Test Bank For Calculating Drug Dosages A Patient-
b b b b b b b
Safe Approach to Nursing and Math
b b b b b b
2nd Edition by Castillo
b b b bb
Chapter 1 - 22 Complete
b b b b
,Table of Contents:
b b
I.bSafetybinbMedicationbAdministration
Chapterb1.bSafetybinbMedicationbAdministration
Chapterb2.bThebDrugbLabel
II.bSystemsbofbMeasurement
Chapterb3.bThebMetricbSystem
Chapterb4.bThebHouseholdbSystem
III.bMethodsbofbCalculation
Chapterb5.bLinearbRatiobandbProportion
Chapterb6.bFractionalbRatiobandbProportion
Chapterb7.bDimensionalbAnalysis
Chapterb8.bFormulabMethod
IV.bAdministrationbofbMedications
Chapterb9.bCalculatingbOralbMedicationbDoses
Chapterb10.bSyringesbandbNeedles
Chapterb11.bCalculatingbParenteralbMedicationbDosages
Chapterb12.bPreparingbPowderedbParenteralbMedications
Chapterb13.bAdministrationbofbInsulin
V.bIVbTherapybandbAdministrationbofbIntravenousbMedications
Chapterb14.bIntravenousbInfusionbandbInfusionbRates
Chapterb15.bCalculatingbInfusionbandbCompletionbTime
Chapterb16.bAdministeringbIVbPushbMedications
VI.bVerifyingbSafebDosebandbCriticalbCarebCalculations
Chapterb17.bVerifyingbSafebDose
Chapterb18.bTitrationbofbIntravenousbMedications
VII.bIntakebandbOutput
Chapterb19.bCalculatingbIntakebandbOutput
Chapterb20.bCalculatingbParenteralbIntake
VIII.bDosagesbforbPediatricbandbOlderbAdultbPopulations
Chapterb21.bConsiderationsbforbthebPediatricbPatient
Chapterb22.bConsiderationsbforbthebOlderbAdult
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapterb1:bSafetybinbMedicationbAdministration
Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition
MULTIPLEbCHOICE
1. bThebfollowingbmedicationborderbisbinbthebpatient’sbmedicationbadministrationbrecordb(MAR):
methylPREDnisoloneb40bmgbPObdailybatb0900.
Afterbreadingbtheborder,bthebnursebcorrectlybdetermines:
A “PO”bisbanbinappropriatebabbreviation.
B thebmedicationborderbisbwrittenbcorrectly.
C 40bmgbshouldbbebwrittenbasb40mg.
D tallbmanbletteringbindicatesbthatbthebdrugbisbabnarcotic.
ANSWER:bB
Feedback
Thebmedicationborderbhasballbthebrequiredbcomponentsb(drugbname,bdose,broute,bandbf
requencybofbadministration)bforbabdrugborder.b“PO”bisbanbappropriatebabbreviation;b40
bmgbisbwrittenbcorrectlybwithbabspacebbetweenbthebdosebandbthebunit bofbmeasurement.b
Tallbmanbletteringbisbusedbtobdistinguishbthebdrugbfrombanotherbdrug
withbabsimilarbname.
2. Whichbofbthebfollowingbaccuratelybdescribesbtheb“BoxedbWarning”bfoundbonbabdrugblabel?
A Itbisbprimarilybisbusedbtobidentifybthebsafebdosebforbthebpatient.
B Itbisbcommonlybfoundbonballbdrugblabels.
C Itbidentifiesbseriousbpotentialbrisksbandbsidebeffectsbrelatedbtobdrugbuse.
D Itbprotectsbthebpatientbbybprovidingbinformationbtobdecreasebsidebeffects.
ANSWER:bC
Feedback
1
,Castillo/Werner-
McCullough: bCalculatingbDrugbDosages,b2e
Abdrug blabelbwithbabboxed bwarningbprovidesbinformationbtobhealthcarebprofessionalsba
ndbpatientsbregardingbthebseriousbrisksbandbsidebeffectsbrelatedbtobthebdrug.bThebBoxed
bWarningbisbnotbthebprimarybsourcebforbidentifyingbthebpatient’sbdrugbdosage.
Thebwarningbisbfoundbonbspecificbprescriptionbmedicationsbandbdoesbnotbprovidebi
nformationbtobreduceborbdecreasebsidebeffects.
