Which abbreviation is on the official "Do Not Use" list of the Joint Commission?
OS
QD
PO
OD
The Correct Answer is B
QD is an abbreviation for "quaque die" which means "every day" in Latin. However, QD is on the official "Do Not Use" list of the Joint Commission because it can be mistaken for QOD, which means "every other day" in Latin¹². This can lead to medication errors and patient harm. Therefore, the Joint Commission recommends writing "daily" instead of QD.
The other options are not on the official "Do Not Use" list of the Joint Commission. OS, PO, and OD are abbreviations for "oculus sinister" (left eye), "per os" (by mouth), and "oculus dexter" (right eye) respectively. They are commonly used in ophthalmology and pharmacy³. However, they should be used with caution and only when appropriate, as they can also be confused with other abbreviations or symbols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the total volume is 50 mL, the flow factor is 1 gt/mL, and the time is 15 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 15 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 200 mL/h
Therefore, the nurse should set the IV pump to deliver **200 mL/h** to infuse Regian 10 mg over 15 minutes.
Correct Answer is D
Explanation
The correct technique for preparing this insulin order is to follow these steps¹²:
- Perform hand hygiene and put on gloves.
- Mix NPH (cloudy) insulin by gently rotating the vial between the palms of your hands. Do not shake the vial.
- Clean the tops of both vials with alcohol swabs and let them dry.
- Draw up the amount of air equal to the dose of NPH insulin into a syringe. Inject the air into the NPH vial without touching the needle to the solution. Withdraw the needle and syringe without drawing up any insulin. This will create positive pressure in the NPH vial and make it easier to draw up later.
- Draw up the amount of air equal to the dose of regular (clear) insulin into the same syringe. Inject the air into the regular vial and invert the vial. Make sure the needle tip is below the fluid level and draw up slightly more than the dose of regular insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the regular vial.
- Reinsert the needle and syringe into the NPH vial without touching the needle to the solution. Invert the vial and draw up slightly more than the dose of NPH insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the NPH vial.
- Check that you have the correct doses of both insulins in one syringe. The total volume should be equal to the sum of both doses.
- Administer the dose within 5 to 10 minutes after drawing up because regular insulin binds to NPH and this decreases its action.
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