Dosage Test 2

Question 1

7 components of a medication order

Answer 1

1. name of client 2. date and time order was written 3. name of medication 4. dosage of med 5. route administered 6. time/frequency of administration 7. signature of the person writing the order ~if ANY components of a medication order are missing, the order is not complete and not a legal medication order!

Question 2

For a verbal med order what 3 things need to be done?

Answer 2

1. write it down 2. read it back to the prescriber 3. receive confirmation that it is correct ~chart it was read back!

Question 3

c, C

Answer 3

cup

Question 4

g

Answer 4

gram

Question 5

gtt

Answer 5

drop

Question 6

kg

Answer 6

kilogram

Question 7

L

Answer 7

liter

Question 8

mcg

Answer 8

microgram

Question 9

mEq

Answer 9

milliequivalent

Question 10

mg

Answer 10

milligram

Question 11

mL

Answer 11

milliliter

Question 12

oz

Answer 12

ounce

Question 13

pt

Answer 13

pint

Question 14

qt

Answer 14

quart

Question 15

T, tbs

Answer 15

tablespoon

Question 16

t, tsp

Answer 16

teaspoon

Question 17

look at commonly used medication abbreviations

Answer 17

pg. 150

Question 18

The joint commission’s official “do not use” list

Answer 18

Do NOT use instead us__e

U Unit

IU International Unit

Q.D. QD, q.d., qd,

Q.O.D., QOD, q.o.d. qod every other day

trailing zero (X.0mg) 0.X mg

MS, MS04, MgSO4 morphine sulfate

magnesium sulfate

Question 19

Essential components on a medication record (5)

Answer 19

1. Dates- ordered, started, discontinued
2. medication information- full name, dosage, route, frequency
3. time of administration- desired administration time or time frame
4. initials- of person transcribing the med to the MARand person administering the med
5. special instructions (parameters)- ex) hold if BP < 100 systolic

Question 20

Medication Distribution Systems (3)

Answer 20

Unit-Dose System

Computer- controlled dispensing system

Bar-code Medication Delivery

automated dispensing cabinet or computer- controlled dispensing system example) the pyxis

Question 21

a.c.

Answer 21

before meals

Question 22

b.i.d.

Answer 22

twice a day

Question 23

p.c.

Answer 23

after meals

Question 24

p.r.n.

Answer 24

as needed

when necessary

when required

Question 25

q

Answer 25

every

Question 26

q.h.

Answer 26

every hour

Question 27

q2h

q3h

q6h

q12h

q24h

Answer 27

every 2 hours

every 3 hours

every 6 hours

every 12 hours

every 24 hours

Question 28

q.i.d.

Answer 28

four times a day

Question 29

stat

Answer 29

immediately

at once

now

Question 30

t.i.d.

Answer 30

three times a day

Question 31

Illegible prescribers’ handwriting is the most common reason for medication errors on hand-written MARs (medication administration records)

True or Fals

Answer 31

True

Question 32

med admin forms have info that is common to all, regardless of the form used.

true or false?

Answer 32

TRUE

Question 33

The right _________ must receive the right ________ in the right _________ by the right __________ at the right _________ followed by the right ____________ .

Answer 33

The right client must receive the right medication in the right dosage by the right route at the right time followed by the right documentation.

Question 34

What is the last step in medication administration?

Answer 34

documentation

Question 35

Reading Medication Labels

The nurse should be able to recognize what pertinet info on the med label?

Answer 35

• Generic Name
  
  • Tall Man letters
• Trade Name
  
  • brand name
  • capitalized
• Dosage Strength
  
  • may be expressed as ratio or percent
• Form
  
  • type of prescription in package
    
    • ex)tablet, capsule, liquid
• Bar Coding symbols
• Route of administration
  
  • ex)oral, enteral
• Total Volume [in the container]
  
  • for liquids
• total amount [in container]
  
  • for solid forms (tablets, capsules)
• directions for mixing/reconstituting
• precautions
  
  • warnings, alerts, or precautions
• expiration date

Question 36

Always read medication label ____ times.

Answer 36

3

Question 37

forms of solid medications

Answer 37

• tablets
  
  • caplet- elongated, oval, coated. ex) tylenol
  • scored tablets
    
    • have indentions/markings to allow you to break the tablet into halves or quarters
  • enteric- coated tablets
    
    • special coating that prevents them from dissolving in the stomach
      
      • never crush, chew, or break
  • sublingual tablets
    
    • dissolve under tongue
      
      • no water/swallowing
  • buccal tablets
    
    • dissolve between gums and cheek
      
      • no water/swallowing
  • layered tablets
  • film tab
    
    • protects stomach
  • disintegrating tablets
    
    • dissolve rapidly
      
      • migraine clients
      • difficulty swallowing
  • chewable tablets
    
    • MUST BE CHEWED
  • Time Released and Extended Release Tablets
• Capsules

Question 38

READ

Answer 38

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