Which numeric form is appropriate, according to the Joint Commission?
3.0
0.30
0.03
0.3
Calculate all drug dosages by body surface area.
The Correct Answer is D
This numeric form is appropriate, according to the Joint Commission, because it does not use a trailing zero after a decimal point, which is a common cause of medication errors and should be avoided. A trailing zero may be misread or misinterpreted as a larger dose or omited altogether, resulting in a 10-fold overdose or underdose, respectively. For example, when prescriptions have been writen for "Coumadin 1.0 mg," patients have received 10 mg in error¹². Therefore, the Joint Commission requires that a trailing zero may be used only when required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report the size of lesions, or catheter/tube sizes. It may not be used in medication orders or other medication-related documentation.
The other options are not appropriate numeric forms because:
a) 3.0 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
b) 0.30 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
c) 0.03 is not equivalent to 0.3, as it is 10 times smaller.
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Related Questions
Correct Answer is D
Explanation
To calculate the rate of infusion, we need to divide the total volume to be infused (1.5 L) by the total time of infusion (24 hours)
1.5 L = 1500 mL (since 1 L = 1000 mL)
Dividing 1500 mL by 24 hours gives us the rate of 62.5 mL/hr.
Correct Answer is D
Explanation
This is a dosage calculation problem. To solve it, we need to use the formula:A
Desired dose ÷ Available dose × Available quantity = Quantity to give
In this case, the desired dose is 30 mg, the available dose is 20 mg/mL, and the available quantity is 1 mL. Plugging these values into the formula, we get:
30 ÷ 20 × 1 = 1.5
Therefore, the nurse should administer **1.5 mL** of liquid oxycodone hydrochloride to the patient.
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