A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record?
"Morphine 3 mg SQ every 4 hr PRN for pain."
"Morphine 3.0 mg sub q every 4 hr PRN for pain."
"Morphine 3 mg subcutaneous every 4 hr PRN for pain."
"Morphine 3 mg SC q4hr PRN for pain.”
The Correct Answer is C
Rationale:
A. "Morphine 3 mg SQ every 4 hr PRN for pain.": The abbreviation "SQ" is considered unsafe and can be misinterpreted. The Joint Commission recommends avoiding this abbreviation and writing out "subcutaneous" to ensure clarity and patient safety.
B. "Morphine 3.0 mg sub q every 4 hr PRN for pain.": Using a trailing zero (e.g., "3.0 mg") increases the risk of a dosing error if the decimal point is missed. Standard documentation practices recommend omitting trailing zeros for whole numbers.
C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain.": This entry uses the full name "subcutaneous," avoids unsafe abbreviations, and omits the trailing zero, adhering to safe and standardized medication documentation guidelines.
D. "Morphine 3 mg SC q4hr PRN for pain.": Both "SC" and "q4hr" are discouraged abbreviations. "SC" can be confused with "SL" (sublingual), and "q" abbreviations can be misread. Writing terms in full reduces the risk of misinterpretation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Canned black beans: While black beans are nutritious, the canned variety often contains high sodium content, which can contribute to elevated blood pressure. Unless rinsed or labeled low-sodium, they are not ideal for a hypertension diet.
B. Cheese: Many cheeses are high in sodium and saturated fats, which can worsen hypertension. Regular consumption should be limited or replaced with low-sodium, low-fat alternatives.
C. Fish: Fish, especially fatty varieties like salmon and mackerel, are rich in omega-3 fatty acids, which support cardiovascular health and help lower blood pressure. They are a heart-healthy protein choice for individuals with hypertension.
D. Red meat: Red meat is often high in saturated fat and sodium, particularly when processed. Frequent intake is associated with increased blood pressure and cardiovascular risks, making it less suitable for a hypertension-friendly diet.
Correct Answer is B
Explanation
Rationale:
A. Provide frequent stimulation for the newborn: Newborns with neonatal abstinence syndrome (NAS) are often hypersensitive to stimuli. Excessive stimulation can worsen symptoms such as tremors, irritability, and sleep disturbances.
B. Decrease the lighting levels in the nursery: Reducing environmental stimuli such as bright lights and loud noises helps soothe infants with NAS. A calm, low-stimulation setting promotes comfort and minimizes overstimulation.
C. Wrap the newborn loosely in a blanket: Tight swaddling not loose wrapping is recommended for NAS to provide a sense of security and decrease tremors and agitation. Loose wrapping can increase distress and reduce effectiveness.
D. Encourage frequent eye contact with the newborn during feedings: Direct eye contact can be overstimulating for infants experiencing NAS. Instead, feedings should be calm and gentle, with minimal stimulation to reduce stress and improve tolerance.
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