3. Whenbpracticingbsafetybinbthebadministrationbofbmedication,bforbwhichbofbthebfollowingb
medicationbordersbshouldbabnursebseekbclarificationbbeforebthebadministrationbofbthebme
dication?
2
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
A Regularbinsulinb5bubsubcutbnow.
B Enoxaparinb80bmgbsubcutbeveryb12bhours.
C Benadrylb50bmgbPObPRNbeveryb6bhrbforbitching.
D Ondansetronb4bmgbIVPbstat.
ANSWER:bA
Feedback
Theb“u”bshouldbneverbbebusedbinbabmedicationborder;brather,bforbsafety,bthebwordb“
units”bshouldbbebspelledbout.bThebotherbanswerboptionsbcontainbthebrequired
componentsbneededbtobsafelybcarryboutbthebmedicationborder.
4. Abnursebisbreviewingbabdrugblabelbwithbabdrugbnamebwrittenbwithbtallbmanblettering.bWhichbstat
ementsbshowsbthebnursebhasbabcorrectbunderstandingbofbtallbmanbletteringbonbabdrugblabel?
A “Thebtallbmanbletteringbmeansbthisbisbabhighbalertbdrug.”
B “Thebtallbmanbletteringbhelpsbmebdistinguishbthisbdrugbwithbotherbdrugsbthat
havebsimilarbnames.”
C “ThebtallbmanbletteringbmeansbthatbthisbdrugbmustbhavebabBoxedbWarning.”
D “Thebtallbmanbletteringbhelpsbmebquicklybidentifybthatbthisbdrugbisbanbinjectable
drug.”
ANSWER:bB
Feedback
Tallbmanbletteringbhighlightsbabportionbofbthebdrugbnamebtobhelpbdistinguishbfrombs
imilarbdrugbnames.bItbisbnotbusedbtobidentifybhighbalertbdrugs,bhighlightbabboxed
warning,borbidentifybinjectablebdrugs.
5. Thebfollowingbmedicationbordersbarebfoundbinbthebpatient’sbMAR:
MetforminbHClb500bmgbPObdailybatb0900.bHydrochlorothiazid
eb25bmgbPObeveryb12bhrbatb0900bandb2100.bDigoxinb.25bmgbPOb
dailybatb0900.
Inbreadingbthebmedicationbordersbforbtheb0700–
1500bshift,bthebnursebdeterminesbthatbwhichbofbthebfollowingbisbthebprioritybnursingbinterventio
n?
A ClarifybthebmetforminbHClborder.
B Clarifybthebhydrochlorothiazideborder.
C Clarifybthebdigoxinborder.
D Preparebtobadministerbtheb0900bmedications.
ANSWER:bC
3
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
Feedback
Thebdigoxinbmedicationborderbisblackingbabzerobbeforebthebdecimalbfractionb(.25).bSaf
ebpracticebrecommendsbusingbabzerobbeforebabdecimalbpointbwhenbthebdosebisblessbthanb
one.bThebmetforminbHClbandbthebhydrochlorothiazidebordersbarebwritten
correctly.bTheborderbshouldbbebclarifiedbbeforebpreparingbtheb0900bmedications.
6. Inbthebadministrationbofbmedications,bwhenbshouldbthebnursebdocumentbthebadministrationbofb
medications?
A 30bminutesbbeforebadministeringbtobthebpatient.
B Immediatelybbeforebadministeringbtobthebpatient.
C Atbthebendbofbthebshift.
D Immediatelybafterbadministeringbtobthebpatient.
ANSWER:bD
Feedback
Theblastb“RightbofbMedicationbAdministration”bisbthebdocumentationbofbmedications.bTh
ebdocumentationbisbdonebimmediatelybafterbadministeringbthebmedicationsbtobthe
patient.
7. Thebfollowingbmedicationbisborderedbforbthebpatient:
CalcitriolbOralbSolutionb2bµgbPObDaily
Afterbreadingbtheborder,bwhatbisbthebinitialbactionbneededbbybthebnurse?
A Clarifybthebwrittenbmedicationbdosebofb2bµg.
B Lookbupbthebdosebinbabdrugbreferencebbook.
C TranscribebthebmedicationborderbontobthebMAR.
