if not done properly.

C. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body: This method minimizes the risk of glass shards and helps to prevent injury and contamination, ensuring safe handling of the medication.

D. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body: Breaking the ampule toward the body is unsafe and increases the risk of injury from glass shards.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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