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

Answer and Explanation

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. Half-life refers to the time it takes for the concentration of the medication in the bloodstream to decrease by half, not the lowest serum concentration.
B. Peak refers to the highest concentration of the medication in the bloodstream after administration.
C. Trough is the lowest concentration of medication in the bloodstream, typically measured just before the next dose is due to ensure adequate drug levels.
D. Toxic level refers to a concentration at which the medication may cause adverse effects, not the lowest serum concentration.

A. "I will always repeat the prescription back to the provider after receiving it." B. "All telephone prescriptions must be directly transcribed into the nurse's notes." C. "I will ask the provider for clarification when I do not understand." D. "Telephone prescriptions should be signed by the provider as soon as possible."

Correct Answer is B

Explanation

A. Repeating the prescription back to the provider ensures accuracy and is a best practice.
B. Telephone prescriptions should be transcribed into the appropriate medical record or order entry system, not just the nurse's notes. This ensures the prescription is documented correctly and can be acted upon by other healthcare team members.
C. Asking for clarification when the prescription is not understood is crucial to prevent errors.
D. Telephone prescriptions should be signed by the provider as soon as possible to ensure they are valid and have been accurately communicated.

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A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?

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Naxlex Comprehensive Predictor Exams

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