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.
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Related Questions
Correct Answer is B
Explanation
A. This right involves informing the patient about participation in research, not relevant to the patient's refusal of the medication. It is important but does not apply to the patient's immediate concern about the medication's side effect.
B. Patients have the right to refuse any medication, regardless of potential consequences, and this right must be respected. Respecting this right involves acknowledging the patient’s autonomy and addressing their concerns.
C. This right involves educating the patient about their medications, which may help them make informed decisions about their treatment. While important, it is not directly related to the patient's immediate refusal of the medication.
D. This right ensures that patients are not given medications that are not clinically indicated. It is important for preventing overmedication but is not directly related to the patient's refusal of the medication due to side effects.
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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