A nurse manager is planning an in-service for a group of staff nurses about documentation guidelines in The Joint Commission's National Patient Safety Goals. Which of the following examples should the nurse manager include when discussing error-prone abbreviations?

Potassium chloride 20 mEq oral every other day

Regular insulin 2U SQ before meals

Vancomycin 1 g IV piggyback every 8 hr

Ativan 0.5 mg IV every 2 hr as needed for anxiety

Answer and Explanation

The Correct Answer is B

A. Potassium chloride 20 mEq oral every other day This statement does not contain any error-prone abbreviations.
B. Regular insulin 2U SQ before meals The abbreviation "U" for units can be mistaken for "0" or "4", leading to dosing errors. The correct term is "units".
C. Vancomycin 1 g IV piggyback every 8 hr This statement does not contain any error-prone abbreviations.
D. Ativan 0.5 mg IV every 2 hr as needed for anxiety This statement does not contain any error-prone abbreviations.

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Correct Answer is D

Explanation

A. Hold the dropper just inside the ear canal. The dropper should be held above the ear canal to avoid contamination and injury.
B. Apply sterile gloves prior to administration. Sterile gloves are not necessary for administering ear drops. Clean gloves are sufficient.
C. Have the client remain in a side-lying position for 10 min. This is unnecessary. The client can return to an upright position after the medication has been administered.
D. Pull the pinna up and back. This is correct for adults. Pulling the pinna up and back straightens the ear canal for proper medication administration.

Correct Answer is ["63"]

Explanation

To calculate the infusion rate, divide the total volume to be infused by the total time in hours:

250 mL / 4 hr = 62.5 mL/hr
Rounded to the nearest whole number, this is 63 mL/hr.

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A nurse manager is planning an in-service for a group of staff nurses about documentation guidelines in The Joint Commission's National Patient Safety Goals. Which of the following examples should the nurse manager include when discussing error-prone abbreviations?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an otic suspension to a middle adult client who has acute otitis media. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer 0.9% sodium chloride 250 mL. IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["63"]

Explanation

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