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