TEST BANK i b b
CALCULATING DRUG DOSAGES: i b b i b b
bb bb bb bb bb bb
2nd Edition
ibb
bb Castillo | Werner-McCullough
i i
,Castillo/Werner-McCullough: Calculating Drug Dosages: APatient-SafeiApproach toiNursing and Math,,2e bb bb bb bb bb bb bb
Test Bank
bb bb
Table of Contents:
bb bb
I. Safetyin Medication Administration bb bb
Chapter 1.
bb b
SafetyiniMedicationiAdministration Chapter
b bb
2. The Drug Label
bb bb bb bb
II. Systemsiof Measurement bb
Chapter 3. The Metric System
bb bb bb bb bb
Chapter 4. The Household System
bb bb bb b bb
III. Methods of Calculation bb bb
Chapter 5. Linear Ratioand Proportion
bb bb bb bb
Chapter 6. Fractional Ratio and Proportion
bb bb bb bb bb bb
Chapter 7. DimensionaliAnalysis
bb bb bb
Chapter 8. Formula Methodbb bb bb
IV. Administration of Medications bb bb
Chapter 9. CalculatingiOral Medication Doses
bb bb bb bb
Chapter 10. Syringesand Needles
bb bb bb bb
Chapter 11. CalculatingiParenteral Medication Dosages
bb bb bb bb
Chapter 12. Preparing Powdered Parenteral Medications
bb bb bb bb bb bb
Chapter 13. Administration of Insulin
bb bb bb bb bb
V. IVTherapyand Administration of Intravenous Medications bb bb bb bb
Chapter 14. Intravenous Infusionand Infusion Rates
bb bb bb bb bb
Chapter 15. CalculatingiInfusionand Completion Time
bb b bb b bb
Chapter 16. AdministeringiIV Push Medications
bb bb bb bb bb
VI. Verifying SafeiDoseiand CriticaliCareiCalculations bb bb
Chapter 17. Verifying SafeiDose
bb bb bb
Chapter 18. Titrationiof Intravenous Medications
bb bb bb bb
VII. Intakeiand Output bb
Chapter 19. CalculatingiIntakeandiOutput
b b
Chapter 20. CalculatingiParenteral Intake
bb bb bb bb
VIII. Dosagesfor Pediatricand Older AdultiPopulations bb bb bb
Chapter 21. Considerations forthe Pediatric Patient
bb bb bb bb bb bb
Chapter 22. Considerations forthe Older Adult
bb bb bb bb bb bb
,Castillo/Werner-McCullough: bbCalculating bbDrug bbDosages,
2e
Chapteri1: SafetyiniMedication Administration
bb bb
Castillo: CalculatingiDrugiDosages: APatient-Safe Approachto Nursingand Math 2nd Edition
bb bb bb bb bb bb bb
MULTIPLECHOICE
1. Theifollowingimedication orderisinthepatient’s medicationadministrationrecord(MAR):
bb bb
methylPREDnisolone 40 mgiPOidaily at 0900. bb bb bb bb
Afterreadingitheiorder, thenurseicorrectlydetermines: bb
A ―PO‖is an inappropriateabbreviation.
b b b b
B themedicationiorderiswrittenicorrectly.
C 40 mgshouldbewritten asi40mg.
bb bb
D tallmaniletteringindicates thatthedrugiisanarcotic. bb
bb ANS: B bb
Feedback
Theimedicationorderhasalltheirequiredcomponents (drugname, dose, route, bb bb bb
andifreq
bb uencyofadministration)
bb foraidrugorder.―PO‖ is an bb bb bb
appropriateabbreviation;40
bb mgis bb
writtencorrectlywithiaspacebetweenitheidoseandtheunitofmeasurement. Tall manil
bb bb bb
etteringiis usedtoidistinguish thedrugfromanotherdrug
bb bb bb
withasimilarname.
2. Whichoftheifollowingiaccuratelydescribesithe―Boxed Warning‖ foundonadrugilabel? bb bb
A Itiis primarilyisuseditoidentifythesafeidoseforthepatient.
b b
B It is commonlyfoundon allidruglabels.
bb bb bb
C It identifies seriouspotentialrisksandsideieffects relatedtodruguse.
bb bb bb
D It protects thepatient byprovidinginformationtoidecreasesideeffects.
bb bb bb
bb ANS: C bb
Feedback
Adrugilabelwithaboxedwarningprovidesinformationtohealthcareiprofessionalsand
patients regardingitheiserious risks andsideieffects related toitheidrug. The Boxed
bb bb bb bb bb bb bb bb
Warn ingisnottheprimarysourceforidentifyingthepatient’s drugdosage.
bb bb bb
Theiwarningisifoundonispecificprescriptionmedications anddoesnotprovideinf bb
ormationtoreduceordecreasesideeffects.
