Test Bank Complete_
Calculating Drug Dosages: A Patient-Safe Approach To Nursing And Math 3rd Edition, (2024)
By Sandra Luz Martinez De Castillo & Maryanne Werner-Mccullough
All Chapters 1-22| 8 Units| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT ONE. SAFETY IN MEDICATION ADMINISTRATION ---------------------------------------------------- 3
Chapter 1: Safety In Medication Administration ---------------------------------------------------------------------3
Chapter 2: The Drug Label -------------------------------------------------------------------------------------------------9
UNIT TWO. SYSTEMS OF MEASUREMENT ------------------------------------------------------------------- 20
Chapter 3: The Metric System ------------------------------------------------------------------------------------------ 20
Chapter 4: The Household System ------------------------------------------------------------------------------------- 29
UNIT THREE. METHODS OF CALCULATION------------------------------------------------------------------- 35
Chapter 5: Linear Ratio And Proportion ------------------------------------------------------------------------------ 35
Chapter 6: Fractional Ratio And Proportion ------------------------------------------------------------------------- 46
Chapter 7: Dimensional Analysis --------------------------------------------------------------------------------------- 59
Chapter 8: Formula Method --------------------------------------------------------------------------------------------- 71
UNIT FOUR. ADMINISTRATION OF MEDICATIONS --------------------------------------------------------- 84
Chapter 9: Calculating Oral Medication Doses --------------------------------------------------------------------- 84
Chapter 10: Syringes And Needles ------------------------------------------------------------------------------------- 96
Chapter 11: Calculating Parenteral Medication Doses --------------------------------------------------------- 107
Chapter 12: Preparing Powdered Parenteral Medication ----------------------------------------------------- 120
Chapter 13: Administration Of Insulin ------------------------------------------------------------------------------ 136
UNIT FIVE. IV THERAPY AND ADMINISTRATION OF INTRAVENOUS MEDICATIONS ------------ 149
Chapter 14: Intravenous Infusion And Infusion Rate ----------------------------------------------------------- 149
Chapter 15: Calculating Infusion And Completion Time ------------------------------------------------------- 161
Chapter 16: Administering IV Push Medications ----------------------------------------------------------------- 172
UNIT SIX. TITRATION AND VERIFYING SAFE DOSE ------------------------------------------------------- 191
Chapter 17: Titration Of Intravenous Medications -------------------------------------------------------------- 191
Chapter 18: Verifying Safe Dose -------------------------------------------------------------------------------------- 205
UNIT SEVEN. INTAKE AND OUTPUT ------------------------------------------------------------------------- 222
Chapter 19: Calculating Input And Output------------------------------------------------------------------------- 222
Chapter 20: Parenteral Intake ---------------------------------------------------------------------------------------- 237
UNIT EIGHT. DOSAGES FOR PEDIATRIC AND OLDER ADULT POPULATIONS ---------------------- 251
Chapter 21: Considerations For The Pediatric Population ----------------------------------------------------- 251
Chapter 22: Considerations For The Older Adult Population ------------------------------------------------- 266
,UNIT ONE. SAFETY IN MEDICATION ADMINISTRATION
Chapter 1: Safety In Medication Administration
Sandra Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math Third Edition, (2024) Test Bank
MULTIPLE CHOICE
1. The Following Medication Order Is In The Patient’s Medication Administration
Record (MAR):
Methylprednisolone 40 Mg PO Daily At 0900.
After Reading The Order, The Nurse Correctly Determines:
A “PO” Is An Inappropriate Abbreviation.
B The Medication Order Is Written Correctly.
C 40 Mg Should Be Written As 40mg.
D Tall Man Lettering Indicates That The Drug Is A Narcotic.
ANS: B
Feedback
The Medication Order Has All The Required Components (Drug Name, Dose, Route,
And Frequency Of Administration) For A Drug Order. “PO” Is An Appropriate
Abbreviation; 40 Mg Is Written Correctly With A Space Between The Dose And The
Unit Of Measurement. Tall Man Lettering Is Used To Distinguish The Drug From
Another Drug With A Similar Name.
2. Which Of The Following Accurately Describes The “Boxed Warning” Found On A
Drug Label?
A It Is Primarily Is Used To Identify The Safe Dose For The Patient.
B It Is Commonly Found On All Drug Labels.
C It Identifies Serious Potential Risks And Side Effects Related To Drug Use.
,D It Protects The Patient By Providing Information To Decrease Side Effects.
ANS: C
Feedback
A Drug Label With A Boxed Warning Provides Information To Healthcare Professionals
And Patients Regarding The Serious Risks And Side Effects Related To The Drug. The
Boxed Warning Is Not The Primary Source For Identifying The Patient’s Drug Dosage.
The Warning Is Found On Specific Prescription Medications And Does Not Provide
Information To Reduce Or Decrease Side Effects.