D Askbthebpatientbthebdailybdosebtakenbatbhome.
ANSWER:bA
Feedback
Thebinitialbactionbisbforbthebnursebtobclarifybthebdrugbdosebbecausebitbisbwrittenbwithbt
heberror-pronebletter/symbolb“µ.”bTobavoidbmedicationberrors,bitbisbrecommended
thatbtheb“µ”bnotbbebusedbinbmedicationborders.bInsteadbthebabbreviationb“mcg”bisbtobb
ebusedbforbmicrogram.
8. RecommendationsbbybthebInstitutebofbMedicinebforbreducingbmedicationberrorsbhelpbenhancebs
afebnursingbpracticebby:
4
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
A shiftingbprimarybresponsibilitybforbdrugbtherapybontobpatientsbandbfamilies.
B referringbpatientsbandbfamiliesbtobthebpharmacistbforbdrugbtherapybquestions.
C answeringbdrugbtherapybquestionsbwhenbabnewbprescriptionbisbordered.
D promotingbongoingbcommunicationbbetweenbpatientsbandbhealthcare
providers.
ANSWER:bD
Feedback
ThebInstitutebofbMedicinebrecommendationsbincludebthebestablishmentbofbcollaborati
vebpartnershipbbetweenbpatientsbandbhealthcarebprovidersbtobassistbinbeducating,bcons
ulting,bandblisteningbtobpatient’sbconcerns.bOngoingbcommunicationbbetweenbpatients
bandbhealthcarebprovidersbkeepsbthebfocusbonbthebneedsbofbthe
individualbpatientbandbpromotesbsafety.
9. Inbconsultingbabdrugbreferencebbook,bthebnursebreadsbthatbcertainbmedicationsbarebclassifiedbasb“
high-alert”bmedications.bInbthebadministrationbofbhigh-
alertbmedications,bwhatbisbthebprioritybactionbofbthebnurse?
A Informbthebpatientbofbthebharmfulbsidebeffects.
B Double-checkbthebdosebwithbanotherbnursebpriorbtobadministeringbthebdrug.
C Providebdrugbliteraturebtobthebfamilybtobassistbwithbmonitoringbforbharmful
effects.
D Seekbassistancebfrombthebpharmacistbtobexplainbthebeffectsbofbthebdrug.
ANSWER:bB
Feedback
High-
alertbmedicationsbhavebanbincreasedbriskbofbpatientbharm.bSafebpracticebinbthebadminist
rationbofbhigh-
alertbmedicationsbrequiresbthebnursebtobdoublebcheckbthebdosebwithbanotherbnursebprior
btobthebadministrationbofbthebdrug.bInformingbthebpatientbandbfamilybofbthebdrug’sbharm
fulbeffectsbmaybbebindicatedbforbsomebpatients,bbutbthebpreventionbofbabmedicationberro
rbisbcritical.bDrugbliteraturebmaybbebhelpfulbforbsomebfamilies,bbutbnotball.bThebnursebsh
ouldbseekbassistancebfrombthebpharmacistbwhenever
therebisbabquestion,bbutbthisbisbnotbspecificbforbhigh-alertbmedications.
10. Allbofbthebfollowingbmedicationbordersbarebfoundbinbabpatient’sbMAR.bSelectbthebmedicationbo
rderbthatbrequiresbclarificationbbeforebadministration.
A Captoprilb12.5bmgbPObatb0700bandb1700
B Regularbinsulinb7bunitsbsubcutb30bminutesbbeforebbreakfast.
C Ketorolacb15bmgbIMbstat
D Morphinebsulfateb45.0bmgbPObeveryb5bhrbforbpain.
5
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
ANSWER:bD
Feedback
Theborderedbdosebofbmorphinebsulfate,b45.0bmg,bhasbabtrailingbzero,bwhichbmaybleadbt
obanberrorbinbthebadministrationbofbtheborderedbdose.bThebmedicationbordersbforbcapto
pril,bRegularbinsulin,bandbketorolacbcontainbthebrequiredbcomponentsbofba
medicationborder.
6
, Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
Chapter 2: The Drug Label
b b b b
Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition
MULTIPLEbCHOICE
1. Onbabhomebhealthbvisit,bthebnursebfindsbabdrugbbottlebwithbthebfollowingbinformationbonbthebla
bel:
Flagylb®
metronidazolebtabletsbUSP
250bmgbtablets
Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A Metronidazolebisbthebgenericbnamebofbthebdrug.
