Pharmacology Ch. 5
When phoning in a prescription, the allied health professional should ask the pharmacist to repeat the order.
True
When answering the phone for a prescription refill, which of the following information is not necessary to obtain from the patient?
What time the patient expects to pick the medication up from the pharmacy
Prescription blanks should be used for which of the following?
Writing prescriptions
Which of the following is not true?
The medication order should include the patient's name and address.
The illiterate patient and the patient who does not speak the common language may have adverse or toxic reactions from prescription and OTC medications.
True
The original standing order should have a physician's signature on record and should be used under specific conditions for specific procedures.
True
The patient must be told when medications should be taken.
True
The physician must always be able to access patient records for review prior to ordering medications for a patient. The allied health professional should make sure access to records is available.
True
The prescription is a legal document.
True
The protocol for calling a pharmacy with refills varies with each physician's office and by state statutes.
True
The purpose of a prescription is to control the amount of medications and the way a patient takes the medication.
True
The use of ® indicates that the trade name has been registered and belongs only to the one manufacturer.
True
Trademark (™) indicates that the trade name has been accepted by the FDA.
True
When a patient calls for a refill, asking how the therapy has either been helpful or aggravating will assist the physician in making a decision about the prescription.
True
Which of the following is necessary when administering medications?
-correct dosage -pt education related to the medications -possible adverse reactions
When documenting orders to the medical record, which of the following should be included?
-date and time of order -amount of medication ordered -medication strength -directions for taking the medication
Prescriptions may be written and signed on
-multiple blank forms -office stationery -computer generated forms -single blank forms
Prescriptions of medications other than Schedule II controlled substances may be
-verbally transferred by the medical office -written -electronically transferred
Which of the following is not true?
A verbal order may be documented at a later date, as long as the medication has been given when ordered.
Forgery of prescriptions is a difficult task so leaving prescription pads in the examination room is not a problem.
False
To give a medication
Administer
Which of the following documentation is correct for this medication order? Dr. Jones wants Mrs. Benton to have Benadryl 50 milligram capsules number 50 to be taken every four hours as needed for itching.
Benadryl 50 mg # 50 capsule one q4h prn itching
Interpret the following prescription. Digitoxin 0.25 mg Sig: tab i qd pc breakfast if pulse is above 60
Digitoxin 0.25 mg. Take one tablet after breakfast daily if pulse is above 60
Filling prescriptions to the physician's order
Dispense
Abbreviations are shortcuts in prescription writing and should be used as often as possible, including the use of abbreviations that are locally used but are not necessarily standard abbreviations.
False
Allied health professionals should assume that patients understand all drug information and, because of their busy schedules, do not need to allow time for questions from patients.
False
If a request for a medication refill is denied, the pharmacist should be the person who tells the patient, since the patient will go to the pharmacy to pick up the prescription.
False
If an allied health professional is unsure of the medication ordered verbally by the physician, he or she should proceed to administer the medication so that the patient will not doubt his or her background in pharmacology.
False
If the physician does not document the refills allowed, the allied health professional should assume the number of refills allowed and document this information for the physician prior to calling in the prescription.
False
If the physician has either a standing order or standard protocol, there are no contraindications to their use.
False
OTC medications are relatively safe because they do not cause adverse reactions or interact with prescription medications.
False
Prescription orders should be held to certain times of the day before calling the pharmacy, rather than calling in the prescription as soon as possible after it is obtained from the physician.
False
Prescription pads are good note pads.
False
Schedules II and III medications may be telephoned to the pharmacy.
False
The DEA number as well as the physician's address and phone number should appear on all prescriptions.
False
The NDC code indicates the drug and the manufacturer only.
False
The abbreviation NDC means "No drug consultation" is needed.
False
The expiration date only gives a date by which the medications must be dispensed; this date does not indicate the date that the medication must be discarded.
False
The labeling on OTC medications is the same as for legend drugs.
False
The pharmacy has no responsibility in patient education for compliance.
False
The sole responsibility in prescription correctness lies in the physician's hand.
False
To save money, using expired medications is permissible when inability to purchase new medications is present.
False
Verbal orders do not need documentation in the medical record.
False
When obtaining information for new prescriptions, asking about any new allergies since the last visit will not be helpful to the physician and will assist in decreasing adverse reactions to medications.
