A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?
Metformin 500mg one tablet q1d
Metformin 500mg one tablet PO daily
Metformin 500mg one tablet q.d.
Metformin 500mg one tablet QD
The Correct Answer is B
A. "q1d" is not a standard abbreviation and can cause confusion.
B. "PO daily" is clear and follows the standard practice for medication orders, indicating the route (by mouth) and frequency (daily).
C. "q.d." can be misinterpreted due to its similarity to other abbreviations and is not recommended by the Joint Commission.
D. "QD" is also discouraged due to potential misinterpretation; "daily" is preferred for clarity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While a respiratory infection might require medication, it does not inherently increase the risk of toxicity.
B. Hyperthyroidism affects metabolism but is not the most significant risk factor for medication toxicity compared to impaired renal function.
C. A client who requires dialysis has impaired kidney function, reducing the body's ability to excrete medications and increasing the risk of toxicity.
D. Back pain alone does not increase the risk of medication toxicity unless it involves medications that could cause toxicity.
Correct Answer is B
Explanation
A. This statement describes the current situation, which is part of the "S" (Situation) in SBAR, not the background. Accurate reporting requires separating current findings from background information.
B. Providing the client's history of hypertension is appropriate for the "B" (Background) component. It gives context to the current situation, helping the provider understand potential underlying conditions.
C. This information describes the patient's current assessment and is appropriate for the "A" (Assessment) part of SBAR. Including this in the background can cause confusion and disrupt the communication flow.
D. This statement provides a recommendation and fits into the "R. (Recommendation) part of SBAR. Mixing recommendation with background information can make the communication less clear.
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