TEST BANK x#
CALCULATING DRUG DOSAGES A PATIENT-SAFE APPROACH TO NURSING AND MATH
x# x# x# x# x# x# x# x# x#
ANDRA LUZ MARTINEZ DE CASTILLO AND MARYANNE WERNER-MCCULLOUGH
x# x# x# x# x# x# x#
2nd Edition
x#
TESTBANK #
x
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient- x# x# x# x# x#
Safe Approach to Nursing and Math,,2e Test Bank
x# x# x# x# x# x# x#
Table of Contents: x# x#
I. Safety in Medication Administration Cha
x# x# x# x#
pter 1. Safety in Medication Administration Ch
x# x# x# x# x# x#
apter 2. The Drug Label
x# x# x# x#
II. Systems of Measurement Ch x# x# x#
apter 3. The Metric System Chap
x# x# x# x# x#
ter 4. The Household System
x# x# x# x#
III. Methods of Calculation x# x#
Chapter 5. Linear Ratio and Proportion Chap
x# x# x# x# x# x#
ter 6. Fractional Ratio and Proportion Chapter
x# x# x# x# x# x# x#
7. Dimensional Analysis
x# x#
Chapter 8. Formula Method x# x# x#
IV. Administration of Medications x# x#
Chapter 9. Calculating Oral Medication Doses
x# x# x# x# x# x
#Chapter 10. Syringes and Needles x# x# x# x#
Chapter 11. Calculating Parenteral Medication Dosage
x# x# x# x# x#
s Chapter 12. Preparing Powdered Parenteral Medicatio
x# x# x# x# x# x#
ns Chapter 13. Administration of Insulin
x# x# x# x# x#
V. IV Therapy and Administration of Intravenous Medications
x# x# x# x# x# x#
Chapter 14. Intravenous Infusion and Infusion Rates Cha
x# x# x# x# x# x# x#
pter 15. Calculating Infusion and Completion Time Chapt
x# x# x# x# x# x# x#
er 16. Administering IV Push Medications
x# x# x# x# x#
VI. Verifying Safe Dose and Critical Care Calculations x# x# x# x# x# x#
Chapter 17. Verifying Safe Dosex# x# x# x#
Chapter 18. Titration of Intravenous Medications
x# x# x# x# x#
VII. Intake and Output x# x#
Chapter 19. Calculating Intake and Output Ch
x# x# x# x# x# x#
apter 20. Calculating Parenteral Intake
x# x# x# x#
VIII. Dosages for Pediatric and Older Adult Populations x# x# x# x# x# x#
Chapter 21. Considerations for the Pediatric Patient Chapt
x# x# x# x# x# x# x#
er 22. Considerations for the Older Adult
x# x# x# x# x# x#
,Castillo/Werner-
McCullough:x # Calculatingx # Drugx # Dosages,x # 2e
Chapter 1: Safety in Medication Administration
x# x# x# x# x#
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
x# x# x# x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. The following medication order is in the patient’s medication administration record (MAR):
x# x# x# x# x# x# x# x# x# x# x#
methylPREDnisolone 40 mg PO daily at 0900. x# x# x# x# x# x#
After reading the order, the nurse correctly determines:
x# x# x# x# x# x# x#
A “PO” is an inappropriate abbreviation. x# x# x# x#
B the medication order is written correctly.
x# x# x# x# x#
C 40 mg should be written as 40mg. x# x# x# x# x# x#
D tall man lettering indicates that the drug is a narcoti
x# x# x# x# x# x# x# x# x#
c. ANS: B
x# x#
Feedback
The medication order has all the required components (drug name, dose, route, and
x# x# x# x# x# x# x# x# x# x# x# x# x
frequency of administration) for a drug order. “PO” is an appropriate abbreviation;
# x# x# x# x# x# x# x# x# x# x# x#
40 mg is written correctly with a space between the dose and the unit of measur
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ement. Tall man lettering is used to distinguish the drug from another drug with a
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
similar name.
x# x#
2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
x# x# x# x# x# x# x# x# x# x# x# x# x#
A It is primarily is used to identify the safe dose for the patient.
x# x# x# x# x# x# x# x# x# x# x# x#
B It is commonly found on all drug labels.
x# x# x# x# x# x# x#
C It identifies serious potential risks and side effects related to drug use.
x# x# x# x# x# x# x# x# x# x# x#
D It protects the patient by providing information to decrease side effect
x# x# x# x# x# x# x# x# x# x#
s. ANS: C
x# x#
Feedback
A drug label with a boxed warning provides information to healthcare professional
x# x# x# x# x# x# x# x# x# x# x#
s and patients regarding the serious risks and side effects related to the drug. The
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
Boxed Warning is not the primary source for identifying the patient’s drug dosag
x# x# x# x# x# x# x# x# x# x# x# x#
e. The warning is found on specific prescription medications and does not provid
x# x# x# x# x# x# x# x# x# x# x# x#
e information to reduce or decrease side effects.
