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 B

Explanation

A. Provide an analgesic for pain. Administering medication is important but should be done after assessing the pain.
B. Obtain a self-report from the client. The client's self-report is the most reliable indicator of pain and should be obtained first.
C. Observe the client's behaviors. Observing behaviors is helpful but should follow the self-report to validate the client's experience.
D. Develop a behavioral pain score. This can be useful for non-verbal clients, but the self-report is the primary method of assessment for verbal clients.

A. Check with the surgery department that the procedure is correct. B. Notify the provider after the client signs the form. C. Explain to the client that both breasts are to be removed. D. Ask the provider to clarify the procedure with the client before she signs the form.

Correct Answer is D

Explanation

A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.

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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

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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