Chapter 47: Abbreviated Medication Names Quiz
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Questions and Answers

What does 'TIW' abbreviate in a medication prescription?

  • Three times a week (correct)
  • Take in water
  • Twice a day
  • Two in the morning
  • What is the correct way to write '500 micrograms' in a medication prescription?

  • 500 micro grams
  • 500.0 ug
  • 500 μg
  • 500 mcg (correct)
  • What should be used only for emergencies and follow facility protocol?

  • Verbal prescriptions
  • Electronic prescriptions
  • Written prescriptions
  • Telephone prescriptions (correct)
  • What does 'HS' abbreviate in a medication prescription?

    <p>Hour of sleep</p> Signup and view all the answers

    What is the correct way to write '1.5 milliliters' in a medication prescription?

    <p>1.5 mL</p> Signup and view all the answers

    What is the correct way to write 'greater than' in a medication prescription?

    <p>&gt;</p> Signup and view all the answers

    What does 'OD' abbreviate in a medication prescription?

    <p>Right eye</p> Signup and view all the answers

    What is the correct way to write 'five hundred units' in a medication prescription?

    <p>500 U</p> Signup and view all the answers

    What happens to a prescription without a termination date?

    <p>It remains in effect until the provider discontinues it or discharges the client.</p> Signup and view all the answers

    Why do providers need to re-prescribe certain medications?

    <p>To avoid automatic discontinuation after a specific amount of time.</p> Signup and view all the answers

    Who writes medication prescriptions on the client's medical record?

    <p>Providers or nurses who take verbal or telephone prescriptions from a provider.</p> Signup and view all the answers

    What is a single or one-time prescription used for?

    <p>Preoperative or preprocedural medications.</p> Signup and view all the answers

    What is the purpose of transcribing medication prescriptions onto the medication administration record (MAR)?

    <p>To ensure accurate medication administration.</p> Signup and view all the answers

    What happens when a nurse receives a verbal or telephone prescription from a provider?

    <p>The nurse writes the medication prescription on the client's medical record.</p> Signup and view all the answers

    What is specified by the facility's policy regarding medication prescriptions written by nurses?

    <p>The time frame for the provider to sign the prescription.</p> Signup and view all the answers

    What is an example of a one-time prescription?

    <p>Warfarin 5 mg PO at 1700.</p> Signup and view all the answers

    What is the purpose of reading back a telephone prescription to the provider?

    <p>To ensure the prescription is complete and correct</p> Signup and view all the answers

    What is an acceptable client identifier according to The Joint Commission?

    <p>Client's name</p> Signup and view all the answers

    Why should nurses use aids when taking a telephone prescription?

    <p>To ensure correct spelling of the medication</p> Signup and view all the answers

    What is the purpose of verifying a prescription with a second nurse?

    <p>To ensure the prescription is accurate and complete</p> Signup and view all the answers

    Why is it important to ask clients about allergies during medication administration?

    <p>To identify potential allergic reactions to the medication</p> Signup and view all the answers

    What is the purpose of a Medication Administration Record (MAR)?

    <p>To track medication administration</p> Signup and view all the answers

    Why is it important to have a specific timeline for verifying prescriptions?

    <p>To ensure the prescription is verified within the facility's policy specifications</p> Signup and view all the answers

    What is the purpose of using bar-code scanners to identify clients?

    <p>To track client identification</p> Signup and view all the answers

    Which of the following medications has a greater risk of misuse and dependence compared to phenobarbital?

    <p>Morphine</p> Signup and view all the answers

    What is a crucial aspect of a nurse's responsibility during medication administration?

    <p>Having knowledge of federal, state, and local laws that govern medication administration</p> Signup and view all the answers

    What is a critical aspect of a medication's classification?

    <p>All of the above</p> Signup and view all the answers

    What is a key component of a nurse's knowledge base regarding medications?

    <p>All of the above</p> Signup and view all the answers

    Why is it essential for nurses to conduct a physical examination before administering medications?

    <p>To identify potential medication allergies</p> Signup and view all the answers

    Study Notes

    Abbreviations and Symbols

    • MgSO4: magnesium sulfate
    • TIW: 3 times weekly
    • HS: hour of sleep or bedtime
    • SC/SQ: subcutaneously
    • IN: intranasal
    • u/IU: units
    • μ/mcg: microgram
    • x3d: times 3 days
    • cc: mL
    • &/+: and
    • / : per
    • AD/AS/AU: right ear, left ear, both ears
    • OD/OS/OU: right eye, left eye, both eyes
    • D/C: discharge or discontinue

    Medication Prescriptions

    • Providers must re-prescribe some medications (opioids and antibiotics) within a specific amount of time or they will automatically discontinue
    • Medication prescriptions must be written on the client's medical record
    • Facility's policy specifies how much time the provider has to sign the prescription

    Single or One-Time Prescriptions

    • A single or one-time prescription is for administration once at a specific time or as soon as possible
    • These prescriptions are common for preoperative or preprocedural medications

    Taking a Telephone Prescription

    • Only take telephone prescriptions when absolutely necessary
    • Ensure the prescription is complete and correct by reading it back to the provider
    • Verify the client's name, medication name, dosage, time to give, frequency, and route
    • Use aids to ensure correct spelling and state numbers separately

    Rights of Safe Medication Administration

    • Right client: verify clients' identification before each medication administration using two client identifiers (e.g. name, assigned identification number)
    • Right medication: correctly interpret medication prescriptions, verifying completeness and clarity

    Medication Nomenclature

    • A medication has multiple names: generic, chemical, and trade names.
    • Generic name: official or nonproprietary name given by the United States Adopted Names Council (e.g., acetaminophen).
    • Chemical name: a medication's chemical composition (e.g., N-acetyl-para-aminophenol).
    • Trade name: brand or proprietary name given by the manufacturer (e.g., Tylenol, Tempra).

    Toxic Effects and Interactions

    • Medications can have specific risks and manifestations of toxicity (e.g., gentamicin can cause hearing loss).
    • Interactions can occur between medications, resulting in beneficial or harmful effects (e.g., atenolol and nifedipine).
    • Medications can also interact with food, increasing or decreasing their effects.

    Prescriptions

    • Stat prescription: administration once and immediately (e.g., digoxin 0.125 mg IV bolus stat).
    • Now prescription: administration once, but up to 90 min from when the nurse received the prescription.

    Mechanism of Action and Therapeutic Effect

    • Mechanism of action: how the medication produces its therapeutic effect (e.g., glipizide stimulates pancreatic islet cells to release insulin).
    • Therapeutic effect: the expected effect (physiological response) for which the nurse administers the medication to a specific client (e.g., diphenhydramine to relieve allergies or induce sleep).

    Adverse Effects

    • Adverse effects: undesirable and potentially dangerous responses to a medication (e.g., inadvertent or predictable).

    Medication Classification

    • Medications are classified based on their pharmacological action, therapeutic use, body system target, chemical makeup, and classification for use during pregnancy (e.g., lisinopril: angiotensin-converting enzyme inhibitor and antihypertensive).

    Nurse Responsibilities

    • Nurses must have knowledge of federal, state, and local laws, and facilities' policies that govern the prescribing, dispensing, and administration of medications.
    • Nurses must prepare and administer medications, evaluate clients' responses, and develop and maintain an up-to-date knowledge base of medications they administer.

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    Description

    This quiz tests your knowledge of abbreviated medication names and their corresponding full names. Identify the correct full names for given abbreviations.

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