x# x# x# x# x# x# x#
3. When practicing safety in the administration of medication, for which of the followin
x# x# x# x# x# x# x# x# x# x# x# x#
g medication orders should a nurse seek clarification before the administration of t
x# x# x# x# x# x# x# x# x# x# x# x#
he medication?
x#
1
, Castillo/Werner-
McCullough:x # Calculatingx # Drugx # Dosages,x # 2e
A Regular insulin 5 u subcut now. x# x# x# x# x#
B Enoxaparin 80 mg subcut every 12 hours. x# x# x# x# x# x#
C Benadryl 50 mg PO PRN every 6 hr for itching.
x# x# x# x# x# x# x# x# x#
D Ondansetron 4 mg IVP stat. x# x# x# x#
x# ANS: A x#
Feedback
The “u” should never be used in a medication order; rather, for safety, the word “u
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
nits” should be spelled out. The other answer options contain the required compo
x# x# x# x# x# x# x# x# x# x# x# x#
nents needed to safely carry out the medication order.
x# x# x# x# x# x# x# x#
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whic
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
h statements shows the nurse has a correct understanding of tall man lettering on a drug la
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
bel?
A “The tall man lettering means this is a high alert drug.”
x# x# x# x# x# x# x# x# x# x#
B “The tall man lettering helps me distinguish this drug with other drugs th
x# x# x# x# x# x# x# x# x# x# x# x#
at have similar names.” x# x# x#
C “The tall man lettering means that this drug must have a Boxed Warning.”
x# x# x# x# x# x# x# x# x# x# x# x#
D “The tall man lettering helps me quickly identify that this drug is an injectab
x# x# x# x# x# x# x# x# x# x# x# x# x#
le drug.” x#
ANS: B x#
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fro
x# x# x# x# x# x# x# x# x# x# x# x# x#
m similar drug names. It is not used to identify high alert drugs, highlight a
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
boxed warning, or identify injectable drugs.
x# x# x# x# x#
5. The following medication orders are found in the patient’s MAR:
x# x# x# x# x# x# x# x# x#
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazi
x# x# x# x# x# x# x# x#
de 25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg P
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
O daily at 0900.
x# x# x#
In reading the medication orders for the 0700–
x# x# x# x# x# x# x#
1500 shift, the nurse determines that which of the following is the priority nursing interve
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ntion?
A Clarify the metformin HCl order. x# x# x# x#
B Clarify the hydrochlorothiazide order. x# x# x#
C Clarify the digoxin order. x# x# x#
D Prepare to administer the 0900 medications. x# x# x# x# x#
x# ANS: C x#
2
CALCULATING DRUG DOSAGES A PATIENT-SAFE APPROACH TO NURSING AND MATH
x# x# x# x# x# x# x# x# x#
ANDRA LUZ MARTINEZ DE CASTILLO AND MARYANNE WERNER-MCCULLOUGH
x# x# x# x# x# x# x#
2nd Edition
x#
TESTBANK #
x
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient- x# x# x# x# x#
Safe Approach to Nursing and Math,,2e Test Bank
x# x# x# x# x# x# x#
Table of Contents: x# x#
I. Safety in Medication Administration Cha
x# x# x# x#
pter 1. Safety in Medication Administration Ch
x# x# x# x# x# x#
apter 2. The Drug Label
x# x# x# x#
II. Systems of Measurement Ch x# x# x#
apter 3. The Metric System Chap
x# x# x# x# x#
ter 4. The Household System
x# x# x# x#
III. Methods of Calculation x# x#
Chapter 5. Linear Ratio and Proportion Chap
x# x# x# x# x# x#
ter 6. Fractional Ratio and Proportion Chapter
x# x# x# x# x# x# x#
7. Dimensional Analysis
x# x#
Chapter 8. Formula Method x# x# x#
IV. Administration of Medications x# x#
Chapter 9. Calculating Oral Medication Doses
x# x# x# x# x# x
#Chapter 10. Syringes and Needles x# x# x# x#
Chapter 11. Calculating Parenteral Medication Dosage
x# x# x# x# x#
s Chapter 12. Preparing Powdered Parenteral Medicatio
x# x# x# x# x# x#
ns Chapter 13. Administration of Insulin
x# x# x# x# x#
V. IV Therapy and Administration of Intravenous Medications
x# x# x# x# x# x#
Chapter 14. Intravenous Infusion and Infusion Rates Cha
x# x# x# x# x# x# x#
pter 15. Calculating Infusion and Completion Time Chapt
x# x# x# x# x# x# x#
er 16. Administering IV Push Medications
x# x# x# x# x#
VI. Verifying Safe Dose and Critical Care Calculations x# x# x# x# x# x#
Chapter 17. Verifying Safe Dosex# x# x# x#
Chapter 18. Titration of Intravenous Medications
x# x# x# x# x#
VII. Intake and Output x# x#
Chapter 19. Calculating Intake and Output Ch
x# x# x# x# x# x#
apter 20. Calculating Parenteral Intake
x# x# x# x#
VIII. Dosages for Pediatric and Older Adult Populations x# x# x# x# x# x#
Chapter 21. Considerations for the Pediatric Patient Chapt
x# x# x# x# x# x# x#
er 22. Considerations for the Older Adult
x# x# x# x# x# x#
,Castillo/Werner-
McCullough:x # Calculatingx # Drugx # Dosages,x # 2e
Chapter 1: Safety in Medication Administration
x# x# x# x# x#
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 2nd Edition
x# x# x# x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. The following medication order is in the patient’s medication administration record (MAR):
x# x# x# x# x# x# x# x# x# x# x#
methylPREDnisolone 40 mg PO daily at 0900. x# x# x# x# x# x#
After reading the order, the nurse correctly determines:
x# x# x# x# x# x# x#
A “PO” is an inappropriate abbreviation. x# x# x# x#
B the medication order is written correctly.
