A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?
Metformin 500mg one tablet q1d
Metformin 500mg one tablet PO daily
Metformin 500mg one tablet q.d.
Metformin 500mg one tablet QD
The Correct Answer is B
A. "q1d" is not a standard abbreviation and can cause confusion.
B. "PO daily" is clear and follows the standard practice for medication orders, indicating the route (by mouth) and frequency (daily).
C. "q.d." can be misinterpreted due to its similarity to other abbreviations and is not recommended by the Joint Commission.
D. "QD" is also discouraged due to potential misinterpretation; "daily" is preferred for clarity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A serum potassium level of 4.8 mEq/L is within the normal range and would not warrant withholding furosemide.
B. A serum sodium level of 140 mEq/L is within the normal range and would not warrant withholding furosemide.
C. An oxygen saturation of 95% is normal and would not warrant withholding furosemide.
D. A blood pressure of 80/40 mm/Hg is very low and administering furosemide, a diuretic, could further decrease blood pressure, posing a risk to the client. The nurse should withhold the medication and consult the provider.
Correct Answer is C
Explanation
A. Hydrochlorothiazide should not be taken at bedtime as it is a diuretic and can cause nocturia.
B. Increased swelling of the ankles is not an expected effect of hydrochlorothiazide and could indicate worsening heart failure or other issues.
C. Taking weight at the same time every day helps monitor fluid status and the effectiveness of the diuretic.
D. Limiting fluid intake in the morning is not recommended, as adequate hydration is important while taking diuretics.
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