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 instruction that should be given to this client for the effective management of hypertension is to take
**five tablets** of bisoprolol per day, each containing 100 mg.
This is because the new order of 500 mg of bisoprolol per day is twice as much as the current dose of 250 mg of bisoprolol per day (two and a half tablets of 100 mg each). Therefore, the client needs to double the number of tablets they take per day from two and a half to five.
Correct Answer is B
Explanation
One fluid ounce is equal to **29.57353 milliliters**¹²³. To convert fluid ounces to milliliters, you can multiply the value in fluid ounces by 29.57353. For example, 1 fluid ounce x 29.57353 milliliters = 29.57353 milliliters.
Therefore, to convert 100 fl oz of fluids to milliliters, you can multiply 100 by 29.57353. The answer is
**2957.353 milliliters**. This is the amount of fluids that the nurse should provide to the client with renal calculi.
The other options are not correct because they do not match the calculated amount of fluids that the client needs. Option a is wrong because it is too litle fluids, which could result in dehydration or inadequate flushing of the urinary tract. Option c is wrong because it is too much fluids, which could result in fluid overload or electrolyte imbalance. Option d is wrong because it is not a volume but a frequency, and it is also too litle fluids for the client's condition.
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