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

Answer and Explanation

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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Correct Answer is C

Explanation

Intramuscular administration provides relatively quick absorption but is slower than intravenous.
B. Enteral (oral) administration has the slowest absorption rate due to the process of digestion and first-pass metabolism in the liver.
C. Intravenous administration delivers the medication directly into the bloodstream, resulting in the fastest absorption and onset of action.
D. Topical administration is typically used for localized treatment and has a slower absorption rate compared to intravenous.

A. The client reports having trouble sleeping the previous night. B. The client reports dizziness when ambulating to the bathroom. C. The client has a urine output of 400 mL for the past 8 hr D. The client ate 60% of their breakfast.

Correct Answer is B

Explanation

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

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A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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