bb
3. Whenipracticingsafetyin theadministrationofmedication, forwhichofthefollowingme
bb bb
dicationiordersshouldanurseiseekclarificationibefore theadministrationoftheimedicatio
bb bb
n?bb
1
, Castillo/Werner-McCullough: bbCalculating bbDrug bbDosages,
2e
A Regularinsulin 5 usubcutnow. bb bb
B Enoxaparini80 mgisubcutevery12 hours.bb bb
C Benadryl 50img POPRNevery6ihrforitching.
bb bb
D Ondansetron 4 mgiIVPstat. bb bb
bb ANS: A bb
Feedback
Thei―u‖ shouldneverbeusedinamedicationiorder; rather,iforsafety, theword―uni
bb bb bb
ts‖ shouldbespelledout. Theotheransweroptionscontaintherequired
bb bb bb
b componentsneededtosafelycarryouttheimedicationorder.
b
4. Anurseisreviewingiadruglabelwithadruginamewrittenwithtallmanlettering. Whichstateme bb
bntsshowsitheinursehasacorrectiunderstandingoftall manletteringoniaidrugilabel?
b bb
A ―Thetallmanletteringmeansthisisahighialert drug.‖ b b
B ―Thetallmanletteringhelpsmedistinguish thisidrugwithiotherdrugsithat bb
havesimilarnames.‖ bb
C ―Thetallmanletteringmeansthatithisdrugimust havea Boxed Warning.‖ bb bb bb
D ―Thetallmanletteringhelpsmequicklyidentifythat this drugisian injectable bb bb bb
drug.‖ bb
ANS: B bb
Feedback
Tallmanletteringhighlightsiaiportionoftheidrugnametohelpdistinguish fromsimi bb
lardruginames. It is notiusedtoidentifyhighialertdrugs, highlightaboxed
b b bb bb bb bb
warning, oridentifyinjectable drugs.bb bb
5. Theifollowingimedication ordersarefoundintheipatient’s MAR: bb bb
Metformin HCl 500 mg POidaily at
bb 0900. bb bb bb bb bb
Hydrochlorothiazide 25 mg PO every 12 hrat 0900 and
bb bb bb bb bb bb bb bb bb
2100.iDigoxini.25 mg PO daily at 0900.
bb bb bb bb bb bb
In readingitheimedication ordersforthe 0700–
bb bb bb
1500 shift, thenursedetermines thatwhichofthefollowingiisthe priority nursingintervention?
bb bb bb bb bb
A Clarifythemetformin HClorder. bb
B Clarifythehydrochlorothiazide order. bb
C Clarifythedigoxin order. bb
D Prepareitoadministerthei0900 medications. b
bb ANS: C bb
2
CALCULATING DRUG DOSAGES: i b b i b b
bb bb bb bb bb bb
2nd Edition
ibb
bb Castillo | Werner-McCullough
i i
,Castillo/Werner-McCullough: Calculating Drug Dosages: APatient-SafeiApproach toiNursing and Math,,2e bb bb bb bb bb bb bb
Test Bank
bb bb
Table of Contents:
bb bb
I. Safetyin Medication Administration bb bb
Chapter 1.
bb b
SafetyiniMedicationiAdministration Chapter
b bb
2. The Drug Label
bb bb bb bb
II. Systemsiof Measurement bb
Chapter 3. The Metric System
bb bb bb bb bb
Chapter 4. The Household System
bb bb bb b bb
III. Methods of Calculation bb bb
Chapter 5. Linear Ratioand Proportion
bb bb bb bb
Chapter 6. Fractional Ratio and Proportion
bb bb bb bb bb bb
Chapter 7. DimensionaliAnalysis
bb bb bb
Chapter 8. Formula Methodbb bb bb
IV. Administration of Medications bb bb
Chapter 9. CalculatingiOral Medication Doses
bb bb bb bb
Chapter 10. Syringesand Needles
bb bb bb bb
Chapter 11. CalculatingiParenteral Medication Dosages
bb bb bb bb
Chapter 12. Preparing Powdered Parenteral Medications
bb bb bb bb bb bb
Chapter 13. Administration of Insulin
bb bb bb bb bb
V. IVTherapyand Administration of Intravenous Medications bb bb bb bb
Chapter 14. Intravenous Infusionand Infusion Rates
bb bb bb bb bb
Chapter 15. CalculatingiInfusionand Completion Time
bb b bb b bb
Chapter 16. AdministeringiIV Push Medications
bb bb bb bb bb
VI. Verifying SafeiDoseiand CriticaliCareiCalculations bb bb
Chapter 17. Verifying SafeiDose
bb bb bb
Chapter 18. Titrationiof Intravenous Medications
bb bb bb bb
VII. Intakeiand Output bb
Chapter 19. CalculatingiIntakeandiOutput
b b
Chapter 20. CalculatingiParenteral Intake
bb bb bb bb
VIII. Dosagesfor Pediatricand Older AdultiPopulations bb bb bb
Chapter 21. Considerations forthe Pediatric Patient
bb bb bb bb bb bb
Chapter 22. Considerations forthe Older Adult
bb bb bb bb bb bb
,Castillo/Werner-McCullough: bbCalculating bbDrug bbDosages,
2e
Chapteri1: SafetyiniMedication Administration
bb bb
Castillo: CalculatingiDrugiDosages: APatient-Safe Approachto Nursingand Math 2nd Edition
bb bb bb bb bb bb bb
MULTIPLECHOICE
1. Theifollowingimedication orderisinthepatient’s medicationadministrationrecord(MAR):
bb bb
methylPREDnisolone 40 mgiPOidaily at 0900. bb bb bb bb
Afterreadingitheiorder, thenurseicorrectlydetermines: bb
A ―PO‖is an inappropriateabbreviation.
b b b b
B themedicationiorderiswrittenicorrectly.
