Test Bank For Calculating Drug Dosages A Patient-Safe Approach to Nursing and Math 2nd Edition by Castillo Chapter 1 - 22 Complete

Test Bank For Calculating Drug Dosages A Patient-
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Safe Approach to Nursing and Math
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2nd Edition by Castillo
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Chapter 1 - 22 Complete
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,Table of Contents:
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I.bSafetybinbMedicationbAdministration
Chapterb1.bSafetybinbMedicationbAdministration
Chapterb2.bThebDrugbLabel
II.bSystemsbofbMeasurement
Chapterb3.bThebMetricbSystem
Chapterb4.bThebHouseholdbSystem
III.bMethodsbofbCalculation
Chapterb5.bLinearbRatiobandbProportion
Chapterb6.bFractionalbRatiobandbProportion
Chapterb7.bDimensionalbAnalysis
Chapterb8.bFormulabMethod
IV.bAdministrationbofbMedications
Chapterb9.bCalculatingbOralbMedicationbDoses
Chapterb10.bSyringesbandbNeedles
Chapterb11.bCalculatingbParenteralbMedicationbDosages
Chapterb12.bPreparingbPowderedbParenteralbMedications
Chapterb13.bAdministrationbofbInsulin
V.bIVbTherapybandbAdministrationbofbIntravenousbMedications
Chapterb14.bIntravenousbInfusionbandbInfusionbRates
Chapterb15.bCalculatingbInfusionbandbCompletionbTime
Chapterb16.bAdministeringbIVbPushbMedications
VI.bVerifyingbSafebDosebandbCriticalbCarebCalculations
Chapterb17.bVerifyingbSafebDose
Chapterb18.bTitrationbofbIntravenousbMedications
VII.bIntakebandbOutput
Chapterb19.bCalculatingbIntakebandbOutput
Chapterb20.bCalculatingbParenteralbIntake
VIII.bDosagesbforbPediatricbandbOlderbAdultbPopulations
Chapterb21.bConsiderationsbforbthebPediatricbPatient
Chapterb22.bConsiderationsbforbthebOlderbAdult

,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e


prepared by stevesalvardo
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for any inquiry and further request e
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mail:


Chapterb1:bSafetybinbMedicationbAdministration
Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition


MULTIPLEbCHOICE

1. bThebfollowingbmedicationborderbisbinbthebpatient’sbmedicationbadministrationbrecordb(MAR):

methylPREDnisoloneb40bmgbPObdailybatb0900.

Afterbreadingbtheborder,bthebnursebcorrectlybdetermines:
A “PO”bisbanbinappropriatebabbreviation.
B thebmedicationborderbisbwrittenbcorrectly.
C 40bmgbshouldbbebwrittenbasb40mg.
D tallbmanbletteringbindicatesbthatbthebdrugbisbabnarcotic.

ANSWER:bB
Feedback
Thebmedicationborderbhasballbthebrequiredbcomponentsb(drugbname,bdose,broute,bandbf
requencybofbadministration)bforbabdrugborder.b“PO”bisbanbappropriatebabbreviation;b40
bmgbisbwrittenbcorrectlybwithbabspacebbetweenbthebdosebandbthebunit bofbmeasurement.b

Tallbmanbletteringbisbusedbtobdistinguishbthebdrugbfrombanotherbdrug
withbabsimilarbname.



2. Whichbofbthebfollowingbaccuratelybdescribesbtheb“BoxedbWarning”bfoundbonbabdrugblabel?
A Itbisbprimarilybisbusedbtobidentifybthebsafebdosebforbthebpatient.
B Itbisbcommonlybfoundbonballbdrugblabels.
C Itbidentifiesbseriousbpotentialbrisksbandbsidebeffectsbrelatedbtobdrugbuse.
D Itbprotectsbthebpatientbbybprovidingbinformationbtobdecreasebsidebeffects.

ANSWER:bC
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1

,Castillo/Werner-
McCullough: bCalculatingbDrugbDosages,b2e
Abdrug blabelbwithbabboxed bwarningbprovidesbinformationbtobhealthcarebprofessionalsba

ndbpatientsbregardingbthebseriousbrisksbandbsidebeffectsbrelatedbtobthebdrug.bThebBoxed
bWarningbisbnotbthebprimarybsourcebforbidentifyingbthebpatient’sbdrugbdosage.

Thebwarningbisbfoundbonbspecificbprescriptionbmedicationsbandbdoesbnotbprovidebi
nformationbtobreduceborbdecreasebsidebeffects.



3. Whenbpracticingbsafetybinbthebadministrationbofbmedication,bforbwhichbofbthebfollowingb
medicationbordersbshouldbabnursebseekbclarificationbbeforebthebadministrationbofbthebme
dication?




