The healthcare provider gives a verbal prescription for 2 mg of intravenous morphine to be given to a client every 4 hours as needed for severe pain. How should the nurse document the prescription?
Morphine 2.0 mg IV every four hours for severe pain.
Morphine 2 mg IV every 4 hr PRN for severe pain.
IV MS 2 mg every 4 hr as needed for severe pain.
IV MS 2.0 mg every 4 hours PRN for severe pain.
The Correct Answer is B
A. The use of "2.0 mg" is incorrect because trailing zeros can lead to dosage errors. The correct documentation should avoid trailing zeros to prevent misinterpretation.
B. "Morphine 2 mg IV every 4 hr PRN for severe pain" is the correct format. It uses the full name of the drug, avoids abbreviations that could be confused, and follows best practices for documenting as-needed (PRN) medications.
C. Using "MS" instead of "morphine" is not recommended because "MS" can be confused with magnesium sulfate or other medications. The full drug name should always be used.
D. Similar to option A, the use of "2.0 mg" includes a trailing zero, which should be avoided to reduce the risk of errors in medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tennis shoes with velcro are recommended because they provide good support, traction, and stability, which are crucial for a client with residual weakness after a stroke. The velcro allows for easy adjustment and ensures the shoes are secure, reducing the risk of tripping or falling.
B. Rubber-soled slippers, while comfortable, may not offer the necessary support or secure fit needed for safe ambulation.
C. Slip-on rubber shower shoes are not suitable for ambulation outside of the shower area due to their lack of support and potential to slip off.
D. Leather-soled loafers can be slippery and do not provide the traction needed for safe walking, especially on smooth surfaces.
Correct Answer is D
Explanation
A. Temperature is important but does not directly address the immediate concern of cyanosis, which suggests possible issues with oxygenation.
B. Blood pressure is also important, but in the context of cyanosis, assessing the respiratory status is more directly related to identifying the cause of decreased oxygenation.
C. Heart rate is crucial for assessing circulatory status, but cyanosis often indicates a problem with oxygenation, making it less immediately relevant compared to respiratory assessment.
D. Respiratory rate should be assessed first as cyanosis can indicate impaired oxygenation, which is often due to respiratory issues. Evaluating the respiratory rate helps determine if there is a problem with breathing or gas exchange that needs immediate attention.
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