A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?
Client assisted OOB, instructed to splint ABD
Urine collected for UA and C & S
Prescription received for MSO4 4.0 mg PRN pain
12 units of regular insulin administered subcut
The Correct Answer is C
A. "Client assisted OOB, instructed to splint ABD" is clear and uses standard abbreviations (OOB: out of bed, ABD: abdomen).
B. "Urine collected for UA and C & S" is clear and uses standard abbreviations (UA: urinalysis, C & S: culture and sensitivity).
C. "Prescription received for MSO4 4.0 mg PRN pain" is problematic because "MSO4" is an ambiguous abbreviation that can be confused with other medications. It should be written as "morphine sulfate" for clarity. Additionally, the trailing zero in "4.0 mg" can lead to dosing errors; it should be written as "4 mg."
D. "12 units of regular insulin administered subcut" is clear and uses standard terminology (subcut: subcutaneous).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Family members are not reliable sources for verifying patient identity.
B. Checking the client's name on the MAR is a part of the process but alone is not sufficient for identification.
C. Room numbers can change or be occupied by different patients; they do not verify patient identity.
D. Asking the client's full name and date of birth ensures direct confirmation from the patient, which is the most reliable method of identification.
Correct Answer is B
Explanation
A. A "now" prescription is for a medication to be given quickly but not immediately.
B. A routine prescription is for medication to be administered on a regular schedule, such as daily.
C. A single prescription is for a one-time administration.
D. A stat prescription is for immediate administration, usually in an emergency situation.
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