A nurse is observing an assistive personnel (AP) providing care to a group of clients.
Which of the following actions by the AP requires intervention by the nurse?

 

Choice A rationale

HS is not approved due to potential misinterpretation as “half-strength” or “hour of sleep.”. The Joint Commission discourages its use to prevent medication errors, emphasizing clarity and standardization in prescription terminology.

Choice B rationale

QD is not an approved abbreviation due to the risk of confusion with QID (four times daily). The Joint Commission recommends writing “daily” instead to minimize errors in medication administration, which could have serious consequences.

Choice C rationale

PO is an approved abbreviation universally understood as “by mouth.”. It is clear, unambiguous, and compliant with safety standards, reducing the likelihood of misinterpretation in medical contexts.

Choice D rationale

SQ is not approved due to potential confusion with SL (sublingual) or SC (subcutaneous). The recommended term is “subcut” or “subcutaneous,” ensuring that instructions for medication administration remain precise and error-free. .

Choice A rationale

An esophagogastroduodenoscopy is an invasive diagnostic procedure requiring sedation and involves potential risks such as perforation or bleeding. Due to the nature of these risks and necessary preparation, it mandates informed consent rather than falling under the scope of general consent for treatment.

Choice B rationale

Insertion of an NG tube to low intermittent suction is considered a routine intervention for gastrointestinal management. General consent typically encompasses such noninvasive bedside procedures as they are part of standard medical care without requiring specific informed consent.

Choice C rationale

Administration of 1 unit of fresh frozen plasma entails potential risks, including allergic reactions, fluid overload, or infection transmission. Specific informed consent is needed for blood product administration to ensure patient understanding of the risks, benefits, and alternatives.

Choice D rationale

An abdominal CT scan with contrast introduces risks associated with contrast agents, such as nephrotoxicity or allergic reactions. It is a more invasive diagnostic tool requiring specific informed consent to address potential adverse effects and preparation required.