False
Which of the following is the correct documentation for the medication order? Flagyl five hundred milligram tablets; number fourteen; one tablet twice a day with meals for seven days
Flagyl 500 mg # 14 tab i bid c meals × 7 days
Specifies the name and the strength of the medication
Inscription
Interpret the following order. Lasix 20 mg tab i qd @ 9A and again at 3P prn edema
Lasix 20 mg one tablet each day at 9 in the morning and again at 3 in the afternoon if needed for edema
The line that makes the prescription a legal document
Physician's signature
To write an order for the patient to take at home
Prescribe
Tells the health care worker which drugs to administer to the patient
Medication order
When documenting prescription refills, which of the following is not important?
Refills are not documented because the medication refills are on the prescription.
Which of the following require a physician's signature?
Schedule II medications
Gives the directions for taking the medication
Signa
A request for a procedure that is routine for certain medical treatments under certain conditions
Standing orders
Gives pharmacists the directions for filling an order
Subscription
Uses, meaning "take thou"
Superscription
Which of the following is not true?
The physician is solely responsible for the administration of an ordered medication, whether this is a verbal order, a prescription, or a written order in the office.
The allied health professional should spend time with patients and other caregivers to ensure that medication needs are understood and to assist with patient compliance.
True
The allied health professional should tell the person calling for a prescription an approximate time that the prescription will be telephoned to the pharmacy.
True
The generic name is the official name.
True
Standard protocol is usually used for which of the following?
To give medications in the office
A means of logging phone calls for prescription refills or new prescriptions should be kept near the phone to assist in providing information for the physician and for meeting patient needs.
True
A medication label contains information about the drug's strength, form, and trade/generic name.
True
A patient should be taught to read the label of all medications before taking them and should never assume that the medication is correct without reading the label.
True
A standing order does not require a signature by the physician with each use.
True
Allied health professionals should spend time with patients discussing OTC medications to lower the chance of danger from self-treatment.
True
Any instructions given to the patient should be included in the medical record.
True
Copying a prescription before it leaves the clinical site is a safeguard for the physician, the pharmacist, and office personnel.
True
Drugstore hopping for prescriptions may be detrimental in patient care and medication compliance.
True
Herbal medications and OTC drugs, as well as prescription medications, being taken by a patient should be documented in the patient medical record to ensure safety in medication administration.
True
If a multiple-line prescription blank is used, all lines should either contain a medication or have a line drawn through the blank line.
True
If a patient is using a mail-order prescription service, a second prescription may be needed to obtain a supply of the medication until the mail supply arrives if necessary.
True
If a prescription is denied, the patient should be notified and given further follow-up instructions.
True
If sound-alike or look-alike medications are given using oral transmission, the allied health professional should ask the person receiving the order to spell the medication name.
True
If the physician has a certain time of day for phoning prescriptions to pharmacies, this information should be indicated to the patient.
True
Lot numbers are found on medication labels so that if the product is recalled, the patient can be notified and the medication removed from the point of sale.
True
Medication labels include generic names and trade names as applicable.
True
Medication orders are best given in writing.
True
Only standard abbreviations should be used when writing a prescription.
True
Prescription pads should be guarded at all times.
True
Prescriptions are given for medication administration at home, while medication orders are usually used in the clinical setting, such as hospitals or physicians offices.
True
Some medications have side effects that make using machinery dangerous.
True
Standard protocol should always be a signed group of orders.
True
Standing orders are assigned for use in many situations, and the allied health professional should easily know what the physician expects.
True
The Federal Trade Commission is responsible for the information found on OTC medication labels.
True
The allied health professional assists with prescription therapy by phoning prescription therapy and writing prescriptions for signature by the physician as appropriate by state statutes.
True
Interpret the following prescription. amoxicillin 250 mg/5 cc viii Sig: i tid ac
amoxicillin 250 mg/5 cc 8 ounces. Take one dram three times a day before meals
Interpret the following order. cyanocobalamin 1 mL SC stat and then q month
cyanocobalamin one milliliter by injection subcutaneously now and then once a month
Interpret the following order. ibuprofen 600 mg qid pc and hs prn muscle spasms
ibuprofen 600 mg by mouth four times a day with meals and at bedtime as needed for muscle spasms
Interpret the following order. meperidine 50 mg IM stat and repeat q4h prn pain
meperidine 50 mg in the muscle now and every four hours as needed for pain
