A nurse is reviewing a provider's prescriptions for medications. Which of the following prescriptions should the nurse clarify with the provider?
Insulin glargine 10 units subcutaneously daily
Timolol 0.25% 1 drop twice daily OU
Spironolactone 25 mg PO once daily
Lisinopril 5.0 mg PO once daily
The Correct Answer is D
A. Insulin glargine 10 units subcutaneously daily is a clear and appropriate prescription.
B. Timolol 0.25% 1 drop twice daily OU is clear; OU (oculus uterque) means both eyes.
C. Spironolactone 25 mg PO once daily is a clear and appropriate prescription.
D. The dose of Lisinopril is correctly written as 5 mg. The use of a trailing zero (5.0 mg) is discouraged because it can lead to dosage errors.
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Related Questions
Correct Answer is A
Explanation
A. The reason (or indication) for administering the medication is missing. "PRN" means "as needed," so the nurse needs to know what specific condition or symptom warrants giving the medication.
B. The route of administration is clearly indicated as "by mouth."
C. The frequency of administration is specified as "every 12 hr."
D. The dose is clearly stated as "8 mg."
Correct Answer is D
Explanation
A. Documenting the medication after administration ensures accurate record-keeping but does not prevent errors in medication administration.
B. Having another nurse check the dosage is a safety measure but does not specifically ensure the right medication is administered.
C. This action ensures that the correct patient receives the medication, but it does not verify that the correct medication is being administered.
D. This step ensures that the nurse is administering the correct medication by cross-referencing the written order with the medication administration record (MAR), thus ensuring the right medication is given to the client. This is a critical step in the "rights of medication administration" process.
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