C 40 mgshouldbewritten asi40mg.
bb bb
D tallmaniletteringindicates thatthedrugiisanarcotic. bb
bb ANS: B bb
Feedback
Theimedicationorderhasalltheirequiredcomponents (drugname, dose, route, bb bb bb
andifreq
bb uencyofadministration)
bb foraidrugorder.―PO‖ is an bb bb bb
appropriateabbreviation;40
bb mgis bb
writtencorrectlywithiaspacebetweenitheidoseandtheunitofmeasurement. Tall manil
bb bb bb
etteringiis usedtoidistinguish thedrugfromanotherdrug
bb bb bb
withasimilarname.
2. Whichoftheifollowingiaccuratelydescribesithe―Boxed Warning‖ foundonadrugilabel? bb bb
A Itiis primarilyisuseditoidentifythesafeidoseforthepatient.
b b
B It is commonlyfoundon allidruglabels.
bb bb bb
C It identifies seriouspotentialrisksandsideieffects relatedtodruguse.
bb bb bb
D It protects thepatient byprovidinginformationtoidecreasesideeffects.
bb bb bb
bb ANS: C bb
Feedback
Adrugilabelwithaboxedwarningprovidesinformationtohealthcareiprofessionalsand
patients regardingitheiserious risks andsideieffects related toitheidrug. The Boxed
bb bb bb bb bb bb bb bb
Warn ingisnottheprimarysourceforidentifyingthepatient’s drugdosage.
bb bb bb
Theiwarningisifoundonispecificprescriptionmedications anddoesnotprovideinf bb
ormationtoreduceordecreasesideeffects.
bb
3. Whenipracticingsafetyin theadministrationofmedication, forwhichofthefollowingme
bb bb
dicationiordersshouldanurseiseekclarificationibefore theadministrationoftheimedicatio
bb bb
n?bb
1
, Castillo/Werner-McCullough: bbCalculating bbDrug bbDosages,
2e
A Regularinsulin 5 usubcutnow. bb bb
B Enoxaparini80 mgisubcutevery12 hours.bb bb
C Benadryl 50img POPRNevery6ihrforitching.
bb bb
D Ondansetron 4 mgiIVPstat. bb bb
bb ANS: A bb
Feedback
Thei―u‖ shouldneverbeusedinamedicationiorder; rather,iforsafety, theword―uni
bb bb bb
ts‖ shouldbespelledout. Theotheransweroptionscontaintherequired
bb bb bb
b componentsneededtosafelycarryouttheimedicationorder.
b
4. Anurseisreviewingiadruglabelwithadruginamewrittenwithtallmanlettering. Whichstateme bb
bntsshowsitheinursehasacorrectiunderstandingoftall manletteringoniaidrugilabel?
b bb
A ―Thetallmanletteringmeansthisisahighialert drug.‖ b b
B ―Thetallmanletteringhelpsmedistinguish thisidrugwithiotherdrugsithat bb
havesimilarnames.‖ bb
C ―Thetallmanletteringmeansthatithisdrugimust havea Boxed Warning.‖ bb bb bb
D ―Thetallmanletteringhelpsmequicklyidentifythat this drugisian injectable bb bb bb
drug.‖ bb
ANS: B bb
Feedback
Tallmanletteringhighlightsiaiportionoftheidrugnametohelpdistinguish fromsimi bb
lardruginames. It is notiusedtoidentifyhighialertdrugs, highlightaboxed
b b bb bb bb bb
warning, oridentifyinjectable drugs.bb bb
5. Theifollowingimedication ordersarefoundintheipatient’s MAR: bb bb
Metformin HCl 500 mg POidaily at
bb 0900. bb bb bb bb bb
Hydrochlorothiazide 25 mg PO every 12 hrat 0900 and
bb bb bb bb bb bb bb bb bb
2100.iDigoxini.25 mg PO daily at 0900.
bb bb bb bb bb bb
In readingitheimedication ordersforthe 0700–
bb bb bb
1500 shift, thenursedetermines thatwhichofthefollowingiisthe priority nursingintervention?
bb bb bb bb bb
A Clarifythemetformin HClorder. bb
B Clarifythehydrochlorothiazide order. bb
C Clarifythedigoxin order. bb
D Prepareitoadministerthei0900 medications. b
bb ANS: C bb
2