Test Bank for Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 5th Edition – Castillo & Werner-McCullough

TESTBANK l




CALCULATING DRUG DOSAGES: l l




A Patient-Safe Approach to Nursing and Math
l l l l l l




2nd Edition
l



Castillo | Werner-McCullough
l l




TESTBANK l

,Castillo/Werner-McCullough:lCalculatinglDruglDosages:lAlPatient-SafelApproachltolNursinglandlMath,,2el TestlBank

TableloflContents:
I. SafetylinlMedicationlAdministrationl Chapterl1.lS
afetylinlMedicationlAdministrationl Chapterl2.lThelDru
glLabel
II. SystemsloflMeasurementl Chapt
erl3.lThelMetriclSysteml Chapterl4.lThel
HouseholdlSystem
III. MethodsloflCalculation
Chapterl5.lLinearlRatiolandlProportionl Chapterl6.lFr
actionallRatiolandlProportionl Chapterl7.lDimensiona
llAnalysis
Chapterl8.lFormulalMethod
IV. AdministrationloflMedications
Chapterl9.lCalculatinglOrallMedicationlDosesl Chapter
l10.lSyringeslandlNeedles

Chapterl11.lCalculatinglParenterallMedicationlDosagesl Chapte
rl12.lPreparinglPowderedlParenterallMedicationsl Chapterl13.lA
dministrationloflInsulin
V. IVlTherapylandlAdministrationloflIntravenouslMedications
Chapterl14.lIntravenouslInfusionlandlInfusionlRatesl Chapterl15.lC
alculatinglInfusionlandlCompletionlTimel Chapterl16.lAdministering
lIVlPushlMedications

VI. VerifyinglSafelDoselandlCriticallCarelCalculations
Chapterl17.lVerifyinglSafelDose
Chapterl18.lTitrationloflIntravenouslMedications
VII. IntakelandlOutput
Chapterl19.lCalculatinglIntakelandlOutputl Chapterl20.l
CalculatinglParenterallIntake
VIII. DosageslforlPediatriclandlOlderlAdultlPopulations
Chapterl21.lConsiderationslforlthelPediatriclPatientl Chapterl22.lCo
nsiderationslforlthelOlderlAdult

,Castillo/Werner-McCullough:lCalculatinglDruglDosages,l2e



Chapterl1:lSafetylinlMedicationlAdministration
Castillo:lCalculatinglDruglDosages:lAlPatient-SafelApproachltolNursinglandlMathl2ndlEdition


MULTIPLElCHOICE

1. Thelfollowinglmedicationlorderlislinlthelpatient’slmedicationladministrationlrecordl(MAR):

methylPREDnisolonel40lmglPOldailylatl0900.

Afterlreadinglthelorder,lthelnurselcorrectlyldetermines:l A
“PO”lislanlinappropriatelabbreviation.
B thelmedicationlorderlislwrittenlcorrectly.l C
40lmglshouldlbelwrittenlasl40mg.
D talllmanlletteringlindicateslthatltheldruglislalnarcotic.

ANS:lB
Feedback
Thelmedicationlorderlhaslalllthelrequiredlcomponentsl(druglname,ldose,lroute,landl frequencylofl
administration)lforlaldruglorder.l“PO”lislanlappropriatelabbreviation;l 40lmglislwrittenlcorrectlylwit
hlalspacelbetweenltheldoselandlthelunitlofl measurement.lTalllmanlletteringlislusedltoldistinguishl
theldruglfromlanotherldrugl withlalsimilarlname.



2. Whichloflthelfollowinglaccuratelyldescribeslthel“BoxedlWarning”lfoundlonlaldrugllabel?l A
Itlislprimarilylislusedltolidentifylthelsafeldoselforlthelpatient.
B Itlislcommonlylfoundlonlallldrugllabels.
C Itlidentifieslseriouslpotentiallriskslandlsideleffectslrelatedltoldrugluse.l D
Itlprotectslthelpatientlbylprovidinglinformationltoldecreaselsideleffects.

ANS:lC
Feedback
Aldrugllabellwithlalboxedlwarninglprovideslinformationltolhealthcarelprofessionalsl andlpatientslr
egardinglthelseriouslriskslandlsideleffectslrelatedltoltheldrug.lThel BoxedlWarninglislnotlthelprim
arylsourcelforlidentifyinglthelpatient’sldrugldosage.l Thelwarninglislfoundlonlspecificlprescriptionl
medicationslandldoeslnotlprovidel informationltolreducelorldecreaselsideleffects.



3. Whenlpracticinglsafetylinltheladministrationloflmedication,lforlwhichloflthelfollowingl medicationlord
erslshouldlalnurselseeklclarificationlbeforeltheladministrationloflthel medication?




1

, Castillo/Werner-McCullough:lCalculatinglDruglDosages,l2e



A Regularlinsulinl5lulsubcutlnow.
B Enoxaparinl80lmglsubcutleveryl12lhours.
C Benadryll50lmglPOlPRNleveryl6lhrlforlitching.l D
Ondansetronl4lmglIVPlstat.

ANS:lA
Feedback
Thel“u”lshouldlneverlbelusedlinlalmedicationlorder;lrather,lforlsafety,lthelwordl “units”lshouldlb
elspelledlout.lThelotherlanswerloptionslcontainlthelrequiredl componentslneededltolsafelylcar
ryloutlthelmedicationlorder.



4. Alnurselislreviewinglaldrugllabellwithlaldruglnamelwrittenlwithltalllmanllettering.lWhichl statementslshowslt
helnurselhaslalcorrectlunderstandinglofltalllmanlletteringlonlaldrugllabel?l A
“Theltalllmanlletteringlmeanslthislislalhighlalertldrug.”
B “Theltalllmanlletteringlhelpslmeldistinguishlthisldruglwithlotherldrugslthatl havelsimilarl
names.”
C “TheltalllmanlletteringlmeanslthatlthisldruglmustlhavelalBoxedlWarning.”
D “Theltalllmanlletteringlhelpslmelquicklylidentifylthatlthisldruglislanlinjectablel drug.”

ANS:lB
Feedback
Talllmanlletteringlhighlightslalportionlofltheldruglnameltolhelpldistinguishlfroml similarldruglna
mes.lItlislnotlusedltolidentifylhighlalertldrugs,lhighlightlalboxedl warning,lorlidentifylinjectableld
rugs.



5. Thelfollowinglmedicationlorderslarelfoundlinlthelpatient’slMAR:

MetforminlHCll500lmglPOldailylatl0900.l Hydrochlorothiazidel25lmglP
Oleveryl12lhrlatl0900landl2100.l Digoxinl.25lmglPOldailylatl0900.

Inlreadinglthelmedicationlorderslforlthel0700–
1500lshift,lthelnurseldetermineslthatlwhichlofl thelfollowinglislthelprioritylnursinglintervention?
A ClarifylthelmetforminlHCllorder.
B Clarifylthelhydrochlorothiazidelorder.l C
Clarifyltheldigoxinlorder.
D

Prepareltoladministerlthel0900lmedications.l ANS:

l C


2