A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?

MSO4 10 mg IVP q4° prn for pain

MS 10 mg IV every 4 pm for pain

Morphine sulfate 10 mg IV q4h IV pm for pain

Morphine sulfate 10 mg every 4 hours IV prn for pain

Answer and Explanation

The Correct Answer is D

A.   "MSO4 10 mg IVP q4° prn for pain" lacks clarity in abbreviation and dosing instructions.
B.   "MS 10 mg IV every 4 pm for pain" contains an unclear frequency and timing.
C.   "Morphine sulfate 10 mg IV q4h IV pm for pain" contains redundant dosing information and unclear timing.
D.   "Morphine sulfate 10 mg every 4 hours IV prn for pain" provides clear and appropriate information regarding medication, dosage, route, frequency, and indication.

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Correct Answer is B

Explanation

A. A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B. Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C. While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D. An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.

A. Contact the case manager to discuss discharge options. B. Recommend the partner place the client in a long-term care facility. C. Request another family member assist the client's partner with care. D. Ask the provider to delay the client's discharge home for a few more days

Correct Answer is A

Explanation

A. Contacting the case manager is crucial to explore various discharge options and ensure the client's needs are met appropriately.
B. Recommending long-term care should be considered after exploring other options and assessing the client's specific needs.
C. Requesting assistance from another family member is a potential option but should be explored in conjunction with other solutions.
D. Delaying discharge might not address the partner's inability to provide care and doesn't explore alternative solutions.

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A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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