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","D","E","F"]

Explanation

A. Method is not one of the recognized 10 rights of safe medication administration. It is important to follow the correct method, but it is encompassed by the rights such as the right route and right time.
B. Unit is not part of the 10 rights of safe medication administration. Accurate dosage units are critical but are covered under the right dose and right medication.
C. The right medication ensures that the patient receives the correct drug, reducing the risk of adverse effects and therapeutic failures. Verifying the right medication is fundamental to safe medication administration practices.
D. The right evaluation involves monitoring the patient’s response to the medication to ensure it is effective and safe. This step helps in identifying any adverse reactions or the need for dosage adjustments.
E. The right assessment involves evaluating the patient’s condition before administering medication to determine if it is appropriate. It ensures that the medication is given safely, considering the patient’s current health status.
F. The right to client education involves informing the patient about the medication they are receiving, including its purpose, potential side effects, and any special instructions. Educating the patient promotes adherence and helps in the early identification of adverse effects.

A. Contact the provider to clarify the prescription. B. Interpret the prescription according to the client's medical history. C. Clarify the prescription with the family: D. Ask the pharmacist for clarification of the prescription.

Correct Answer is A

Explanation

A. Contacting the provider to clarify the prescription is the most direct and appropriate action to ensure accuracy and prevent medication errors.
B. Interpreting the prescription according to the client's medical history can lead to errors and is not a safe practice.
C. Clarifying the prescription with the family is not appropriate as they may not have the necessary knowledge or authority to interpret medical orders.
D. Asking the pharmacist for clarification can help, but the pharmacist may also have difficulty reading the handwriting. The most reliable approach is to directly contact the provider.

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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

In order for the nurse to administer medication safely, the nurse must understand the 10 rights of safe medication administration. Identify all of the rights listed below (Select All That Apply).

Correct Answer is ["C","D","E","F"]

Explanation

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Correct Answer is A

Explanation

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