In reading the following medication orders, which order requires further clarification?

Diazepam 5 mg PO every 6 hr as needed anxiety

Ketorolac 15 mg IM now

Lactulose 15 mL PO every 12 hr

Digoxin 1/2 mg PO every a.m.

Answer and Explanation

The Correct Answer is D

A. Diazepam 5 mg PO every 6 hr as needed anxiety: The dose, route, frequency, and indication are clearly specified. No clarification is needed before administration.

B. Ketorolac 15 mg IM now: The order provides a clear dose, route, and timing for immediate administration, so it does not require clarification.

C. Lactulose 15 mL PO every 12 hr: This order specifies the dose, route, and frequency accurately. The nurse can safely administer as written.

D. Digoxin 1/2 mg PO every a.m.: The order is ambiguous because using a fraction for digoxin dosing can lead to errors. Standard practice is to write the dose in decimal form (0.5 mg), so the nurse should clarify with the prescriber to prevent a potential overdose.

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Correct Answer is C

Explanation

A. in: The abbreviation “in” is commonly used to indicate inches and is widely recognized in clinical and household contexts. It does not pose a risk of misinterpretation in medication administration.

B. tsp: “tsp” stands for teaspoon and is a standard, accepted abbreviation for liquid measurements. It is safe for use when teaching patients or administering medications.

C. OZS: The correct abbreviation for ounces is “oz,” not “OZS.” Using “OZS” can lead to misinterpretation and dosing errors, making this abbreviation unsafe and in need of clarification.

D. tbsp: “tbsp” stands for tablespoon and is an accepted and widely understood abbreviation. It is standard for measuring liquid medications and does not require questioning.

A. The tablets in the new refill contain the same amount of medication. B. The tablets in the refill bottle contain less medication. C. The tablets in the refill bottle have a greater dose of medication. D. The pharmacy needs to provide tablets that contain 750 mcg of medication.

Correct Answer is A

Explanation

A. The tablets in the new refill contain the same amount of medication: 0.75 mg is equivalent to 750 mcg (1 mg = 1000 mcg), so the dose strength has not changed. The patient is receiving the same amount of active drug.

B. The tablets in the refill bottle contain less medication: Converting 0.75 mg to micrograms shows it equals 750 mcg, so the refill does not contain less medication.

C. The tablets in the refill bottle have a greater dose of medication: The dose is identical, not greater. There is no change in the amount of active ingredient per tablet.

D. The pharmacy needs to provide tablets that contain 750 mcg of medication: Although the labeling changed, 0.75 mg is equivalent to 750 mcg. The refill is correct and safe to use.

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In reading the following medication orders, which order requires further clarification?

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Naxlex Comprehensive Predictor Exams

The nurse reads the following abbreviations. Which abbreviation would the nurse question?

Correct Answer is C

Explanation

The patient has a medication bottle that says "Each tablet contains 750 mcg of medication." The pharmacist provides a refill of the same medication with the information "Each tablet contains 0.75 mg of medication." The nurse is correct to inform the patient that:

Correct Answer is A

Explanation

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