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