The healthcare provider prescribes digoxin for a client who is to be discharged in the morning. When documenting the order in the medical record, which action by the nurse is the most appropriate?
A) Write digoxin, .0125 mg QD
B) Write digoxin, 0.0125 mg QD PO
C) Write digoxin, 0.0125 mg, once daily.
D) Write digoxin, 1 pill each day.
Answer: C
The nurse would enter the order as 0.0125 mg daily and would include the words "daily," or "once a day" on printed material given to the client. The nurse would change the doctor's order when giving instruction to the client to the correct format, placing a zero before a decimal and changing "qd," which can be interpreted incorrectly and should not be used. Saying that the nurse will be contacting the doctor because the order is inappropriate is not necessary; the nurse can interpret the order and write it for the client in an appropriate manner. Oral instructions are appropriate, but written instructions help the client to review instructions if forgotten.
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