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Chapter 49 Chapter Medication Orders & Dosage Forms Q&A (FPGEE) (1 OF 45) Sample Questions

1. Nitroglycerin 0.4 mg #10: i SL prn CP. MR q5 min x 2, your label directions?

A. Dissolve under the tongue one tablet as needed for chest pain. May repeat every 5 minutes if chest pain persists, to a maximum of 2 additional doses.
B. Take Nitroglycerin 0.4 mg SL as needed and may repeat every 5 minutes if chest pain persists, to maximum of 2 doses.
C. Take nitroglycerin 0.4 mg SL as needed and may repeat every 5 minutes if chest pain persists, to minimum of 2 doses.
D. Give nitroglycerin 0.4 mg SL as needed and may repeat every 5 minutes if chest pain persists, to maximum of 2 doses.

Ans: A

Strategic thinking:
1. Read the question. Take note of the directions. You are asked to transcribe this to patient’s level.
2. Look for clues. Here, it should be SL. To ensure that drug will take effect, you must give the correct instruction to the patient. Know your dosage forms and how are they supposed to be administered. In this question, a subligual tablet is meant to dissolve under the tongue where they are intended to be absorbed. The word dissolve should appear on the label. All other options do not bear this term.
3. Therefore, the correct label is A.

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