Which numeric form is appropriate, according to the Joint Commission?
3.0
0.30
0.03
0.3
Calculate all drug dosages by body surface area.
The Correct Answer is D
This numeric form is appropriate, according to the Joint Commission, because it does not use a trailing zero after a decimal point, which is a common cause of medication errors and should be avoided. A trailing zero may be misread or misinterpreted as a larger dose or omited altogether, resulting in a 10-fold overdose or underdose, respectively. For example, when prescriptions have been writen for "Coumadin 1.0 mg," patients have received 10 mg in error¹². Therefore, the Joint Commission requires that a trailing zero may be used only when required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report the size of lesions, or catheter/tube sizes. It may not be used in medication orders or other medication-related documentation.
The other options are not appropriate numeric forms because:
a) 3.0 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
b) 0.30 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
c) 0.03 is not equivalent to 0.3, as it is 10 times smaller.
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Related Questions
Correct Answer is C
Explanation
The gt/min is 25.
This answer is correct because it is based on a simple formula and calculation. The nurse should use the following formula to calculate the gt/min:
gt/min = (Volume in mL x Drop factor in gt/mL) / Time in min
Plugging in the given values, the nurse should get:
gt/min = (100 mL x 15 gt/mL) / 60 min
gt/min = 25
Therefore, the gt/min is 25.
Correct Answer is D
Explanation
The nurse should administer 0.5 mL to the patient.
This answer is correct because it is based on a simple ratio and proportion calculation. The nurse can set up a proportion as follows:
2 mg / 1 mL = 1 mg / x mL
Cross-multiplying and solving for x gives:
x = 0.5 mL
Therefore, the nurse should administer 0.5 mL of Stadol injection to deliver 1 mg of the medication to the patient.
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