A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following examples should the nurse include in the instructions?
Losartan 50.0 mg, PO, QD
Desmopressin .1 mL, intranasal, qd
Metformin 500 mg, 1 tablet, PO, daily
Zolpidem, 5 mg PO, HS
The Correct Answer is C
A. Losartan 50.0 mg, PO, QD: The use of decimal points with trailing zeros (50.0 mg) is discouraged to avoid potential errors. It should be written as 50 mg.
B. Desmopressin .1 mL, intranasal, qd: The abbreviation "qd" (quaque die) is not recommended due to potential misinterpretation. It should be written as "daily."
C. Metformin 500 mg, 1 tablet, PO, daily: This prescription is clear and correctly formatted, including the dosage, route, and frequency without ambiguous abbreviations.
D. Zolpidem, 5 mg PO, HS: The abbreviation "HS" (at bedtime) is acceptable, but clarity and standardization are preferred, and this option is less specific compared to C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will begin upon the client's admission to the facility.": Discharge planning should start at admission to ensure that all aspects of the client's care and needs are addressed well before the discharge date.
B. "I will begin once the client's discharge order is written.": Waiting for the discharge order delays the discharge planning process and may result in insufficient preparation for the client’s needs.
C. "I will begin once the client's insurance company approves discharge coverage.": Insurance approval is important but should not delay the initiation of discharge planning, which focuses on the client's needs and readiness for discharge.
D. "I will begin 48 hr before the client's discharge.": Starting discharge planning just 48 hours before discharge may not provide enough time to address all aspects of the client’s care and ensure a smooth transition.
Correct Answer is B
Explanation
A. Shake the inhaler for 3 to 5 seconds: While shaking the inhaler is necessary, the recommendation is typically to shake it for 5 seconds before use, not 3.
B. Wait 2 minutes between inhalations: Waiting 2 minutes between inhalations allows time for the medication to work and reduces the risk of side effects. This is a correct practice for using an MDI.
C. Press down twice on the MDI canister: Generally, pressing down once per dose is the correct action. Pressing down twice might not be necessary unless directed by specific instructions.
D. Rinse the mouth with mouthwash after inhaling the medication: It is recommended to rinse the mouth with water, not mouthwash, to prevent oral thrush, especially after using inhaled corticosteroids.
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