Pharmacology Ch. 5

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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


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