Test Bank For Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 3rd Edition ( Castillo, 2024) All Chapters || Latest Edition

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,Chapter 1: Safety in Medication Administration
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Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 3rd Edition
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MULTIPLE CHOICE 6T




1. The following medication order is in the patient’s medication administration record (MAR):
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methylPREDnisolone 40 mg PO daily at 0900. 6T 6T 6T 6T 6T 6T




After 6T reading the order, the nurse correctly determines:
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A ―PO‖ is an inappropriate abbreviation.
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B the medication order is written correctly.
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C 40 mg should be written as 40mg.
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D tall man lettering indicates that the drug is a narcotic
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.

ANSWER: B 6T


Feedback
The medication order has all the required components (drug name, dose, route,
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andfrequency of administration) for a drug order. ―PO‖ is an appropriate abbrev
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iation;40 mg is written correctly with a space between the dose and the unit of
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Tmeasurement. Tall man lettering is used to distinguish the drug from another dr
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ug
with a similar name.
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2. Which 6T of the following accurately describes the ―Boxed Warning‖ found on a drug label?
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A It is primarily is used to identify the safe dose for the patient.
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B It is commonly found on all drug labels.
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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 effect
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s.

ANSWER: C 6T


Feedback
A drug label with a boxed warning provides information to healthcare professio
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nalsand patients regarding the serious risks and side effects related to the drug.
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The Boxed Warning is not the primary source for identifying the patient’s drug
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dosage.
The warning is found on specific prescription medications and does not pro
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videinformation to reduce or decrease side effects.
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3. When practicing safety in the administration of medication, for which of the follo
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wingmedication orders should a nurse seek clarification before the administration o
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f the medication?
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2

, A Regular insulin 5 u subcut now.6T 6T 6T 6T 6T


B Enoxaparin 80 mg subcut every 12 hours. 6T 6T 6T 6T 6T 6T


C Benadryl 50 mg PO PRN every 6 hr for itching
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.
D Ondansetron 4 mg IVP stat. 6T 6T 6T 6T




ANSWER: A 6T


Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
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word―units‖ should be spelled out. The other answer options contain the req
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uired
components needed to safely carry out the medication order.
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4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whi
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ch statements shows the nurse has a correct understanding of tall man lettering on a dru
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g label?
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A ―The tall man lettering means this is a high alert drug.‖
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B ―The tall man lettering helps me distinguish this drug with other drugs that
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have similar names.‖ 6T 6T


C ―The tall man lettering means that this drug must have a Boxed Warning.‖
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D ―The tall man lettering helps me quickly identify that this drug is an injectab
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le
drug.‖

ANSWER: B 6T


Feedback
Tall man lettering highlights a portion of the drug name to help distinguish f
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romsimilar drug names. It is not used to identify high alert drugs, highlight a
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boxed
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warning, or identify injectable drugs.
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5. The following medication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. Hydrochlorothia
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zide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25
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mg PO daily at 0900.
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In reading the medication orders for the 0700–
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1500 shift, the nurse determines that which ofthe following is the priority nursing interv
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ention?
A Clarify the metformin HCl order. 6T 6T 6T 6T


B Clarify the hydrochlorothiazide order. 6T 6T 6T




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