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