A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?

MSO4 10 mg IVP q4° prn for pain

MS 10 mg IV every 4 pm for pain

Morphine sulfate 10 mg IV q4h IV pm for pain

Morphine sulfate 10 mg every 4 hours IV prn for pain

Answer and Explanation

The Correct Answer is D

A.   "MSO4 10 mg IVP q4° prn for pain" lacks clarity in abbreviation and dosing instructions.
B.   "MS 10 mg IV every 4 pm for pain" contains an unclear frequency and timing.
C.   "Morphine sulfate 10 mg IV q4h IV pm for pain" contains redundant dosing information and unclear timing.
D.   "Morphine sulfate 10 mg every 4 hours IV prn for pain" provides clear and appropriate information regarding medication, dosage, route, frequency, and indication.

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Correct Answer is B

Explanation

A: Right-sided flank pain and diaphoresis could indicate a kidney stone or infection, which is painful but not immediately life-threatening.

B: Shortness of breath combined with pain in the neck and shoulder could suggest a myocardial infarction (heart attack), which is a medical emergency requiring immediate attention.

C: Active bleeding from a puncture wound is concerning and requires prompt intervention, but it may not be as immediately life-threatening as a potential heart attack.

D: A raised red skin rash could be a sign of an allergic reaction or infection. While it may require medical attention, it is not as urgent as a potential myocardial infarction.

A. Place the client's ring in the facility safe. B. Place the ring in the bag with the client's clothing C. Tape the ring securely to the client's finger D. Agree to keep the ring for the client until after surgery.

Correct Answer is A

Explanation

A. Placing the client's ring in the facility safe ensures that it is securely stored and prevents loss or misplacement, which is standard procedure for valuable personal items before surgery.
B. Placing the ring in the bag with the client’s clothing is not secure, as it increases the risk of loss or theft.
C. Taping the ring to the client’s finger is not ideal because jewelry should generally be removed before surgery to prevent complications such as swelling, circulation issues, or electrical burns from cautery equipment.
D. Keeping the ring for the client is inappropriate because staff should not personally hold onto a client’s valuables. Instead, valuables should be properly documented and stored per facility policy.

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A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client's medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Correct Answer is B

Explanation

A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client's ring?

Correct Answer is A

Explanation

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