A nurse is reviewing the medical records of four clients. Which of the following prescriptions represents correct documentation?
Explanation & Rationale
Choice A reason: The prescription "Atropine .4 mg IV stat" is incorrect because it uses a leading decimal without a zero before the decimal point. This can lead to medication errors, as ".4 mg" could be misread as "4 mg." Correct documentation should be "Atropine 0.4 mg IV stat." Therefore, this option is unsafe and incorrect. Choice B reason: The prescription "Lorazapam 1.0 mg IV PRN every 6 hr" is incorrect because it uses a trailing zero after the decimal point. Trailing zeros increase the risk of misinterpretation (e.g., "1.0 mg" could be misread as "10 mg"). Correct documentation should be "Lorazepam 1 mg IV PRN every 6 hr." This option is incorrect due to unsafe formatting. Choice C reason: The prescription "Sucralfate 1 g PO 1 hr ac" is correct. It specifies the medication, dose, route, and timing clearly. "PO" indicates oral administration, and "1 hr ac" means one hour before meals, which is the appropriate timing for sucralfate to coat the stomach lining. This option is the correct answer because it follows proper documentation standards. Choice D reason: The prescription "Enoxaparin 30 mg SC every 12 hr" is incorrect because the abbreviation "SC" for subcutaneous is discouraged. The preferred abbreviation is "subcut" or "subcutaneous" to avoid confusion with "SL" (sublingual). Therefore, this option is not considered correct documentation.