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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Correct Answer is C
Explanation
A. Documenting at the end of the shift can lead to errors and omissions, as the nurse may forget specifics.
B. Documenting before administration does not confirm the medication was actually given and can lead to inaccuracies.
C. Immediate documentation after administration ensures accuracy and timeliness, reducing the risk of errors and maintaining an accurate medication record.
D. Delayed documentation increases the risk of forgetting and making errors, which can compromise patient safety.
Correct Answer is D
Explanation
A. A serum potassium level of 4.8 mEq/L is within the normal range and would not warrant withholding furosemide.
B. A serum sodium level of 140 mEq/L is within the normal range and would not warrant withholding furosemide.
C. An oxygen saturation of 95% is normal and would not warrant withholding furosemide.
D. A blood pressure of 80/40 mm/Hg is very low and administering furosemide, a diuretic, could further decrease blood pressure, posing a risk to the client. The nurse should withhold the medication and consult the provider.
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