3. When Practicing Safety In The Administration Of Medication, For Which Of The
Following Medication Orders Should A Nurse Seek Clarification Before The
Administration Of The Medication?
A Regular Insulin 5 U Subcut Now.
B Enoxaparin 80 Mg Subcut Every 12 Hours.
C Benadryl 50 Mg PO PRN Every 6 Hr For Itching.
D Ondansetron 4 Mg IVP Stat.
ANS: A
Feedback
The “U” Should Never Be Used In A Medication Order; Rather, For Safety, The Word
“Units” Should Be Spelled Out. The Other Answer Options Contain The Required
Components Needed To Safely Carry Out The Medication Order.
4. A Nurse Is Reviewing A Drug Label With A Drug Name Written With Tall Man
Lettering. Which Statements Shows The Nurse Has A Correct Understanding Of Tall
Man Lettering On A Drug Label?
,A “The Tall Man Lettering Means This Is A High Alert Drug.”
B “The Tall Man Lettering Helps Me Distinguish This Drug With Other Drugs That
Have Similar Names.”
C “The Tall Man Lettering Means That This Drug Must Have A Boxed Warning.”
D “The Tall Man Lettering Helps Me Quickly Identify That This Drug Is An
Injectable Drug.”
ANS: B
Feedback
Tall Man Lettering Highlights A Portion Of The Drug Name To Help Distinguish From
Similar Drug Names. It Is Not Used To Identify High Alert Drugs, Highlight A Boxed
Warning, Or Identify Injectable Drugs.
5. The Following Medication Orders Are Found In The Patient’s MAR:
Metformin Hcl 500 Mg PO Daily At 0900. Hydrochlorothiazide 25 Mg PO Every 12
Hr At 0900 And 2100. Digoxin .25 Mg PO Daily At 0900.
In Reading The Medication Orders For The 0700–1500 Shift, The Nurse Determines
That Which Of The Following Is The Priority Nursing Intervention?
A Clarify The Metformin Hcl Order.
B Clarify The Hydrochlorothiazide Order.
C Clarify The Digoxin Order.
D Prepare To Administer The 0900 Medications.
ANS: C
Feedback
,The Digoxin Medication Order Is Lacking A Zero Before The Decimal Fraction (.25).
Safe Practice Recommends Using A Zero Before A Decimal Point When The Dose Is
Less Than One. The Metformin Hcl And The Hydrochlorothiazide Orders Are Written
Correctly. The Order Should Be Clarified Before Preparing The 0900 Medications.
6. In The Administration Of Medications, When Should The Nurse Document The
Administration Of Medications?
A 30 Minutes Before Administering To The Patient.
B Immediately Before Administering To The Patient.
C At The End Of The Shift.
D Immediately After Administering To The Patient.
ANS: D
Feedback
The Last “Right Of Medication Administration” Is The Documentation Of Medications.
The Documentation Is Done Immediately After Administering The Medications To The
Patient.
7. The Following Medication Is Ordered For The Patient:
Calcitriol Oral Solution 2 µg PO Daily
After Reading The Order, What Is The Initial Action Needed By The Nurse?
A Clarify The Written Medication Dose Of 2 µg.
B Look Up The Dose In A Drug Reference Book.
C Transcribe The Medication Order Onto The MAR.
D Ask The Patient The Daily Dose Taken At Home.
ANS: A
Feedback
, The Initial Action Is For The Nurse To Clarify The Drug Dose Because It Is Written
With The Error-Prone Letter/Symbol “µ.” To Avoid Medication Errors, It Is
Recommended
That The “µ” Not Be Used In Medication Orders. Instead The Abbreviation “Mcg” Is To
Be Used For Microgram.
8. Recommendations By The Institute Of Medicine For Reducing Medication Errors Help
Enhance Safe Nursing Practice By:
A Shifting Primary Responsibility For Drug Therapy Onto Patients And Families.
B Referring Patients And Families To The Pharmacist For Drug Therapy Questions.
C Answering Drug Therapy Questions When A New Prescription Is Ordered.
D Promoting Ongoing Communication Between Patients And Healthcare
Providers.
ANS: D
Feedback
The Institute Of Medicine Recommendations Include The Establishment Of
Collaborative Partnership Between Patients And Healthcare Providers To Assist In
Educating, Consulting, And Listening To Patient’s Concerns. Ongoing Communication
Between Patients And Healthcare Providers Keeps The Focus On The Needs Of The
Individual Patient And Promotes Safety.
9. In Consulting A Drug Reference Book, The Nurse Reads That Certain Medications
Are Classified As “High-Alert” Medications. In The Administration Of High-Alert
Medications, What Is The Priority Action Of The Nurse?
A Inform The Patient Of The Harmful Side Effects.
B Double-Check The Dose With Another Nurse Prior To Administering The Drug.