B Flagylbisbthebgenericbnamebofbthebdrug.
C “USP”bindicatesbabboxedbwarning.
D Thebsymbolb®bidentifiesbthebdrugbasbabhigh-alertbdrug.
ANSWER:bA
Feedback
Thebgenericbnamebisblistedbunderbthebbrandbname.bFlagylbisbthebbrandbname.bUSPbsta
ndsbforbUnitedbStatesbPharmacopeiabandbdoesbnotbindicatebabboxedbwarning.bThebsym
bolb®bisbfoundbnextbtobthebbrandbnamebandbindicatesbthatbthebdrugbnamebis
registeredbandbtrademarkbprotected.
2. Thebfollowingbinformationbisbonbthebdrugblabel:
DiazepambCIVb
Oralb Solutionb
5bmgbperb5bmL
Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A diazepambisbthebbrandbname.
B diazepambisbabcontrolledbsubstance.
C thebCIVbisbusedbtobidentifyboralbsolutionsbonbtheblabel.
D thebdrugbisbonbtheblistbofbConfusedbDrugbnames.
ANSWER:bB
Feedback
1
b b b b b b b
Safe Approach to Nursing and Math
b b b b b b
2nd Edition by Castillo
b b b bb
Chapter 1 - 22 Complete
b b b b
,Table of Contents:
b b
I.bSafetybinbMedicationbAdministration
Chapterb1.bSafetybinbMedicationbAdministration
Chapterb2.bThebDrugbLabel
II.bSystemsbofbMeasurement
Chapterb3.bThebMetricbSystem
Chapterb4.bThebHouseholdbSystem
III.bMethodsbofbCalculation
Chapterb5.bLinearbRatiobandbProportion
Chapterb6.bFractionalbRatiobandbProportion
Chapterb7.bDimensionalbAnalysis
Chapterb8.bFormulabMethod
IV.bAdministrationbofbMedications
Chapterb9.bCalculatingbOralbMedicationbDoses
Chapterb10.bSyringesbandbNeedles
Chapterb11.bCalculatingbParenteralbMedicationbDosages
Chapterb12.bPreparingbPowderedbParenteralbMedications
Chapterb13.bAdministrationbofbInsulin
V.bIVbTherapybandbAdministrationbofbIntravenousbMedications
Chapterb14.bIntravenousbInfusionbandbInfusionbRates
Chapterb15.bCalculatingbInfusionbandbCompletionbTime
Chapterb16.bAdministeringbIVbPushbMedications
VI.bVerifyingbSafebDosebandbCriticalbCarebCalculations
Chapterb17.bVerifyingbSafebDose
Chapterb18.bTitrationbofbIntravenousbMedications
VII.bIntakebandbOutput
Chapterb19.bCalculatingbIntakebandbOutput
Chapterb20.bCalculatingbParenteralbIntake
VIII.bDosagesbforbPediatricbandbOlderbAdultbPopulations
Chapterb21.bConsiderationsbforbthebPediatricbPatient
Chapterb22.bConsiderationsbforbthebOlderbAdult
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapterb1:bSafetybinbMedicationbAdministration
Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition
MULTIPLEbCHOICE
1. bThebfollowingbmedicationborderbisbinbthebpatient’sbmedicationbadministrationbrecordb(MAR):
methylPREDnisoloneb40bmgbPObdailybatb0900.
Afterbreadingbtheborder,bthebnursebcorrectlybdetermines:
A “PO”bisbanbinappropriatebabbreviation.
B thebmedicationborderbisbwrittenbcorrectly.
C 40bmgbshouldbbebwrittenbasb40mg.
D tallbmanbletteringbindicatesbthatbthebdrugbisbabnarcotic.
ANSWER:bB
Feedback
Thebmedicationborderbhasballbthebrequiredbcomponentsb(drugbname,bdose,broute,bandbf
requencybofbadministration)bforbabdrugborder.b“PO”bisbanbappropriatebabbreviation;b40
bmgbisbwrittenbcorrectlybwithbabspacebbetweenbthebdosebandbthebunit bofbmeasurement.b
Tallbmanbletteringbisbusedbtobdistinguishbthebdrugbfrombanotherbdrug
withbabsimilarbname.
