Practice Quiz

MACE Medication Assistant Exam Prep

Category - Process & Dispense

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A patient asks you to explain how to take her medication. The prescription is for esomeprazole (Nexium) 20 mg PO qi 1hr ac. The label reads: Take two capsules once a day 1 hour before mealtime by mouth. What is the error on the label?
  1. Only one 20mg capsule should be taken by mouth every day 1 hour before mealtime.
  2. Esomeprazole doesn’t come in a 20 mg dose.
  3. 2 capsules of esomeprazole should be taken twice daily for a total of 4 capsules-qi means 4, as in “quad.”
  4. Esomeprazole is only available in sublingual form.
Explanation
Answer: A − 20mg PO qi 1hr ac indicates one 20 mg capsule should be taken daily 1 hour before a meal. Esomeprazole is best taken about 1 hour before meals (or 2 hours after a meal) Statements B and D are false-esomeprazole is available in delayed release capsules of 20 and 40 mg. Statement C is also false-qi means every day.
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