Approach to Nursing and Math
2nd Edition by Castillo
Chapter 1 - 22 Complete
,Table of Contents:
o o
I.oSafetyoinoMedicationoAdministration
Chaptero1.oSafetyoinoMedicationoAdministration
Chaptero2.oTheoDrugoLabel
II.oSystemsoofoMeasurement
Chaptero3.oTheoMetricoSystem
Chaptero4.oTheoHouseholdoSystem
III.oMethodsoofoCalculation
Chaptero5.oLinearoRatiooandoProportion
Chaptero6.oFractionaloRatiooandoProportion
Chaptero7.oDimensionaloAnalysis
Chaptero8.oFormulaoMethod
IV.oAdministrationoofoMedications
Chaptero9.oCalculatingoOraloMedicationoDoses
Chaptero10.oSyringesoandoNeedles
Chaptero11.oCalculatingoParenteraloMedicationoDosages
Chaptero12.oPreparingoPowderedoParenteraloMedications
Chaptero13.oAdministrationoofoInsulin
V.oIVoTherapyoandoAdministrationoofoIntravenousoMedications
Chaptero14.oIntravenousoInfusionoandoInfusionoRates
Chaptero15.oCalculatingoInfusionoandoCompletionoTime
Chaptero16.oAdministeringoIVoPushoMedications
VI.oVerifyingoSafeoDoseoandoCriticaloCareoCalculations
Chaptero17.oVerifyingoSafeoDose
Chaptero18.oTitrationoofoIntravenousoMedications
VII.oIntakeoandoOutput
Chaptero19.oCalculatingoIntakeoandoOutput
Chaptero20.oCalculatingoParenteraloIntake
VIII.oDosagesoforoPediatricoandoOlderoAdultoPopulations
Chaptero21.oConsiderationsoforotheoPediatricoPatient
Chaptero22.oConsiderationsoforotheoOlderoAdult
,Castillo/Werner-
McCullough:oCalculatingoDrugoDosages,o2e
Chaptero1:oSafetyoinoMedicationoAdministration
Castillo:oCalculatingoDrugoDosages:oAoPatient-SafeoApproachotooNursingoandoMatho2ndoEdition
MULTIPLEoCHOICE
1. Theofollowingomedicationoorderoisoinotheopatient’somedicationoadministrationorecordo(MAR):
methylPREDnisoloneo40omgoPOodailyoato0900.
Afteroreadingotheoorder,otheonurseocorrectlyodetermines:
A “PO”oisoanoinappropriateoabbreviation.
B theomedicationoorderoisowrittenocorrectly.
C 40omgoshouldobeowrittenoaso40mg.
D tallomanoletteringoindicatesothatotheodrugoisoaonarcotic.
ANSWER:oB
Feedback
Theomedicationoorderohasoallotheorequiredocomponentso(drugoname,odose,oroute,oando
frequencyoofoadministration)oforoaodrugoorder.o“PO”oisoanoappropriateoabbreviation;o
40omgoisowrittenocorrectlyowithoaospaceobetweenotheodoseoandotheounitoofomeasurem
ent.oTallomanoletteringoisousedotoodistinguishotheodrugofromoanotherodrug
withoaosimilaroname.
2. Whichoofotheofollowingoaccuratelyodescribesotheo“BoxedoWarning”ofoundoonoaodrugolabel?
A Itoisoprimarilyoisousedotooidentifyotheosafeodoseoforotheopatient.
B Itoisocommonlyofoundoonoallodrugolabels.
C Itoidentifiesoseriousopotentialorisksoandosideoeffectsorelatedotoodrugouse.
D Itoprotectsotheopatientobyoprovidingoinformationotoodecreaseosideoeffects.
ANSWER:oC
Feedback
Aodrugolabelowithoaoboxedowarningoprovidesoinformationotoohealthcareoprofessionalso
andopatientsoregardingotheoseriousorisksoandosideoeffectsorelatedotootheodrug.oTheoBox
edoWarningoisonototheoprimaryosourceoforoidentifyingotheopatient’sodrugodosage.
Theowarningoisofoundoonospecificoprescriptionomedicationsoandodoesonotoprovideo
informationotooreduceoorodecreaseosideoeffects.
3. Whenopracticingosafetyoinotheoadministrationoofomedication,oforowhichoofotheofollowingo
medicationoordersoshouldoaonurseoseekoclarificationobeforeotheoadministrationoofotheom
edication?
1
, Castillo/Werner-
McCullough:oCalculatingoDrugoDosages,o2e
A Regularoinsulino5ouosubcutonow.
B Enoxaparino80omgosubcutoeveryo12ohours.
C Benadrylo50omgoPOoPRNoeveryo6ohroforoitching.
D Ondansetrono4omgoIVPostat.
ANSWER:oA
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Theo“u”oshouldoneverobeousedoinoaomedicationoorder;orather,oforosafety,otheowordo
“units”oshouldobeospelledoout.oTheootheroanswerooptionsocontainotheorequired
componentsoneededotoosafelyocarryooutotheomedicationoorder.
4. Aonurseoisoreviewingoaodrugolabelowithoaodrugonameowrittenowithotallomanolettering.oWhichost
atementsoshowsotheonurseohasoaocorrectounderstandingoofotallomanoletteringoonoaodrugolabel?
A “Theotallomanoletteringomeansothisoisoaohighoalertodrug.”
B “Theotallomanoletteringohelpsomeodistinguishothisodrugowithootherodrugsothat
haveosimilaronames.”
C “TheotallomanoletteringomeansothatothisodrugomustohaveoaoBoxedoWarning.”
D “Theotallomanoletteringohelpsomeoquicklyoidentifyothatothisodrugoisoanoinjectable
drug.”
ANSWER:oB
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Tallomanoletteringohighlightsoaoportionoofotheodrugonameotoohelpodistinguishofromo
similarodrugonames.o Itoisonotousedotooidentifyohighoalertodrugs,ohighlightoaoboxed
warning,ooroidentifyoinjectableodrugs.
5. Theofollowingomedicationoordersoareofoundoinotheopatient’soMAR:
MetforminoHClo500omgoPOodailyoato0900.oHydrochlorothiazi
deo25omgoPOoeveryo12ohroato0900oando2100.oDigoxino.25omgoP
Oodailyoato0900.
Inoreadingotheomedicationoordersoforotheo0700–
1500oshift,otheonurseodeterminesothatowhichoofotheofollowingoisotheopriorityonursingointerventi
on?
A ClarifyotheometforminoHCloorder.
B Clarifyotheohydrochlorothiazideoorder.
C Clarifyotheodigoxinoorder.
D Prepareotooadministerotheo0900omedications.
ANSWER:oC
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