2

,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e

A Regularbinsulinb5bubsubcutbnow.
B Enoxaparinb80bmgbsubcutbeveryb12bhours.
C Benadrylb50bmgbPObPRNbeveryb6bhrbforbitching.
D Ondansetronb4bmgbIVPbstat.

ANSWER:bA
Feedback
Theb“u”bshouldbneverbbebusedbinbabmedicationborder;brather,bforbsafety,bthebwordb“
units”bshouldbbebspelledbout.bThebotherbanswerboptionsbcontainbthebrequired
componentsbneededbtobsafelybcarryboutbthebmedicationborder.



4. Abnursebisbreviewingbabdrugblabelbwithbabdrugbnamebwrittenbwithbtallbmanblettering.bWhichbstat
ementsbshowsbthebnursebhasbabcorrectbunderstandingbofbtallbmanbletteringbonbabdrugblabel?
A “Thebtallbmanbletteringbmeansbthisbisbabhighbalertbdrug.”
B “Thebtallbmanbletteringbhelpsbmebdistinguishbthisbdrugbwithbotherbdrugsbthat
havebsimilarbnames.”
C “ThebtallbmanbletteringbmeansbthatbthisbdrugbmustbhavebabBoxedbWarning.”
D “Thebtallbmanbletteringbhelpsbmebquicklybidentifybthatbthisbdrugbisbanbinjectable
drug.”

ANSWER:bB
Feedback
Tallbmanbletteringbhighlightsbabportionbofbthebdrugbnamebtobhelpbdistinguishbfrombs
imilarbdrugbnames.bItbisbnotbusedbtobidentifybhighbalertbdrugs,bhighlightbabboxed
warning,borbidentifybinjectablebdrugs.



5. Thebfollowingbmedicationbordersbarebfoundbinbthebpatient’sbMAR:

MetforminbHClb500bmgbPObdailybatb0900.bHydrochlorothiazid
eb25bmgbPObeveryb12bhrbatb0900bandb2100.bDigoxinb.25bmgbPOb
dailybatb0900.

Inbreadingbthebmedicationbordersbforbtheb0700–
1500bshift,bthebnursebdeterminesbthatbwhichbofbthebfollowingbisbthebprioritybnursingbinterventio
n?
A ClarifybthebmetforminbHClborder.
B Clarifybthebhydrochlorothiazideborder.
C Clarifybthebdigoxinborder.
D Preparebtobadministerbtheb0900bmedications.

ANSWER:bC

3

,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e


Feedback
Thebdigoxinbmedicationborderbisblackingbabzerobbeforebthebdecimalbfractionb(.25).bSaf
ebpracticebrecommendsbusingbabzerobbeforebabdecimalbpointbwhenbthebdosebisblessbthanb
one.bThebmetforminbHClbandbthebhydrochlorothiazidebordersbarebwritten
correctly.bTheborderbshouldbbebclarifiedbbeforebpreparingbtheb0900bmedications.



6. Inbthebadministrationbofbmedications,bwhenbshouldbthebnursebdocumentbthebadministrationbofb
medications?
A 30bminutesbbeforebadministeringbtobthebpatient.
B Immediatelybbeforebadministeringbtobthebpatient.
C Atbthebendbofbthebshift.
D Immediatelybafterbadministeringbtobthebpatient.

ANSWER:bD
Feedback
Theblastb“RightbofbMedicationbAdministration”bisbthebdocumentationbofbmedications.bTh
ebdocumentationbisbdonebimmediatelybafterbadministeringbthebmedicationsbtobthe
patient.



7. Thebfollowingbmedicationbisborderedbforbthebpatient:

CalcitriolbOralbSolutionb2bµgbPObDaily

Afterbreadingbtheborder,bwhatbisbthebinitialbactionbneededbbybthebnurse?
A Clarifybthebwrittenbmedicationbdosebofb2bµg.
B Lookbupbthebdosebinbabdrugbreferencebbook.
C TranscribebthebmedicationborderbontobthebMAR.
D Askbthebpatientbthebdailybdosebtakenbatbhome.

ANSWER:bA
Feedback
Thebinitialbactionbisbforbthebnursebtobclarifybthebdrugbdosebbecausebitbisbwrittenbwithbt
heberror-pronebletter/symbolb“µ.”bTobavoidbmedicationberrors,bitbisbrecommended
thatbtheb“µ”bnotbbebusedbinbmedicationborders.bInsteadbthebabbreviationb“mcg”bisbtobb
ebusedbforbmicrogram.



