Chapter 11:Understanding and Interpreting MedicationOrders

Gray Morris:Calculate withConfidence, 7th Edition

Multiplechoice

1. The use of a computer to order medications a. increases client confidentiality. b. lessens the work of checking orders. c. helps to identify errors in writing orders. d. decreases the problems associated with illegible handwriting.

ANS: D PTS: 1 MSC: General a. Colace 100 mg p.o. t.i.d. b. Colace 100 mg p.o. b.i.d. c. Colace mg 100.0 p.o. q.i.d. d. Colace MG 100 p.o. t.i.d.

2. “Administer Colace 100 mg by mouth three times a day.” Which of the following correctly indicates the order?

ANS: A PTS: 1 MSC: General

Completion

1. Directions: Give the abbreviation for the following. Twice a day: _____

ANS: b.i.d.

PTS: 1 MSC: General

2. Directions: Give the abbreviation for the following. Every hour: _____

ANS: qh

PTS: 1 MSC: General

3. Directions: Give the abbreviation for the following. Every four hours: _____

ANS: q4h

PTS: 1 MSC: General

4. Directions: Give the abbreviation for the following. Immediately:

ANS: stat

PTS: 1 MSC: General

5. Complete the following sentence with the correct word or number. To ensure accuracy and prevent misinterpretation, place a _____ before the decimal point.

ANS: leading zero

PTS: 1 MSC: General

6. Directions: For the following medication order indicate what component of the order is missing.

Demerol 75 mg IM prn.

ANS: Frequency

PTS: 1 MSC: General

7. Directions: For the following medication order indicate what component of the order is missing.

Solu-Medrol 50 mg.

ANS: Route, frequency frequency, route Route frequency frequency route

PTS: 1 MSC: General

8. Directions: For the following medication order indicate what component of the order is missing.

Trental 400 mg po.

ANS: Frequency

PTS: 1 MSC: General

9. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Robitussin 15 cc po q6h prn

ANS: Robitussin 15 mL po q6h prn.

PTS: 1 MSC: General

10. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Lasix 40.0 mg po qd

ANS: Lasix 40 mg po daily

Lasix 40 mg po every day

PTS: 1 MSC: General

Short Answer

1. Complete the following sentence with the correct word or number. A medication order is written without a frequency. The nurse should ______________________________.

ANS: call the prescriber for clarification.

PTS: 1 MSC: General

2. Verbal orders should be accepted only in _______________.

ANS: emergency situations

PTS: 1 MSC: General

3. CPOE is an abbreviation for _______________.

ANS: computerized physician order entry

PTS: 1 MSC: General

4. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Timoptic 0.5% 1 gtt OSbid

ANS: Timoptic 0.5% 1 gtt in the left eye twice daily

PTS: 1 MSC: General

5. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Ambien 5 mg po hs prn

ANS: Ambien 5 mg po at bedtime prn; or Ambien 5 mg po hours of sleep prn.

PTS: 1 MSC: General

6. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Doxycycline 100 mg po bid pc

ANS:

Doxycycline 100 milligrams by mouth two times a day after meals; OR Doxycycline 100 milligrams orally two times a day after meals

PTS: 1 MSC: General

7. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Motrin 400 mg po q6h prn for back pain

ANS: Motrin 400 milligrams by mouth every 6 hours when necessary for back pain; OR Motrin 400 milligrams orally every 6 hours when required for back pain.

PTS: 1 MSC: General

8. Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations. Heparin 5,000 units subcut daily

ANS: Heparin 5,000 units by subcutaneous injection daily

PTS: 1 MSC: General

TRUE/FALSE

1. A p.r.n. order must indicate the minimum time between dosages such as q4h.

ANS: T PTS: 1 MSC: General

2. The nurse is responsible for determining the times for a medication ordered t.i.d. at an institution.

ANS: F PTS: 1 MSC: General

3. Trailing zeros are necessary to avoid misinterpretation of a value.

ANS: F PTS: 1 MSC: General

4. The abbreviation OD should not be used to indicate right eye in a medication order.

ANS: T PTS: 1 MSC: General

5. To indicate a medication is to be administered every day, the recommended abbreviation is qd.

ANS: F PTS: 1 MSC: General