QUESTIONS| WITH COMPLETE SOLUTION
Drug names Correct Answer: Chemical name: precise description of drug chemical composition
(N-acetyl-para-aminophenol)
Generic name: identifies the drug's active ingredient (acetaminophen)
Trade name: brand name (Tylenol)
Pill Correct Answer: Mixture of a powdered drug with a cohesive material; may be round or
oval
Tablet Correct Answer: Small, solid dose of medication, compressed or molded
Capsule Correct Answer: powder or gel form active drug enclosed in gelatinous container
Enteric coated Correct Answer: pill or tablet coated to prevent stomach irritation. Don't crush!
Extended release Correct Answer: Allows for slow, continuous release over predetermined
period.
Other names:
-CR (controlled release)
-SR(sustained release)
-LA(long lasting)
Don't crush!
Medication orders Correct Answer: No medication may be given to a patient without a
medication order from a licensed practitioner. Follow only written orders or orders entered in the
computer system.
Verbal orders Correct Answer: From physician only given in emergency situations
Medication reconciliation Correct Answer: Process of specifying medications and maintaining a
current, accurate list of medications the patient is receiving.
What pt took at home vs new orders, vs orders after surgery vs orders in critical care area ettc.
Routine order Correct Answer: Carried out as specified until cancelled by another order.
Ex: prednisone 60 mg p.o. once daily for 3 days
Standing order Correct Answer: Specified set of orders for particular situation.
Ex: orthopedic surgeon has standing orders for all total hip replacement pts.
, PRN (As Needed) order Correct Answer: pt receives med when requested or required. Ex: pain
medications or nausea relief. Follow time limits (example: morphine 2 mg IV q 2 hours p.r.n.
severe pain; give only if 2 hours after last dose).
On-time order Correct Answer: Only given once ex. a laxative suppository
STAT order Correct Answer: One-time order, but given immediately.
Ex: a bronchodilator ordered stat for a patient having an asthma attack.
Parts of medication order Correct Answer: 1. Pt name.
2. Date and time order written.
3. Name of drug to be administered.
4. Dosage of drug.
5. Route by which drug to be administered.
6. Frequency of administration.
7. Signature of health care provider writing order.
Parts of med order Correct Answer: NAME: all order sheet labeled; careful if pt with same
name on division.
DATE/TIME: be clear asa to start/stop time; e.g., narcotic orders expire after 3 days
DRUG NAME: generic most common
DOSAGE: metric system; should be specific (furosemide 40 mg)
ROUTE: must be clearly stated; some drugs can be given in more than one way; other may be
used through only one route
FREQUENCY: standardized times; military time; administer within 30 minutes before or after
ordered time; preoperative meds must be given on time
Legal issues arising from drug administration Correct Answer: Nurses are LEGALLY
responsible for the drugs they administer. You are the last safeguard protecting the patient from
harm.
"I am concerned about this order because..."
6 rights Correct Answer: Right medication
Right dose
Right patient
Right Route
Right Time
Right Documentation
Right medication Correct Answer: Compare drug label with medication administration record 3
times.