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?

Hour of sleep (D) Signup and view all the answers

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

1.5 mL (C) Signup and view all the answers

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

> (D) Signup and view all the answers

What does 'OD' abbreviate in a medication prescription?

Right eye (B) Signup and view all the answers

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

500 U (C) Signup and view all the answers

What happens to a prescription without a termination date?

It remains in effect until the provider discontinues it or discharges the client. (C) Signup and view all the answers

Why do providers need to re-prescribe certain medications?

To avoid automatic discontinuation after a specific amount of time. (A) Signup and view all the answers

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

Providers or nurses who take verbal or telephone prescriptions from a provider. (D) Signup and view all the answers

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

Preoperative or preprocedural medications. (C) Signup and view all the answers

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

To ensure accurate medication administration. (A) Signup and view all the answers

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

The nurse writes the medication prescription on the client's medical record. (A) Signup and view all the answers

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

The time frame for the provider to sign the prescription. (C) Signup and view all the answers

What is an example of a one-time prescription?

Warfarin 5 mg PO at 1700. (C) Signup and view all the answers

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

To ensure the prescription is complete and correct (D) Signup and view all the answers

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

Client's name (D) Signup and view all the answers

Why should nurses use aids when taking a telephone prescription?

To ensure correct spelling of the medication (A) Signup and view all the answers

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

To ensure the prescription is accurate and complete (C) Signup and view all the answers

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

To identify potential allergic reactions to the medication (C) Signup and view all the answers

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

To track medication administration (C) Signup and view all the answers

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

To ensure the prescription is verified within the facility's policy specifications (D) Signup and view all the answers

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

To track client identification (C) Signup and view all the answers

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

Morphine (B) Signup and view all the answers

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

Having knowledge of federal, state, and local laws that govern medication administration (A) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

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

All of the above (D) Signup and view all the answers

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

To identify potential medication allergies (C) 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.