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.
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Related Questions
Correct Answer is C
Explanation
A. "Documentation provides information for a client audit": While documentation can be used for audits, this is not the primary purpose of documentation.
B. "Documentation allows providers to monitor the nurse's activities": This is incorrect. While documentation is reviewed for quality assurance, its primary purpose is to communicate client care and treatment, not to monitor individual activities.
C. "Documentation is a communication tool for the interprofessional health care team": This is correct. The primary purpose of documentation is to provide a comprehensive and accurate record of client care and facilitate communication among the health care team.
D. "Documentation provides information to the client about financial charges for care provided": This is incorrect. Documentation focuses on clinical information and care, not on financial aspects.
Correct Answer is ["A","D","E"]
Explanation
A. Question any part of the order that is unclear or inappropriate: It is important to clarify any ambiguities or inaccuracies in the prescription to ensure patient safety and proper treatment.
B. Transcribe the order into the client's health record: While this is a necessary step, it is not sufficient on its own to ensure the accuracy of the telephone prescription without verification.
C. Implement a recorded order message if the nurse can hear and understand it clearly: Implementing a recorded message is not typically part of standard protocol for ensuring accuracy.
D. Repeat the order back to the provider: This is a critical step to confirm that the order was understood correctly and to avoid errors.
E. Obtain the provider's signature within 8 hr: It is required to obtain the provider's signature on the written order within a specific timeframe (usually within 24 hours) to comply with legal and institutional policies.
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