A nurse is documenting in a client's electronic medical record. Which of the following entries should the nurse use?

Ativan 1 mg IV given at 1030 following OR call

Acetaminophen 500 mg given for pain

MgSO4 infusing via IV pump

Insulin 5U administered SQ

Answer and Explanation

The Correct Answer is A

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

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Correct Answer is A

Explanation

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

A. African Americans B. Southeast Asians C. Northern European Caucasians D. Alaskan natives

Correct Answer is A

Explanation

A. African Americans Sickle cell disease is most prevalent among African Americans and people of African descent.
B. Southeast Asians This group is more at risk for thalassemia, not sickle cell disease.
C. Northern European Caucasians This group is more at risk for cystic fibrosis, not sickle cell disease.
D. Alaskan natives This group is not at a higher risk for sickle cell disease.

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A nurse is documenting in a client's electronic medical record. Which of the following entries should the nurse use?

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Naxlex Comprehensive Predictor Exams

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