Which of the following is not an example of an error prone abbreviation?
SR
DC
QD
HS
The Correct Answer is A
A. SR.: SR stands for “sustained release” and is an accepted, clear abbreviation used to describe the medication’s formulation. It is not considered error-prone because it has a standardized meaning in pharmacology and does not cause confusion in prescribing or administration.
B. DC.: “DC” can be misinterpreted as “discontinue” or “discharge,” leading to potential medication errors if the order is unclear. The Joint Commission lists it as an error-prone abbreviation and recommends using full words to avoid ambiguity.
C. QD.: “QD,” meaning “once daily,” is on the list of error-prone abbreviations because it can easily be mistaken for “QID” (four times daily). To ensure clarity, prescribers should write “daily” instead of using this abbreviation.
D. HS.: “HS” can be misread as “half strength” or “hour of sleep,” which may result in incorrect dosing or timing. Writing out “at bedtime” or “half strength” is recommended to prevent misinterpretation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine your opinion of the best route for giving the medications: The nurse must always follow the prescribed route as ordered by the healthcare provider to ensure therapeutic effectiveness and patient safety.
B. Chart only those medications that she or he personally gave the patient: Each nurse is responsible for documenting only the medications they personally administer, maintaining accountability and accurate medical records.
C. Chart all the medications given for the day at one time: Medications should be documented immediately after administration, not in bulk, to prevent omissions or duplications.
D. Chart medications before administering them: Documenting before administration can lead to serious errors if the medication is withheld or refused by the patient.
Correct Answer is D
Explanation
A. Enteric coated baby Aspirin.: Enteric-coated tablets are designed to dissolve in the small intestine rather than the stomach to prevent gastric irritation. Crushing or breaking them destroys this coating, leading to stomach upset and reducing the drug’s intended protective effect.
B. XR Depakote capsule.: XR (extended-release) formulations are made to release the drug gradually over time. Crushing or opening these capsules disrupts the time-release mechanism, resulting in rapid absorption, possible toxicity, and loss of therapeutic control.
C. Gabapentin capsule.: Gabapentin capsules should not be opened or crushed, as doing so alters drug stability and can cause mucosal irritation. The nurse should request a liquid formulation if the patient cannot swallow capsules safely.
D. Scored Tylenol tablet.: Scored tablets are specifically designed to be safely split or crushed without altering drug absorption or efficacy. Dividing a scored Tylenol tablet allows for easier swallowing and accurate dosing, making it appropriate for patients with swallowing difficulties.
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