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Chapter 1: Safety in Medication Administration
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Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 3rd Edition
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
MULTIPLE CHOICE 6T
1. The following medication order is in the patient’s medication administration record (MAR):
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
methylPREDnisolone 40 mg PO daily at 0900. 6T 6T 6T 6T 6T 6T
After 6T reading the order, the nurse correctly determines:
6T 6T 6T 6T 6T 6T
A ―PO‖ is an inappropriate abbreviation.
6T 6T 6T 6T
B the medication order is written correctly.
6T 6T 6T 6T 6T
C 40 mg should be written as 40mg.
6T 6T 6T 6T 6T 6T
D tall man lettering indicates that the drug is a narcotic
6T 6T 6T 6T 6T 6T 6T 6T 6T
.
ANSWER: B 6T
Feedback
The medication order has all the required components (drug name, dose, route,
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
andfrequency of administration) for a drug order. ―PO‖ is an appropriate abbrev
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
iation;40 mg is written correctly with a space between the dose and the unit of
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6
Tmeasurement. Tall man lettering is used to distinguish the drug from another dr
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
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with a similar name.
6T 6T 6T
2. Which 6T of the following accurately describes the ―Boxed Warning‖ found on a drug label?
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
A It is primarily is used to identify the safe dose for the patient.
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
B It is commonly found on all drug labels.
6T 6T 6T 6T 6T 6T 6T
C It identifies serious potential risks and side effects related to drug use.
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
D It protects the patient by providing information to decrease side effect
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
s.
ANSWER: C 6T
Feedback
A drug label with a boxed warning provides information to healthcare professio
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
nalsand patients regarding the serious risks and side effects related to the drug.
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
The Boxed Warning is not the primary source for identifying the patient’s drug
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
dosage.
The warning is found on specific prescription medications and does not pro
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
videinformation to reduce or decrease side effects.
T
6 6T 6T 6T 6T 6T 6T
3. When practicing safety in the administration of medication, for which of the follo
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
wingmedication orders should a nurse seek clarification before the administration o
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
f the medication?
6T 6T
2
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A Regular insulin 5 u subcut now.6T 6T 6T 6T 6T
B Enoxaparin 80 mg subcut every 12 hours. 6T 6T 6T 6T 6T 6T
C Benadryl 50 mg PO PRN every 6 hr for itching
6T 6T 6T 6T 6T 6T 6T 6T 6T
.
D Ondansetron 4 mg IVP stat. 6T 6T 6T 6T
ANSWER: A 6T
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
word―units‖ should be spelled out. The other answer options contain the req
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
uired
components needed to safely carry out the medication order.
6T 6T 6T 6T 6T 6T 6T 6T
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whi
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
ch statements shows the nurse has a correct understanding of tall man lettering on a dru
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
g label?
6T
A ―The tall man lettering means this is a high alert drug.‖
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
B ―The tall man lettering helps me distinguish this drug with other drugs that
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
have similar names.‖ 6T 6T
C
D
―The tall man lettering means that this drug must have a Boxed Warning.‖
6T 6T
―The tall man lettering helps me quickly identify that this drug is an injectab
6T 6T
6T
6T
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6T
6T
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6T
6T 6T
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le
drug.‖
ANSWER: B 6T
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish f
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
romsimilar drug names. It is not used to identify high alert drugs, highlight a
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
boxed
6T
warning, or identify injectable drugs.
6T 6T 6T 6T
5. The following medication orders are found in the patient’s MAR:
6T 6T 6T 6T 6T 6T 6T 6T 6T
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothia
6T 6T 6T 6T 6T 6T 6T 6T
zide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T T
6 6T 6T
mg PO daily at 0900.
6T 6T 6T 6T
In reading the medication orders for the 0700–
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1500 shift, the nurse determines that which ofthe following is the priority nursing interv
6T 6T 6T 6T 6T 6T 6T T
6 6T 6T 6T 6T 6T 6T
ention?
A Clarify the metformin HCl order. 6T 6T 6T 6T
B Clarify the hydrochlorothiazide order. 6T 6T 6T
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1
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Chapter 1: Safety in Medication Administration
6T 6T 6T 6T 6T
Castillo: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and Math 3rd Edition
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
MULTIPLE CHOICE 6T
1. The following medication order is in the patient’s medication administration record (MAR):
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
methylPREDnisolone 40 mg PO daily at 0900. 6T 6T 6T 6T 6T 6T
After 6T reading the order, the nurse correctly determines:
6T 6T 6T 6T 6T 6T
A ―PO‖ is an inappropriate abbreviation.
