A nurse is transcribing several telephone prescriptions into a client's medical record. Which of the following entries should the nurse make?

Levothyroxine 100 mcg PO qd

Heparin 15,000 units SC q12h

Lorazepam 0.5 mg PO qhs

Acyclovir 400 mg PO tid

Answer and Explanation

The Correct Answer is D

A. Levothyroxine 100 mcg PO qd "qd" is an error-prone abbreviation and should be avoided. It should be written as "daily."
B. Heparin 15,000 units SC q12h "SC" is an error-prone abbreviation and should be written as "subcutaneously."
C. Lorazepam 0.5 mg PO qhs "qhs" is an error-prone abbreviation and should be written as "at bedtime."
D. Acyclovir 400 mg PO tid This is correctly transcribed using acceptable abbreviations.

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Correct Answer is D

Explanation

A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.

A. Offer to give the client a back massage using warm lotion. B. Explain that the client might not receive another dose for a few hours. C. Ask the client about his previous pain relief measures. D. Request that the provider prescribe another dose of opioid analgesia.

Correct Answer is C

Explanation

A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.

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A nurse is transcribing several telephone prescriptions into a client's medical record. Which of the following entries should the nurse make?

Nursing Test Bank

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