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Chapter 04: Patient Records, Medication Orders and Labels

Meds Drug Calculations Using Dimensional Analysis 2nd Ed By Mulholland

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Chapter 04: Patient Records, Medication Orders and Labels

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. What is missing from the following order: aspirin 2 tablets PO stat?

 

ANS:

The total dose in measurement units is omitted. Correct example: Aspirin 650 mg by mouth immediately. The number of tablets should not be written in the order. The nurse determines the number of tablets to give based on the strength supplied.

 

PTS:    1

 

  1. What is meant by a “scored” tablet? How is a scored tablet treated differently from an unscored tablet?

 

ANS:

A scored tablet has a dividing line cut into it. Only scored tablets may be divided in half. Unscored tablets may not be cut.

 

PTS:    1

 

Directions: Supply the requested medication terms and abbreviations.

 

  1. (1-20):
  Abbreviation Term   Term Abbreviation
1 ac   11 nothing by mouth  
2 pc   12 intravenous (route)  
3 prn   13 intramuscular (route)  
4 c   14 intradermal (route)  
4 s   15 nasogastric (route)  
6 stat   16 by mouth  
7 bid   17 sublingual (route)  
8 ad lib   18 subcutaneous (route)  
9 q2h   19 immediately  
10 tid   20 gastric tube  

 

 

ANS:

  Abbreviation Term   Term Abbreviation
1 ac before meals 11 nothing by mouth NPO
2 pc after meals 12 intravenous (route) IV
3 prn as needed; when necessary 13 intramuscular (route) IM
4 c with 14 intradermal (route) ID
4 s without 15 nasogastric (route) NG
6 stat immediately 16 by mouth PO
7 bid twice a day 17 sublingual (route) SL
8 ad lib as desired 18 subcutaneous (route) subcut
9 q2h every two hours 19 immediately stat
10 tid three times a day 20 gastric tube GT

 

 

PTS:    1

 

  1. Write out the following order for a patient on this antidepressant: Effexor XR tab ent 75 mg AM pc  full glass of water.

 

ANS:

Give Effexor extended release tablet enteric coated 75 mg after the morning meal with a full glass of water.

 

PTS:    1

 

  1. Why do you think XR, ent, DR, SR, and SL tablets should never be crushed?

 

ANS:

Crushing these tablets would cancel the delayed or extended or sustained release. The patient might then have an adverse drug event from side effects of too much of the medication being released and absorbed too soon. The medication may be very irritating to the mucosa of the GI tract if broken down before it leaves the esophagus or stomach.

 

PTS:    1

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