A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following examples should the nurse include in the instructions?
Losartan 50.0 mg, PO, QD
Desmopressin .1 mL, intranasal, qd
Metformin 500 mg, 1 tablet, PO, daily
Zolpidem, 5 mg PO, HS
The Correct Answer is C
A. Losartan 50.0 mg, PO, QD: The use of decimal points with trailing zeros (50.0 mg) is discouraged to avoid potential errors. It should be written as 50 mg.
B. Desmopressin .1 mL, intranasal, qd: The abbreviation "qd" (quaque die) is not recommended due to potential misinterpretation. It should be written as "daily."
C. Metformin 500 mg, 1 tablet, PO, daily: This prescription is clear and correctly formatted, including the dosage, route, and frequency without ambiguous abbreviations.
D. Zolpidem, 5 mg PO, HS: The abbreviation "HS" (at bedtime) is acceptable, but clarity and standardization are preferred, and this option is less specific compared to C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Documents medication administration prior to administering it: This is incorrect practice. Medication administration should be documented only after it has been given to ensure accuracy and accountability.
B. Checks the provider's orders and confirmed dosage in a medication reference guide: This is a correct practice to ensure that the medication order and dosage are accurate.
C. Scans the bar code on the medication administration record and the client's arm band: This is a correct practice to verify the medication and patient identity, enhancing safety.
D. Verifies the medication against the prescription and medication label: This is a correct practice to confirm that the correct medication and dosage are administered.
Correct Answer is A
Explanation
A. Administer the medication using a Z-track technique: This is correct as ceftriaxone should be administered using the Z-track technique to prevent leakage of the medication into the subcutaneous tissue and minimize irritation.
B. Administer the medication using a 5/8-inch needle: A longer needle is typically needed for IM injections to reach the muscle tissue, so a 5/8-inch needle is not appropriate.
C. Administer the medication in the deltoid muscle: Ceftriaxone is usually administered in the larger muscle groups such as the ventrogluteal or vastus lateralis muscles rather than the deltoid.
D. Administer the medication at a 45° angle: IM injections are generally given at a 90° angle to ensure that the medication is properly deposited into the muscle tissue.
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