2. Whichbofbthebfollowingbaccuratelybdescribesbtheb“BoxedbWarning”bfoundbonbabdrugblabel?
A Itbisbprimarilybisbusedbtobidentifybthebsafebdosebforbthebpatient.
B Itbisbcommonlybfoundbonballbdrugblabels.
C Itbidentifiesbseriousbpotentialbrisksbandbsidebeffectsbrelatedbtobdrugbuse.
D Itbprotectsbthebpatientbbybprovidingbinformationbtobdecreasebsidebeffects.
ANSWER:bC
Feedback
1
,Castillo/Werner-
McCullough: bCalculatingbDrugbDosages,b2e
Abdrug blabelbwithbabboxed bwarningbprovidesbinformationbtobhealthcarebprofessionalsba
ndbpatientsbregardingbthebseriousbrisksbandbsidebeffectsbrelatedbtobthebdrug.bThebBoxed
bWarningbisbnotbthebprimarybsourcebforbidentifyingbthebpatient’sbdrugbdosage.
Thebwarningbisbfoundbonbspecificbprescriptionbmedicationsbandbdoesbnotbprovidebi
nformationbtobreduceborbdecreasebsidebeffects.
3. Whenbpracticingbsafetybinbthebadministrationbofbmedication,bforbwhichbofbthebfollowingb
medicationbordersbshouldbabnursebseekbclarificationbbeforebthebadministrationbofbthebme
dication?
2
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
A Regularbinsulinb5bubsubcutbnow.
B Enoxaparinb80bmgbsubcutbeveryb12bhours.
C Benadrylb50bmgbPObPRNbeveryb6bhrbforbitching.
D Ondansetronb4bmgbIVPbstat.
ANSWER:bA
Feedback
Theb“u”bshouldbneverbbebusedbinbabmedicationborder;brather,bforbsafety,bthebwordb“
units”bshouldbbebspelledbout.bThebotherbanswerboptionsbcontainbthebrequired
componentsbneededbtobsafelybcarryboutbthebmedicationborder.
4. Abnursebisbreviewingbabdrugblabelbwithbabdrugbnamebwrittenbwithbtallbmanblettering.bWhichbstat
ementsbshowsbthebnursebhasbabcorrectbunderstandingbofbtallbmanbletteringbonbabdrugblabel?
A “Thebtallbmanbletteringbmeansbthisbisbabhighbalertbdrug.”
B “Thebtallbmanbletteringbhelpsbmebdistinguishbthisbdrugbwithbotherbdrugsbthat
havebsimilarbnames.”
C “ThebtallbmanbletteringbmeansbthatbthisbdrugbmustbhavebabBoxedbWarning.”
D “Thebtallbmanbletteringbhelpsbmebquicklybidentifybthatbthisbdrugbisbanbinjectable
drug.”
ANSWER:bB
Feedback
Tallbmanbletteringbhighlightsbabportionbofbthebdrugbnamebtobhelpbdistinguishbfrombs
imilarbdrugbnames.bItbisbnotbusedbtobidentifybhighbalertbdrugs,bhighlightbabboxed
warning,borbidentifybinjectablebdrugs.
5. Thebfollowingbmedicationbordersbarebfoundbinbthebpatient’sbMAR:
MetforminbHClb500bmgbPObdailybatb0900.bHydrochlorothiazid
eb25bmgbPObeveryb12bhrbatb0900bandb2100.bDigoxinb.25bmgbPOb
dailybatb0900.
Inbreadingbthebmedicationbordersbforbtheb0700–
1500bshift,bthebnursebdeterminesbthatbwhichbofbthebfollowingbisbthebprioritybnursingbinterventio
n?
A ClarifybthebmetforminbHClborder.
B Clarifybthebhydrochlorothiazideborder.
C Clarifybthebdigoxinborder.
D Preparebtobadministerbtheb0900bmedications.
ANSWER:bC
3
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
Feedback
Thebdigoxinbmedicationborderbisblackingbabzerobbeforebthebdecimalbfractionb(.25).bSaf
ebpracticebrecommendsbusingbabzerobbeforebabdecimalbpointbwhenbthebdosebisblessbthanb
one.bThebmetforminbHClbandbthebhydrochlorothiazidebordersbarebwritten
correctly.bTheborderbshouldbbebclarifiedbbeforebpreparingbtheb0900bmedications.
