A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription.
The nurse is using a dosage example of two tenths of a milligram.
Which of the following examples should the nurse use to show appropriate transcription of this dosage?
0.2 mg
0.20 mg
20 mg
2 mg
The Correct Answer is A
Choice A rationale
The correct transcription of two tenths of a milligram is 0.2 mg. This format avoids any potential confusion that could lead to a medication error.
Choice B rationale
While 0.20 mg is technically correct, it is not the preferred format. The trailing zero after the decimal point is unnecessary and could potentially lead to confusion.
Choice C rationale
20 mg is not correct. This is 100 times the intended dose of two tenths of a milligram, and could lead to a serious medication error.
Choice D rationale
2 mg is not correct. This is 10 times the intended dose of two tenths of a milligram, and could lead to a medication error.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is: d. Right lower
Choice A: Right upper
Reason: The right upper quadrant is not typically where fetal heart tones are auscultated when the fetal back is on the right side and the head is in the lower part of the uterus. This area is more likely to be associated with the breech presentation if the fetus’s head is in the fundus.
Choice B: Left upper
Reason: The left upper quadrant would be considered if the fetal back was on the left side and the head was in the fundus. Since the nurse palpated the fetal back on the right side, this option is not applicable.
Choice C: Left lower
Reason: The left lower quadrant would be relevant if the fetal back was on the left side and the head was in the lower part of the uterus. Given the fetal back is on the right side, this is not the correct location.
Choice D: Right lower
Reason: The correct answer is the right lower quadrant. When the nurse palpates a round, firm, movable part (likely the head) in the fundus and a long, smooth surface (the back) on the right side, it indicates that the fetus is in a cephalic (head-down) position with its back on the right. Therefore, the fetal heart tones are best auscultated in the right lower quadrant.
Correct Answer is A
Explanation
The correct answer is A. Shoulder dystocia. Retraction of the fetal head against the maternal perineum as the head is birthed is a classic sign of shoulder dystocia. This is a birth complication where the baby’s shoulder gets stuck behind the mother’s pelvic bone during delivery.
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