The nurse is preparing to document a medication order in a client's chart. Which abbreviation is acceptable?
U for unit
BID for twice a day
IU for international unit
MS for morphine sulfate
The Correct Answer is B
A. U for unit: The abbreviation “U” can be misread as a zero or the number 4, leading to dosing errors. The Joint Commission and other safety organizations recommend writing out “unit” in full to prevent potentially serious medication errors.
B. BID for twice a day: “BID” is an approved and widely recognized medical abbreviation indicating the medication should be administered twice daily. It is clear, unambiguous, and accepted in medical documentation for scheduling purposes.
C. IU for international unit: The abbreviation “IU” can be mistaken for “IV” (intravenous) or the number 10, increasing the risk of dosing errors. Safe practice guidelines recommend writing out “international unit” instead.
D. MS for morphine sulfate: “MS” is considered a dangerous abbreviation because it can be confused with “magnesium sulfate,” potentially causing life-threatening medication errors. Always write the full drug name to ensure clarity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The amount of time required for a drug to be metabolized: Metabolism refers to biotransformation of the drug by enzymes, primarily in the liver, but half-life specifically refers to elimination, not the metabolic process itself. Metabolism is only one component of the broader elimination pathway.
B. The time required for 50% of the drug to be removed from the body: A drug’s half-life is the period needed for its plasma concentration to decrease by half through combined metabolic and excretory mechanisms. This parameter determines dosing intervals and influences drug accumulation and steady-state levels.
C. The time it takes for a drug to reach its peak therapeutic effect: This describes peak effect, which relates to maximal pharmacodynamic response, not the decline in serum concentration. Peak effect follows absorption and distribution, which differ from elimination kinetics.
D. The time it takes for a drug to be distributed to the site of action: Distribution refers to the movement of a drug into tissues and receptor sites, dependent on blood flow and protein binding. This process is unrelated to half-life, which governs drug clearance rather than tissue penetration.
Correct Answer is A
Explanation
A. A client received a medication to prevent nausea from occurring: Prophylactic therapy involves administering a drug to prevent a condition or symptom before it develops. Giving an antiemetic before a procedure or chemotherapy to prevent nausea exemplifies preventive use, reducing the risk of adverse effects before they occur.
B. A client received a medication to replace insulin in their body: Insulin replacement is considered replacement therapy, not prophylactic therapy. It provides an essential hormone that the body cannot produce, maintaining metabolic function rather than preventing a condition.
C. A client received a medication to treat a diagnosed infection: Treatment of an existing infection is therapeutic, not prophylactic. Prophylactic therapy occurs before a problem develops, whereas treating an active infection addresses an already established condition.
D. A client received a medication to slow the progression of arthritis: Medications that slow disease progression are considered disease-modifying therapy. While they may prevent worsening, they do not serve the primary purpose of preventing a symptom or condition before it occurs.
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