A nurse is reviewing the medical records of four clients. Which of the following prescriptions represents correct documentation?
Explanation & Rationale
A. Atropine 4 mg IV stat: The dose of atropine is unusually high for typical adult administration, and documentation should include accurate dosing units and safety checks. Such a dose may indicate a potential medication error or require verification before administration. B. Lorazepam 1.0 mg IV PRN every 6 hr: Using a trailing zero (1.0 mg) is unsafe because it can be misread as 10 mg, leading to overdose. Proper documentation avoids trailing zeros (e.g., 1 mg) and follows safe medication guidelines. C. Sucralfate 1 g PO 1 hr ac: While the dose may be appropriate, abbreviations such as "ac" should be written out as "before meals" to prevent misinterpretation. Clear, unambiguous documentation is required for safe administration. D. Enoxaparin 30 mg SC every 12 hr: This prescription uses correct dosing, route, frequency, and documentation format. It is clear, safe, and follows standard guidelines, making it the correct example of proper documentation.