8. RecommendationsbbybthebInstitutebofbMedicinebforbreducingbmedicationberrorsbhelpbenhancebs
afebnursingbpracticebby:


4

,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e

A shiftingbprimarybresponsibilitybforbdrugbtherapybontobpatientsbandbfamilies.
B referringbpatientsbandbfamiliesbtobthebpharmacistbforbdrugbtherapybquestions.
C answeringbdrugbtherapybquestionsbwhenbabnewbprescriptionbisbordered.
D promotingbongoingbcommunicationbbetweenbpatientsbandbhealthcare
providers.

ANSWER:bD
Feedback
ThebInstitutebofbMedicinebrecommendationsbincludebthebestablishmentbofbcollaborati
vebpartnershipbbetweenbpatientsbandbhealthcarebprovidersbtobassistbinbeducating,bcons
ulting,bandblisteningbtobpatient’sbconcerns.bOngoingbcommunicationbbetweenbpatients
bandbhealthcarebprovidersbkeepsbthebfocusbonbthebneedsbofbthe

individualbpatientbandbpromotesbsafety.



9. Inbconsultingbabdrugbreferencebbook,bthebnursebreadsbthatbcertainbmedicationsbarebclassifiedbasb“
high-alert”bmedications.bInbthebadministrationbofbhigh-
alertbmedications,bwhatbisbthebprioritybactionbofbthebnurse?
A Informbthebpatientbofbthebharmfulbsidebeffects.
B Double-checkbthebdosebwithbanotherbnursebpriorbtobadministeringbthebdrug.
C Providebdrugbliteraturebtobthebfamilybtobassistbwithbmonitoringbforbharmful
effects.
D Seekbassistancebfrombthebpharmacistbtobexplainbthebeffectsbofbthebdrug.

ANSWER:bB
Feedback
High-
alertbmedicationsbhavebanbincreasedbriskbofbpatientbharm.bSafebpracticebinbthebadminist
rationbofbhigh-
alertbmedicationsbrequiresbthebnursebtobdoublebcheckbthebdosebwithbanotherbnursebprior
btobthebadministrationbofbthebdrug.bInformingbthebpatientbandbfamilybofbthebdrug’sbharm

fulbeffectsbmaybbebindicatedbforbsomebpatients,bbutbthebpreventionbofbabmedicationberro
rbisbcritical.bDrugbliteraturebmaybbebhelpfulbforbsomebfamilies,bbutbnotball.bThebnursebsh
ouldbseekbassistancebfrombthebpharmacistbwhenever
therebisbabquestion,bbutbthisbisbnotbspecificbforbhigh-alertbmedications.



10. Allbofbthebfollowingbmedicationbordersbarebfoundbinbabpatient’sbMAR.bSelectbthebmedicationbo
rderbthatbrequiresbclarificationbbeforebadministration.
A Captoprilb12.5bmgbPObatb0700bandb1700
B Regularbinsulinb7bunitsbsubcutb30bminutesbbeforebbreakfast.
C Ketorolacb15bmgbIMbstat
D Morphinebsulfateb45.0bmgbPObeveryb5bhrbforbpain.


5

,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e

ANSWER:bD
Feedback
Theborderedbdosebofbmorphinebsulfate,b45.0bmg,bhasbabtrailingbzero,bwhichbmaybleadbt
obanberrorbinbthebadministrationbofbtheborderedbdose.bThebmedicationbordersbforbcapto
pril,bRegularbinsulin,bandbketorolacbcontainbthebrequiredbcomponentsbofba
medicationborder.




6

, Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e


Chapter 2: The Drug Label
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Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition

MULTIPLEbCHOICE

1. Onbabhomebhealthbvisit,bthebnursebfindsbabdrugbbottlebwithbthebfollowingbinformationbonbthebla
bel:

Flagylb®
metronidazolebtabletsbUSP
250bmgbtablets

Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A Metronidazolebisbthebgenericbnamebofbthebdrug.
B Flagylbisbthebgenericbnamebofbthebdrug.
C “USP”bindicatesbabboxedbwarning.
D Thebsymbolb®bidentifiesbthebdrugbasbabhigh-alertbdrug.

ANSWER:bA
Feedback
Thebgenericbnamebisblistedbunderbthebbrandbname.bFlagylbisbthebbrandbname.bUSPbsta
ndsbforbUnitedbStatesbPharmacopeiabandbdoesbnotbindicatebabboxedbwarning.bThebsym
bolb®bisbfoundbnextbtobthebbrandbnamebandbindicatesbthatbthebdrugbnamebis
registeredbandbtrademarkbprotected.



2. Thebfollowingbinformationbisbonbthebdrugblabel:

DiazepambCIVb
Oralb Solutionb
5bmgbperb5bmL

Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A diazepambisbthebbrandbname.
B diazepambisbabcontrolledbsubstance.
C thebCIVbisbusedbtobidentifyboralbsolutionsbonbtheblabel.
D thebdrugbisbonbtheblistbofbConfusedbDrugbnames.

ANSWER:bB
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