A nurse is transcribing several telephone prescriptions for clients. Which of the following forms of documentation should the nurse use?
Zolpidem 10 mg PO HS
Heparin 10,000 u subcutaneously TID
Docusate 100 mg PO QD
Lorazepam 2 mg PO BID
The Correct Answer is A
A. Zolpidem 10 mg PO HS: This is the correct and acceptable documentation format. It includes the full drug name, dosage, route, and timing abbreviation ("HS" for bedtime), all of which are permitted and clear in medical documentation.
B. Heparin 10,000 u subcutaneously TID: The abbreviation "u" for units is considered unsafe and prone to misreading (e.g., as a zero). Instead, "units" should be written out to prevent medication errors.
C. Docusate 100 mg PO QD: "QD" is a dangerous abbreviation that can be misread as "QID" (four times daily). The Joint Commission recommends writing "daily" instead to ensure clarity and patient safety.
D. Lorazepam 2 mg PO BID: While mostly acceptable, using "BID" can be risky because it may be misinterpreted. Current best practices encourage writing "twice daily" to reduce ambiguity in documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dry mouth: Dry mouth is a common and generally mild side effect of sertraline and other SSRIs. It can typically be managed with increased fluid intake or sugar-free lozenges and does not suggest a medical emergency.
B. Excessive sweating: Excessive sweating, especially when accompanied by symptoms such as confusion, agitation, muscle rigidity, or fever, may indicate serotonin syndrome. This is a potentially life-threatening condition and requires immediate medical evaluation.
C. Constipation: Constipation is a possible side effect of many antidepressants, including sertraline. However, it is not associated with serotonin syndrome and can often be managed with dietary changes or mild laxatives.
D. Insomnia: Insomnia is a known, non-urgent side effect of sertraline that may improve over time or be managed with sleep hygiene techniques. It does not indicate the presence of serotonin syndrome.
Correct Answer is C
Explanation
A. 1 cup of strawberries: While strawberries provide some dietary fiber and vitamins, they are not as fiber-dense per serving compared to whole grains or legumes. One cup contains about 3 grams of fiber.
B. 1 stalk of celery: Celery has minimal fiber content—about 1 gram per stalk—and is mostly water. It can be part of a high-fiber diet but is not the best source among the options listed.
C. 1 cup of oatmeal: Oatmeal is an excellent source of soluble fiber, particularly beta-glucan, which helps improve bowel regularity and reduce cholesterol. One cup contains around 4–5 grams of fiber, making it the highest in this list.
D. 1 oz of peanuts: Peanuts contain some fiber (around 2–3 grams per ounce) and protein, but their fat content is high, and they are not primarily used as a fiber-rich food source. They are less beneficial for increasing bulk in stool compared to oatmeal.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.