What does the abbreviation ACHS indicate in medication documentation?
every night at bedtime
before meals
hour of sleep
before meals and at bedtime
The Correct Answer is D
A. every night at bedtime: This is typically represented by the abbreviation HS or qHS, not ACHS. HS refers specifically to the time just before the client goes to sleep.
B. before meals: The abbreviation AC is used for administration before meals. It does not include the additional timing indicated by ACHS.
C. hour of sleep: The abbreviation HS indicates administration at the hour of sleep. ACHS extends beyond this single time point.
D. before meals and at bedtime: ACHS combines AC (before meals) with HS (hour of sleep), indicating the medication should be administered prior to meals and again at bedtime. This ensures the prescribed timing is maintained for optimal therapeutic effect.
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Related Questions
Correct Answer is D
Explanation
A. Capsule: A capsule contains medication enclosed in a gelatin shell, which may contain powder, liquid, or granules. It is not a liquid form dissolved in water or saline.
B. Syrup: A syrup is a sweetened liquid preparation containing medication dissolved in sugar and water. While liquid, it is typically used for taste masking and is not the standard term for a medication simply dissolved in water or saline.
C. Suspension: A suspension contains medication particles dispersed in a liquid but not fully dissolved. The particles may settle over time and require shaking before administration.
D. Solution: A solution is a homogeneous liquid preparation in which the medication is completely dissolved in a solvent such as water or saline. It allows for uniform dosing and immediate absorption when administered.
Correct Answer is D
Explanation
A. Ask a colleague to take over preparation when interrupted: Delegating can help maintain safety if the colleague is qualified, but frequent handoffs increase the risk of miscommunication and errors. The priority is to maintain focus during preparation rather than relying on multiple caregivers.
B. Prepare all medications at once to improve efficiency: Preparing multiple medications simultaneously increases the chance of confusion, incorrect labeling, or cross-contamination. Efficiency should never compromise accuracy or patient safety.
C. Continue preparation despite interruptions to maintain schedule: Working while distracted significantly increases the risk of medication errors, including wrong drug, dose, or route. Minimizing distractions is critical to ensure safe administration.
D. Complete preparation for one client at a time without distractions: Focusing on one client’s medications at a time allows the nurse to verify the five rights accurately and reduces errors caused by interruptions or multitasking. This approach aligns with best practices for medication safety.
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