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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Bilateral breath sounds clear and present throughout at 1600 are normal findings and do not require immediate follow-up.
B. The temperature at both 1600 (37.6°C) and 1630 (37.5°C) is slightly elevated but not critically high. It does not require immediate follow-up unless it worsens significantly or is accompanied by other concerning symptoms.
C. Urticaria (hives) over the chest and trunk, along with itching and difficulty swallowing (dysphagia), are signs of an allergic reaction, which requires immediate follow-up and assessment.
D. The blood pressure decreased to 78/52 mm Hg at 1630 from 110/58 mm Hg at 1600. This significant drop indicates hypotension and requires immediate follow-up.
E. Difficulty swallowing (dysphagia) reported by the client suggests a potential airway compromise and requires immediate follow-up to assess the severity and intervene accordingly.
Correct Answer is B
Explanation
A. Anemia is not a common adverse effect of atenolol, a beta-blocker primarily affecting heart rate and blood pressure.
B. Bradycardia (slow heart rate) is a known adverse effect of atenolol due to its action of slowing the heart rate to manage hypertension and other cardiac conditions.
C. Neutropenia (low neutrophil count) is not typically associated with atenolol use.
D. Hypokalemia (low potassium levels) is not a common adverse effect of atenolol; electrolyte imbalances are more associated with diuretics.
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