The next 5 questions are about Scenario 2. 

Scenario 5 A 72-year-old patient is admitted with a respiratory infection. A verbal medication order is phoned to the unit and documented as “Amoxicillin 500 mg PO q1d.” A newly hired medical assistant notices that the abbreviation appears on the Joint Commission’s “Do Not Use” list and is concerned that the order could be interpreted incorrectly. Before administering the medication, the assistant consults the supervising nurse and contacts the prescriber for clarification.  Which required component of a medication order would be missing if the order simply stated “Amoxicillin 500 mg PO”?

Scenario 3  A patient with hypertension receives a prescription for lisinopril. When picking up the medication, the patient notices the bottle contains a different name than expected and becomes concerned that the pharmacy made an error. The pharmacist explains that the medication dispensed is a generic equivalent. The patient asks whether the medication will work the same way as the brand-name version. Which explanation best addresses the patient’s concern?

Scenario 8  A medical assistant prepares to administer a medication ordered for intramuscular injection. When reviewing the electronic order, she notices the dose appears much higher than commonly prescribed. The order is poorly written, and the patient has never received this medication before. The assistant pauses before administration and contacts the prescribing provider for clarification. Which medication administration right is most directly being evaluated?

Scenario 1 A clinic receives a shipment of a newly marketed medication for chronic pain. During a review of the packaging, a health sciences intern notices that the product label lists the active ingredient and dosage but does not include a National Drug Code (NDC) number. The supervising provider explains that the medication was recently approved by the FDA and has undergone testing for safety and effectiveness. A patient asks why drug approval takes so long. The absence of an NDC number on the label should lead the intern to conclude that:

Scenario 6 A mother is preparing to give her 6-year-old child a liquid antibiotic prescribed at 5 mL twice daily. She tells the clinic staff that she plans to use a kitchen teaspoon because she cannot find the measuring device provided by the pharmacy. When asked to demonstrate the dose, she fills the spoon nearly to the top and reports that she estimates the amount each time. The health care provider recognizes a potential medication administration problem and provides additional education. Which measurement system is most appropriate for medication dosing in modern health care settings?

The next 5 questions are for Scenario 5.  

Scenario 3 A patient with hypertension receives a prescription for lisinopril. When picking up the medication, the patient notices the bottle contains a different name than expected and becomes concerned that the pharmacy made an error. The pharmacist explains that the medication dispensed is a generic equivalent. The patient asks whether the medication will work the same way as the brand-name version. Under which circumstance might a physician specify “dispense as written” (DAW)?

Case Scenario The nurse is caring for a 74-year-old client admitted from a long-term care facility. The client has had poor oral intake for several days and is increasingly confused. Assessment Findings: BP: 98/56 mmHg HR: 110 bpm Dry mucous membranes Intense thirst Restlessness Laboratory Results: Sodium: 156 mEq/L (135-145)  The nurse reviews the client’s assessment findings and laboratory results. Which nursing action is most appropriate?

Which measurement is the best indicator of fluid status?