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