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 C

Explanation

A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.

C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

A. Don sterile gloves prior to the procedure. B. Lubricate 1 inch of the tip of the rectal tube prior to insertion. C. Place the client into a left Sims' position. D. Raise the enema bag if the client experiences cramping.

Correct Answer is C

Explanation

A. Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.

B. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D. Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.

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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 a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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