A nurse is transcribing the following provider prescriptions into a client's chart. Which of the following prescriptions should the nurse clarify?

Insulin Glargine 20 units SUBQ qd

Ceftriaxone 250 mg IM stat

Diazepam 5 mg PO Q8h PRN muscle spasms

Digoxin 0.5 mg IV once

Answer and Explanation

The Correct Answer is A

Rationale

A. Insulin Glargine 20 units SUBQ qd: The abbreviation "qd" can be misinterpreted and is considered unsafe in medication orders. Insulin requires precise dosing and timing to prevent hypo- or hyperglycemia. The nurse should clarify the prescription with the provider and document "once daily" to ensure safe administration.

B. Ceftriaxone 250 mg IM stat: This prescription is clear regarding the medication, dose, route, and timing. "Stat" indicates immediate administration, which is understandable and requires no clarification.

C. Diazepam 5 mg PO Q8h PRN muscle spasms: The prescription clearly specifies the dose, route, frequency, and indication. The nurse can safely administer as needed without needing clarification.

D. Digoxin 0.5 mg IV once: The prescription provides complete information about the medication, dose, route, and single administration. No ambiguous abbreviations are present, so clarification is unnecessary.

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Correct Answer is C

Explanation

Rationale

A. "You should use woolen blankets on your bed.": Woolen or synthetic blankets can generate static electricity, which increases the risk of fire when oxygen is in use. Clients should use cotton or other nonstatic materials to reduce this hazard.

B. "You will no longer be able to use an electric razor.": Electric razors are safe for use with home oxygen because they do not produce sparks. There is no need to prohibit their use; in fact, electric razors are recommended over safety razors to prevent cuts.

C. "You should purchase a fire extinguisher for your home.": Having a fire extinguisher readily available is an important safety precaution when oxygen is used at home. Oxygen supports combustion, so being prepared for emergencies reduces the risk of serious injury or property damage.

D. "Family members who smoke must do so at least 6 feet away from the oxygen tank.": Smoking should be prohibited entirely in areas where oxygen is in use. There is no safe distance for smoking near an oxygen source, and even a six-foot distance does not eliminate the fire risk. Strict no-smoking policies are essential.

A. Apply an abduction pillow to the legs. B. Use a trochanter roll. C. Use foot splints. D. Prop the feet up.

Correct Answer is C

Explanation

Rationale

A. Apply an abduction pillow to the legs: An abduction pillow is used to maintain proper hip alignment, especially after hip surgery, but it does not prevent plantar flexion contractures. Its purpose is to keep the lower extremities in proper abduction rather than address ankle mobility.

B. Use a trochanter roll: A trochanter roll helps prevent external rotation of the hip in immobile clients but does not influence ankle positioning. While important for hip alignment, it does not prevent plantar flexion contractures of the feet.

C. Use foot splints: Foot splints (or ankle-foot orthoses) maintain the feet in a neutral position, preventing plantar flexion and subsequent contracture. Regular use supports joint flexibility, reduces muscle shortening, and helps preserve functional mobility in immobile clients.

D. Prop the feet up: Elevating the feet may relieve pressure and promote circulation, but it can allow the toes to point downward and contribute to plantar flexion over time. This method is not effective in preventing contractures and may worsen the problem if used as the sole intervention.

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A nurse is transcribing the following provider prescriptions into a client's chart. Which of the following prescriptions should the nurse clarify?

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Naxlex Comprehensive Predictor Exams

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