Question 1

An order that reads "Nitrostat 1 tab SL q 5 min $\times$ 3 PRN chest pain" should be interpreted as ______.

Accepted Answer

The correct interpretation of the order is "Nitrostat 1 tablet sublingually every 5 minutes, 3 times as needed for chest pain." This is because "SL" stands for sublingually (under the tongue), and "q 5 min F1F1F1S1×F1F1F10 3 PRN" indicates the medication should be taken every 5 minutes, up to three times, if needed for chest pain.

Question 2

Even the smallest error in conversion of a pediatric dose could prove fatal.Provide the correct conversion for a child who weighs 25 pounds to kg.

Accepted Answer

To convert pounds to kilograms, divide the weight in pounds by 2.2046. For 25 pounds, 25 / 2.2046 = 11.34 kg, which rounds to 11.36 kg.

Question 3

You are giving medication instructions to a patient who responds, "five milliliters sounds like a lot to swallow at once." What comparison can you accurately give the patient?

Accepted Answer

Five milliliters is equivalent to one teaspoon, which can help the patient understand the volume they need to swallow.

Question 4

Considerations to be observed when explaining drug preparation to elderly patients include _____.

Accepted Answer

All the options listed are important considerations when explaining drug preparation to elderly patients. Hearing and visual impairments are common in the elderly, involving a family member or caregiver can ensure the instructions are understood and followed, and speaking slowly and clearly while offering extra time for comprehension addresses potential cognitive challenges.

Question 5

Suppose a prescription is written for a controlled substance such as a narcotic pain medication.What information, in addition to that required on all prescriptions, must be included on the written prescription?

Accepted Answer

The physician's DEA (Drug Enforcement Administration) number is required on prescriptions for controlled substances to ensure proper tracking and regulation of these medications.

Question 6

Under what circumstances may a verbal medication order be given?

Accepted Answer

Verbal medication orders are generally reserved for emergency situations where immediate action is necessary and there is no time to write down the order. This ensures that the patient receives the required care promptly.

Question 7

Edgar is asked to take a telephone order from a physician.He listens carefully, writes down everything the physician says and thanks her before he hangs up the phone.Why is Edgar subsequently reprimanded by his supervisor?

Accepted Answer

Reading back the order to the physician is a critical step in ensuring accuracy and understanding of the order. It helps to prevent misunderstandings or errors in communication, which can be crucial in healthcare settings.

Question 8

Dr.Berry orders blood tests to be done "stat." What does stat mean?

Accepted Answer

"Stat" is a term used in the medical field to indicate that something needs to be done immediately.

Question 9

It is Connor's first day as a CNA at the nursing home and he is answering the phones on his unit.A physician calls to place a medication order.What should Connor do before he takes it?

Accepted Answer

Taking medication orders over the phone is a responsibility that typically requires specific training and authorization, often reserved for licensed nursing staff such as registered nurses (RNs) or licensed practical nurses (LPNs). CNAs are not typically authorized to take medication orders over the phone due to their scope of practice and training. It's crucial for Connor to be aware of the nursing home's policies and state regulations regarding who is permitted to take medication orders to ensure compliance and patient safety.

Question 10

You take your first telephone order from a doctor on your first day of work at a nursing home.You carefully write out the order for a medication to be given twice a day, using the abbreviation "b.i.d." in the chart.Your supervisor reviews your notes and informs you that periods should not be used with medical abbreviations.What is her reasoning? Periods are redundant and reduce efficiency.

Accepted Answer

A poorly written period could be mistaken for the number 1, potentially leading to a medication error. This is a safety concern in medical documentation.

Question 11

Roxanne is told by her supervisor not to use the abbreviation "SQ." Why?

Accepted Answer

SQ is on the ISMP (Institute for Safe Medication Practices) list of error-prone abbreviations, which are discouraged in medical documentation to prevent medication errors.

Question 12

Which of the following includes the six parts of a medication order?

Accepted Answer

The six essential parts of a medication order are the date/time the order is written, the patient's name, the medication name, the dosage, the route of administration, and the directions for use.

Quiz 5: Medication Preparations and Supplies

An order that reads "Nitrostat 1 tab SL q 5 min ×\times× 3 PRN chest pain" should be interpreted as ______.