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