A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?
Client assisted OOB, instructed to splint ABD
Urine collected for UA and C & S
Prescription received for MSO4 4.0 mg PRN pain
12 units of regular insulin administered subcut
The Correct Answer is C
A. "Client assisted OOB, instructed to splint ABD" is clear and uses standard abbreviations (OOB: out of bed, ABD: abdomen).
B. "Urine collected for UA and C & S" is clear and uses standard abbreviations (UA: urinalysis, C & S: culture and sensitivity).
C. "Prescription received for MSO4 4.0 mg PRN pain" is problematic because "MSO4" is an ambiguous abbreviation that can be confused with other medications. It should be written as "morphine sulfate" for clarity. Additionally, the trailing zero in "4.0 mg" can lead to dosing errors; it should be written as "4 mg."
D. "12 units of regular insulin administered subcut" is clear and uses standard terminology (subcut: subcutaneous).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Contacting the provider to clarify the prescription is the most direct and appropriate action to ensure accuracy and prevent medication errors.
B. Interpreting the prescription according to the client's medical history can lead to errors and is not a safe practice.
C. Clarifying the prescription with the family is not appropriate as they may not have the necessary knowledge or authority to interpret medical orders.
D. Asking the pharmacist for clarification can help, but the pharmacist may also have difficulty reading the handwriting. The most reliable approach is to directly contact the provider.
Correct Answer is B
Explanation
A. Turning on the television can be distracting and hinder the client's ability to focus on the educational session.
B. Providing educational material at a 6th grade reading level ensures the information is accessible and understandable, enhancing the client's comprehension and adherence to the medication regimen.
C. Using technical language can confuse the client and make it difficult to understand important information about the medication.
D. Beginning with the least important information can cause the client to miss crucial details, so it is best to start with the most important points.
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