6T 6T 6T 6T
B the medication order is written correctly.
6T 6T 6T 6T 6T
C 40 mg should be written as 40mg.
6T 6T 6T 6T 6T 6T
D tall man lettering indicates that the drug is a narcotic
6T 6T 6T 6T 6T 6T 6T 6T 6T
.
ANSWER: B 6T
Feedback
The medication order has all the required components (drug name, dose, route,
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
andfrequency of administration) for a drug order. ―PO‖ is an appropriate abbrev
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
iation;40 mg is written correctly with a space between the dose and the unit of
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6
Tmeasurement. Tall man lettering is used to distinguish the drug from another dr
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
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with a similar name.
6T 6T 6T
2. Which 6T of the following accurately describes the ―Boxed Warning‖ found on a drug label?
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
A It is primarily is used to identify the safe dose for the patient.
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
B It is commonly found on all drug labels.
6T 6T 6T 6T 6T 6T 6T
C It identifies serious potential risks and side effects related to drug use.
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
D It protects the patient by providing information to decrease side effect
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
s.
ANSWER: C 6T
Feedback
A drug label with a boxed warning provides information to healthcare professio
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
nalsand patients regarding the serious risks and side effects related to the drug.
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
The Boxed Warning is not the primary source for identifying the patient’s drug
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
dosage.
The warning is found on specific prescription medications and does not pro
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
videinformation to reduce or decrease side effects.
T
6 6T 6T 6T 6T 6T 6T
3. When practicing safety in the administration of medication, for which of the follo
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
wingmedication orders should a nurse seek clarification before the administration o
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
f the medication?
6T 6T
2
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A Regular insulin 5 u subcut now.6T 6T 6T 6T 6T
B Enoxaparin 80 mg subcut every 12 hours. 6T 6T 6T 6T 6T 6T
C Benadryl 50 mg PO PRN every 6 hr for itching
6T 6T 6T 6T 6T 6T 6T 6T 6T
.
D Ondansetron 4 mg IVP stat. 6T 6T 6T 6T
ANSWER: A 6T
Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
word―units‖ should be spelled out. The other answer options contain the req
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
uired
components needed to safely carry out the medication order.
6T 6T 6T 6T 6T 6T 6T 6T
4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Whi
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
ch statements shows the nurse has a correct understanding of tall man lettering on a dru
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
g label?
6T
A ―The tall man lettering means this is a high alert drug.‖
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
B ―The tall man lettering helps me distinguish this drug with other drugs that
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
have similar names.‖ 6T 6T
C
D
―The tall man lettering means that this drug must have a Boxed Warning.‖
6T 6T
―The tall man lettering helps me quickly identify that this drug is an injectab
6T 6T
6T
6T
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6T
6T
6T 6T
6T
6T 6T
6T 6T
6T 6T
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6T
6T 6T
le
drug.‖
ANSWER: B 6T
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish f
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
romsimilar drug names. It is not used to identify high alert drugs, highlight a
T
6 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T 6T
boxed
6T
warning, or identify injectable drugs.
6T 6T 6T 6T
5. The following medication orders are found in the patient’s MAR:
6T 6T 6T 6T 6T 6T 6T 6T 6T
Metformin HCl 500 mg PO daily at 0900. Hydrochlorothia
6T 6T 6T 6T 6T 6T 6T 6T
zide 25 mg PO every 12 hr at 0900 and 2100.Digoxin .25
6T 6T 6T 6T 6T 6T 6T 6T 6T 6T T
6 6T 6T
mg PO daily at 0900.
6T 6T 6T 6T
In reading the medication orders for the 0700–
6T 6T 6T 6T 6T 6T 6T
1500 shift, the nurse determines that which ofthe following is the priority nursing interv
6T 6T 6T 6T 6T 6T 6T T
6 6T 6T 6T 6T 6T 6T
ention?
A Clarify the metformin HCl order. 6T 6T 6T 6T
B Clarify the hydrochlorothiazide order. 6T 6T 6T
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