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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Strain the client's urine: Straining urine is not necessary with low-dose rate brachytherapy for prostate cancer. The radioactive seeds are typically implanted permanently and remain in place; they are not expected to be excreted in the urine.

B. Instruct visitors to stay 1 m (3.3 feet) away from the client: Maintaining a safe distance reduces radiation exposure to others. Visitors, especially pregnant individuals and children, should remain at least 1 meter away to limit exposure while the implant is active.

C. Attach a dosimeter to the client's gown: The dosimeter is worn by staff members, not by the client. It measures cumulative radiation exposure to healthcare workers, ensuring safety guidelines are followed during patient care.

D. Limit each of the client's visitors to 2 hr per day: For low-dose permanent brachytherapy, the radiation levels are generally low, and strict time limits for visitors are usually unnecessary if distance and precautions are observed. Limiting time may apply more to high-dose temporary implants.

A. Set the hot water heater to 54.4° C (130° F). B. Place a throw rug on the kitchen floor. C. Remove the raised seat from the toilet. D. Install a grab bar on the wall next to the toilet.

Correct Answer is D

Explanation

A. Set the hot water heater to 54.4° C (130° F):This temperature is too high and poses a serious burn risk, especially for older adults with decreased skin sensitivity or delayed reaction times. The recommended safe setting is 48.9° C (120° F) or lower to prevent scalding injuries.

B. Place a throw rug on the kitchen floor:Throw rugs are a major tripping hazard for older adults and significantly increase the risk of falls. The nurse should recommend removing loose rugs or securing them with non-slip backing if they are necessary.

C. Remove the raised seat from the toilet:A raised toilet seat helps older adults with limited mobility or joint pain to sit and stand more easily, reducing the risk of falls or strain. Removing it would make toileting more difficult and unsafe.

D. Install a grab bar on the wall next to the toilet:Grab bars improve stability and reduce fall risk in key areas like the bathroom. They are a recommended safety measure for older adults, especially during toileting and bathing activities.

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A nurse is transcribing several telephone prescriptions for clients. Which of the following forms of documentation should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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