CALCULATING DRUG DOSAGES: p z p z
A Patient-Safe Approach to Nursing and Math
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2nd Edition p z
Castillo |Werner-McCullough
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TESTBANK z
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Test Bank
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Table of Contents: pz pz
I. Safety in Medication Administration
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Chapter 1. Safetyin Medication Administration
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Chapter 2. The Drug Label pz pz pz pz
II. Systems of Measurement
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Chapter 3. The Metric System pz pz pz pz
Chapter 4. The Household System pz pz pz pz
III. Methods of Calculation
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Chapter 5. Linear Ratio and Proportionpz pz pz pz pz
Chapter 6. Fractional Ratio and Proportion
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Chapter 7. Dimensional Analysis pz pz pz
Chapter 8. Formula Method pz pz pz
IV. Administration of Medications
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Chapter 9. Calculating Oral Medication Doses
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Chapter 10. Syringes and Needles pz pz pz pz
Chapter 11. Calculating Parenteral Medication Dosages
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Chapter 12. Preparing Powdered Parenteral Medications
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Chapter 13. Administration of Insulin pz pz pz pz
V. IV Therapy and Administration of Intravenous Medications
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Chapter 14. Intravenous Infusion and Infusion Rates
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Chapter 15. Calculating Infusion and Completion Time
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Chapter 16. Administering IV Push Medications
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VI. Verifying Safe Dose and Critical Care Calculations
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Chapter 17. Verifying Safe Dose pz pz pz pz
Chapter 18. Titration of Intravenous Medications
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VII. Intake and Outputpz pz pz
Chapter 19. Calculating Intake and Output
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Chapter20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and Older Adult Populations
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Chapter 21. Considerations for the Pediatric Patient
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Chapter 22. Considerations for the Older Adult
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,Castillo/Werner-McCullough:CalculatingDrugDosages, 2e z
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Chapter 1: Safety in Medication Administration
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Castillo:Calculating Drug Dosages: APatient-Safe Approach to Nursing and Math 2nd Edition
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MULTIPLE CHOICE pz
1. Thefollowing medication order is in the patient’s medication administration record (MAR):
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methylPREDnisolone 40 mg PO daily at 0900. pz pz pz pz pz pz
After reading the order, the nurse correctly determines:
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A ―PO‖is an inappropriate abbreviation. pz pz pz pz
B the medication order is written correctly. pz pz pz pz pz
C 40 mg should be written as 40mg. pz pz pz pz pz pz
D tall man lettering indicates that the drug is a narcotic. pz pz pz pz pz pz pz pz pz
ANS: B pz
Feedback
Themedication order has all the required components (drugname, dose, route, and
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frequencyof administration) for a drug order. ―PO‖ is an appropriate abbreviation; 40
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mg is written correctly with a space between the dose and the unit of measurement. Tall
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man lettering is used to distinguish the drug from another drug
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with a similar name. pz pz pz
2. Which of the following accuratelydescribes the ―Boxed Warning‖ found on a drug label?
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A It is primarily is used to identifythe safe dose for the patient. pz pz pz pz pz pz pz pz pz pz pz pz
B It is commonly found on all drug labels. pz pz pz pz pz pz pz
C It identifies serious potential risks and side effects related to drug use.
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D It protects the patient by providing information to decrease side effects.
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ANS: C pz
Feedback
A druglabel with a boxed warningprovides information to healthcare professionals and
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patients regarding the serious risks and side effects related to the drug. The Boxed
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Warning is not the primary source for identifying the patient’s drug dosage.
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Thewarningis found on specific prescription medications and does not provide
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information to reduce or decrease side effects.
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3. When practicingsafetyin the administration of medication, for which of the following
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medication orders should a nurse seek clarification before the administration of the
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medication?
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, Castillo/Werner-McCullough:CalculatingDrugDosages, 2e z
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A Regular insulin 5 u subcut now. pz pz pz pz pz
B Enoxaparin 80 mg subcut every12 hours. pz pz pz pz pz pz
C Benadryl 50 mg PO PRN every6 hr for itching. pz pz pz pz pz pz pz pz pz
D Ondansetron 4 mg IVP stat. pz pz pz pz
ANS: A pz
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the word ―units‖
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should be spelled out. The other answer options contain the required
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components needed to safely carryout the medication order. pz pz pz pz pz pz pz pz
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
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statements shows the nurse has a correct understanding of tall man letteringon a drug label?
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A ―The tall man lettering means this is a high alert drug.‖ pz pz pz pz pz pz pz pz pz pz
B ―The tall man lettering helps me distinguish this drug with other drugs that pz pz pz pz pz pz pz pz pz pz pz pz
have similar names.‖ pz pz
C ―The tall man lettering means that this drug must have a Boxed Warning.‖ pz pz pz pz pz pz pz pz pz pz pz pz
D ―The tall man lettering helps me quicklyidentify that this drug is an injectable pz pz pz pz pz pz pz pz pz pz pz pz pz
drug.‖
ANS: B pz
Feedback
Tall man letteringhighlights a portion of the drug name to help distinguish from similar
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drug names. It is not used to identify high alert drugs, highlight a boxed
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warning, or identifyinjectable drugs. pz pz pz pz
5. The following medication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide pz pz pz pz pz pz pz pz
25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg PO daily at
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0900.
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In readingthe medication orders for the 0700–1500 shift, the nurse determines that which of the
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following is the priority nursing intervention?
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A Clarifythe metformin HCl order. pz pz pz pz
B Clarifythe hydrochlorothiazide order. pz pz pz
C Clarifythe digoxin order. pz pz pz
D Prepare to administer the 0900 medications. pz pz pz pz pz
ANS: C pz
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