The nurse is documenting care provided to a client. Which action should the nurse take to demonstrate the avoidance of potentially confusing abbreviations when documenting?
1. Documenting vital signs as "TPR."
2. Charting that the "drsg was dry and intact."
3. Transcribing a verbal order as "Carbamazepine 12 mcg/ml IV push daily."
4. Documenting "Client consistently requesting IM MS for pain well before prescribed time."
5. Charting, "Client to be ambulated q.i.d."
Correct Answer: 1, 2, 5
Rationale 1: This is a commonly used and accepted abbreviation for temperature, pulse, and respirations (vital signs).
Rationale 2: This is a commonly used and accepted abbreviation for a treatment dressing.
Rationale 3: Mcg (micrograms) is not an accepted abbreviation, as it can be confused with mg (milligrams), resulting in a one thousand–fold overdose.
Rationale 4: MS is not an accepted abbreviation for morphine sulfate, as it can be confused with magnesium sulfate, resulting in a drug error.
Rationale 5: This is a commonly used and accepted abbreviation for four times a day.
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