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