Calculating Drug Dosages: A Patient-Safe Approach To Nursing And Math 3rd Edition, (2024)
By Sandra Luz Martinez De Castillo & Maryanne Werner-Mccullough
All Chapters 1-22| 8 Units| Latest Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT ONE. SAFETY IN MEDICATION ADMINISTRATION ---------------------------------------------------- 3
Chapter 1: Safety In Medication Administration ---------------------------------------------------------------------3
Chapter 2: The Drug Label -------------------------------------------------------------------------------------------------9
UNIT TWO. SYSTEMS OF MEASUREMENT ------------------------------------------------------------------- 20
Chapter 3: The Metric System ------------------------------------------------------------------------------------------ 20
Chapter 4: The Household System ------------------------------------------------------------------------------------- 29
UNIT THREE. METHODS OF CALCULATION------------------------------------------------------------------- 35
Chapter 5: Linear Ratio And Proportion ------------------------------------------------------------------------------ 35
Chapter 6: Fractional Ratio And Proportion ------------------------------------------------------------------------- 46
Chapter 7: Dimensional Analysis --------------------------------------------------------------------------------------- 59
Chapter 8: Formula Method --------------------------------------------------------------------------------------------- 71
UNIT FOUR. ADMINISTRATION OF MEDICATIONS --------------------------------------------------------- 84
Chapter 9: Calculating Oral Medication Doses --------------------------------------------------------------------- 84
Chapter 10: Syringes And Needles ------------------------------------------------------------------------------------- 96
Chapter 11: Calculating Parenteral Medication Doses --------------------------------------------------------- 107
Chapter 12: Preparing Powdered Parenteral Medication ----------------------------------------------------- 120
Chapter 13: Administration Of Insulin ------------------------------------------------------------------------------ 136
UNIT FIVE. IV THERAPY AND ADMINISTRATION OF INTRAVENOUS MEDICATIONS ------------ 149
Chapter 14: Intravenous Infusion And Infusion Rate ----------------------------------------------------------- 149
Chapter 15: Calculating Infusion And Completion Time ------------------------------------------------------- 161
Chapter 16: Administering IV Push Medications ----------------------------------------------------------------- 172
UNIT SIX. TITRATION AND VERIFYING SAFE DOSE ------------------------------------------------------- 191
Chapter 17: Titration Of Intravenous Medications -------------------------------------------------------------- 191
Chapter 18: Verifying Safe Dose -------------------------------------------------------------------------------------- 205
UNIT SEVEN. INTAKE AND OUTPUT ------------------------------------------------------------------------- 222
Chapter 19: Calculating Input And Output------------------------------------------------------------------------- 222
Chapter 20: Parenteral Intake ---------------------------------------------------------------------------------------- 237
UNIT EIGHT. DOSAGES FOR PEDIATRIC AND OLDER ADULT POPULATIONS ---------------------- 251
Chapter 21: Considerations For The Pediatric Population ----------------------------------------------------- 251
Chapter 22: Considerations For The Older Adult Population ------------------------------------------------- 266
,UNIT ONE. SAFETY IN MEDICATION ADMINISTRATION
Chapter 1: Safety In Medication Administration
Sandra Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math Third Edition, (2024) Test Bank
MULTIPLE CHOICE
1. The Following Medication Order Is In The Patient’s Medication Administration
Record (MAR):
Methylprednisolone 40 Mg PO Daily At 0900.
After Reading The Order, The Nurse Correctly Determines:
A “PO” Is An Inappropriate Abbreviation.
B The Medication Order Is Written Correctly.
C 40 Mg Should Be Written As 40mg.
D Tall Man Lettering Indicates That The Drug Is A Narcotic.
ANS: B
Feedback
The Medication Order Has All The Required Components (Drug Name, Dose, Route,
And Frequency Of Administration) For A Drug Order. “PO” Is An Appropriate
Abbreviation; 40 Mg Is Written Correctly With A Space Between The Dose And The
Unit Of Measurement. Tall Man Lettering Is Used To Distinguish The Drug From
Another Drug With A Similar Name.
2. Which Of The Following Accurately Describes The “Boxed Warning” Found On A
Drug Label?
A It Is Primarily Is Used To Identify The Safe Dose For The Patient.
B It Is Commonly Found On All Drug Labels.
C It Identifies Serious Potential Risks And Side Effects Related To Drug Use.
,D It Protects The Patient By Providing Information To Decrease Side Effects.
ANS: C
Feedback
A Drug Label With A Boxed Warning Provides Information To Healthcare Professionals
And Patients Regarding The Serious Risks And Side Effects Related To The Drug. The
Boxed Warning Is Not The Primary Source For Identifying The Patient’s Drug Dosage.
The Warning Is Found On Specific Prescription Medications And Does Not Provide
Information To Reduce Or Decrease Side Effects.