x# x# x# x# x#
C 40 mg should be written as 40mg. x# x# x# x# x# x#
D tall man lettering indicates that the drug is a narcoti
x# x# x# x# x# x# x# x# x#
c. ANS: B
x# x#
Feedback
The medication order has all the required components (drug name, dose, route, and
x# x# x# x# x# x# x# x# x# x# x# x# x
frequency of administration) for a drug order. “PO” is an appropriate abbreviation;
# x# x# x# x# x# x# x# x# x# x# x#
40 mg is written correctly with a space between the dose and the unit of measur
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ement. Tall man lettering is used to distinguish the drug from another drug with a
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
similar name.
x# x#
2. Which of the following accurately describes the “Boxed Warning” found on a drug label?
x# x# x# x# x# x# x# x# x# x# x# x# x#
A It is primarily is used to identify the safe dose for the patient.
x# x# x# x# x# x# x# x# x# x# x# x#
B It is commonly found on all drug labels.
x# x# x# x# x# x# x#
C It identifies serious potential risks and side effects related to drug use.
x# x# x# x# x# x# x# x# x# x# x#
D It protects the patient by providing information to decrease side effect
x# x# x# x# x# x# x# x# x# x#
s. ANS: C
x# x#
Feedback
A drug label with a boxed warning provides information to healthcare professional
x# x# x# x# x# x# x# x# x# x# x#
s and patients regarding the serious risks and side effects related to the drug. The
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
Boxed Warning is not the primary source for identifying the patient’s drug dosag
x# x# x# x# x# x# x# x# x# x# x# x#
e. The warning is found on specific prescription medications and does not provid
x# x# x# x# x# x# x# x# x# x# x# x#
e information to reduce or decrease side effects.
x# x# x# x# x# x# x#
3. When practicing safety in the administration of medication, for which of the followin
x# x# x# x# x# x# x# x# x# x# x# x#
g medication orders should a nurse seek clarification before the administration of t
x# x# x# x# x# x# x# x# x# x# x# x#
he medication?
x#
1
, Castillo/Werner-
McCullough:x # Calculatingx # Drugx # Dosages,x # 2e
A Regular insulin 5 u subcut now. x# x# x# x# x#
B Enoxaparin 80 mg subcut every 12 hours. x# x# x# x# x# x#
C Benadryl 50 mg PO PRN every 6 hr for itching.
x# x# x# x# x# x# x# x# x#
D Ondansetron 4 mg IVP stat. x# x# x# x#
x# ANS: A x#
Feedback
The “u” should never be used in a medication order; rather, for safety, the word “u
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
nits” should be spelled out. The other answer options contain the required compo
x# x# x# x# x# x# x# x# x# x# x# x#
nents needed to safely carry out the medication order.
x# x# x# x# x# x# x# x#
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whic
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
h statements shows the nurse has a correct understanding of tall man lettering on a drug la
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
bel?
A “The tall man lettering means this is a high alert drug.”
x# x# x# x# x# x# x# x# x# x#
B “The tall man lettering helps me distinguish this drug with other drugs th
x# x# x# x# x# x# x# x# x# x# x# x#
at have similar names.” x# x# x#
C “The tall man lettering means that this drug must have a Boxed Warning.”
x# x# x# x# x# x# x# x# x# x# x# x#
D “The tall man lettering helps me quickly identify that this drug is an injectab
x# x# x# x# x# x# x# x# x# x# x# x# x#
le drug.” x#
ANS: B x#
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fro
x# x# x# x# x# x# x# x# x# x# x# x# x#
m similar drug names. It is not used to identify high alert drugs, highlight a
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
boxed warning, or identify injectable drugs.
x# x# x# x# x#
5. The following medication orders are found in the patient’s MAR:
x# x# x# x# x# x# x# x# x#
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazi
x# x# x# x# x# x# x# x#
de 25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg P
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
O daily at 0900.
x# x# x#
In reading the medication orders for the 0700–
x# x# x# x# x# x# x#
1500 shift, the nurse determines that which of the following is the priority nursing interve
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ntion?
A Clarify the metformin HCl order. x# x# x# x#
B Clarify the hydrochlorothiazide order. x# x# x#
C Clarify the digoxin order. x# x# x#
D Prepare to administer the 0900 medications. x# x# x# x# x#
x# ANS: C x#
2