A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?

Ciprofloxacin 200 mg IV q12h x 7 days

Dx pyelonephritis

Hourly 180

Acetaminophen 1000 mg PO QD

Answer and Explanation

The Correct Answer is B

A.   Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription.
B.   "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion.
C.   "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order, but it lacks clarity.
D.   Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.

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Correct Answer is ["150"]

Explanation

The question is about calculating the IV infusion rate for a given solution and volume.

The formula for the infusion rate is: (volume in mL / time in hours) x drop factor in gtts/mL = infusion rate in gtts/min

The drop factor is usually given on the IV tubing package and varies depending on the type of tubing used.

For this question, we can assume a drop factor of 15 gtts/mL, which is common for macrodrip tubing.

Plugging in the numbers, we get: (1200 mL / 8 hr) x 15 gtts/mL = 2250 gtts/hr

To convert from gtts/hr to mL/hr, we divide by the drop factor: 2250 gtts/hr / 15 gtts/mL = 150 mL/hr

Therefore, the nurse should set the IV pump to deliver 150 mL/hr.

A. Choose a vein that is soft on palpation. B. Select a vein in the client's dominant arm. C. Select a site distal to previous venipuncture attempts. D. Choose the most proximal vein in the extremity.

Correct Answer is C

Explanation

A. Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable.
B. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are

usually suitable, and the choice depends on factors such as accessibility and patient preference.

C. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation.
D. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts, with
consideration for vein integrity and accessibility.

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A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)

Correct Answer is ["150"]

Explanation

A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

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