3. When Practicing Safety In The Administration Of Medication, For Which Of The
Following Medication Orders Should A Nurse Seek Clarification Before The
Administration Of The Medication?
A Regular Insulin 5 U Subcut Now.
B Enoxaparin 80 Mg Subcut Every 12 Hours.
C Benadryl 50 Mg PO PRN Every 6 Hr For Itching.
D Ondansetron 4 Mg IVP Stat.
ANS: A
Feedback
The “U” Should Never Be Used In A Medication Order; Rather, For Safety, The Word
“Units” Should Be Spelled Out. The Other Answer Options Contain The Required
Components Needed To Safely Carry Out The Medication Order.
4. A Nurse Is Reviewing A Drug Label With A Drug Name Written With Tall Man
Lettering. Which Statements Shows The Nurse Has A Correct Understanding Of Tall
Man Lettering On A Drug Label?
,A “The Tall Man Lettering Means This Is A High Alert Drug.”
B “The Tall Man Lettering Helps Me Distinguish This Drug With Other Drugs That
Have Similar Names.”
C “The Tall Man Lettering Means That This Drug Must Have A Boxed Warning.”
D “The Tall Man Lettering Helps Me Quickly Identify That This Drug Is An
Injectable Drug.”
ANS: B
Feedback
Tall Man Lettering Highlights A Portion Of The Drug Name To Help Distinguish From
Similar Drug Names. It Is Not Used To Identify High Alert Drugs, Highlight A Boxed
Warning, Or Identify Injectable Drugs.
5. The Following Medication Orders Are Found In The Patient’s MAR:
Metformin Hcl 500 Mg PO Daily At 0900. Hydrochlorothiazide 25 Mg PO Every 12
Hr At 0900 And 2100. Digoxin .25 Mg PO Daily At 0900.
In Reading The Medication Orders For The 0700–1500 Shift, The Nurse Determines
That Which Of The Following Is The Priority Nursing Intervention?
A Clarify The Metformin Hcl Order.
B Clarify The Hydrochlorothiazide Order.
C Clarify The Digoxin Order.
D Prepare To Administer The 0900 Medications.
ANS: C
Feedback
,The Digoxin Medication Order Is Lacking A Zero Before The Decimal Fraction (.25).
Safe Practice Recommends Using A Zero Before A Decimal Point When The Dose Is
Less Than One. The Metformin Hcl And The Hydrochlorothiazide Orders Are Written
Correctly. The Order Should Be Clarified Before Preparing The 0900 Medications.
6. In The Administration Of Medications, When Should The Nurse Document The
Administration Of Medications?
A 30 Minutes Before Administering To The Patient.
B Immediately Before Administering To The Patient.
C At The End Of The Shift.
D Immediately After Administering To The Patient.
ANS: D
Feedback
The Last “Right Of Medication Administration” Is The Documentation Of Medications.
The Documentation Is Done Immediately After Administering The Medications To The
Patient.
7. The Following Medication Is Ordered For The Patient:
Calcitriol Oral Solution 2 µg PO Daily
After Reading The Order, What Is The Initial Action Needed By The Nurse?
A Clarify The Written Medication Dose Of 2 µg.
B Look Up The Dose In A Drug Reference Book.
C Transcribe The Medication Order Onto The MAR.
D Ask The Patient The Daily Dose Taken At Home.
ANS: A
Feedback
, The Initial Action Is For The Nurse To Clarify The Drug Dose Because It Is Written
With The Error-Prone Letter/Symbol “µ.” To Avoid Medication Errors, It Is
Recommended
That The “µ” Not Be Used In Medication Orders. Instead The Abbreviation “Mcg” Is To
Be Used For Microgram.
8. Recommendations By The Institute Of Medicine For Reducing Medication Errors Help
Enhance Safe Nursing Practice By:
A Shifting Primary Responsibility For Drug Therapy Onto Patients And Families.
B Referring Patients And Families To The Pharmacist For Drug Therapy Questions.
C Answering Drug Therapy Questions When A New Prescription Is Ordered.
D Promoting Ongoing Communication Between Patients And Healthcare
Providers.
ANS: D
Feedback
The Institute Of Medicine Recommendations Include The Establishment Of
Collaborative Partnership Between Patients And Healthcare Providers To Assist In
Educating, Consulting, And Listening To Patient’s Concerns. Ongoing Communication
Between Patients And Healthcare Providers Keeps The Focus On The Needs Of The
Individual Patient And Promotes Safety.
9. In Consulting A Drug Reference Book, The Nurse Reads That Certain Medications
Are Classified As “High-Alert” Medications. In The Administration Of High-Alert
Medications, What Is The Priority Action Of The Nurse?
A Inform The Patient Of The Harmful Side Effects.
B Double-Check The Dose With Another Nurse Prior To Administering The Drug.