6. Inbthebadministrationbofbmedications,bwhenbshouldbthebnursebdocumentbthebadministrationbofb
medications?
A 30bminutesbbeforebadministeringbtobthebpatient.
B Immediatelybbeforebadministeringbtobthebpatient.
C Atbthebendbofbthebshift.
D Immediatelybafterbadministeringbtobthebpatient.
ANSWER:bD
Feedback
Theblastb“RightbofbMedicationbAdministration”bisbthebdocumentationbofbmedications.bTh
ebdocumentationbisbdonebimmediatelybafterbadministeringbthebmedicationsbtobthe
patient.
7. Thebfollowingbmedicationbisborderedbforbthebpatient:
CalcitriolbOralbSolutionb2bµgbPObDaily
Afterbreadingbtheborder,bwhatbisbthebinitialbactionbneededbbybthebnurse?
A Clarifybthebwrittenbmedicationbdosebofb2bµg.
B Lookbupbthebdosebinbabdrugbreferencebbook.
C TranscribebthebmedicationborderbontobthebMAR.
D Askbthebpatientbthebdailybdosebtakenbatbhome.
ANSWER:bA
Feedback
Thebinitialbactionbisbforbthebnursebtobclarifybthebdrugbdosebbecausebitbisbwrittenbwithbt
heberror-pronebletter/symbolb“µ.”bTobavoidbmedicationberrors,bitbisbrecommended
thatbtheb“µ”bnotbbebusedbinbmedicationborders.bInsteadbthebabbreviationb“mcg”bisbtobb
ebusedbforbmicrogram.
8. RecommendationsbbybthebInstitutebofbMedicinebforbreducingbmedicationberrorsbhelpbenhancebs
afebnursingbpracticebby:
4
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
A shiftingbprimarybresponsibilitybforbdrugbtherapybontobpatientsbandbfamilies.
B referringbpatientsbandbfamiliesbtobthebpharmacistbforbdrugbtherapybquestions.
C answeringbdrugbtherapybquestionsbwhenbabnewbprescriptionbisbordered.
D promotingbongoingbcommunicationbbetweenbpatientsbandbhealthcare
providers.
ANSWER:bD
Feedback
ThebInstitutebofbMedicinebrecommendationsbincludebthebestablishmentbofbcollaborati
vebpartnershipbbetweenbpatientsbandbhealthcarebprovidersbtobassistbinbeducating,bcons
ulting,bandblisteningbtobpatient’sbconcerns.bOngoingbcommunicationbbetweenbpatients
bandbhealthcarebprovidersbkeepsbthebfocusbonbthebneedsbofbthe
individualbpatientbandbpromotesbsafety.
9. Inbconsultingbabdrugbreferencebbook,bthebnursebreadsbthatbcertainbmedicationsbarebclassifiedbasb“
high-alert”bmedications.bInbthebadministrationbofbhigh-
alertbmedications,bwhatbisbthebprioritybactionbofbthebnurse?
A Informbthebpatientbofbthebharmfulbsidebeffects.
B Double-checkbthebdosebwithbanotherbnursebpriorbtobadministeringbthebdrug.
C Providebdrugbliteraturebtobthebfamilybtobassistbwithbmonitoringbforbharmful
effects.
D Seekbassistancebfrombthebpharmacistbtobexplainbthebeffectsbofbthebdrug.
ANSWER:bB
Feedback
High-
alertbmedicationsbhavebanbincreasedbriskbofbpatientbharm.bSafebpracticebinbthebadminist
rationbofbhigh-
alertbmedicationsbrequiresbthebnursebtobdoublebcheckbthebdosebwithbanotherbnursebprior
btobthebadministrationbofbthebdrug.bInformingbthebpatientbandbfamilybofbthebdrug’sbharm
fulbeffectsbmaybbebindicatedbforbsomebpatients,bbutbthebpreventionbofbabmedicationberro
rbisbcritical.bDrugbliteraturebmaybbebhelpfulbforbsomebfamilies,bbutbnotball.bThebnursebsh
ouldbseekbassistancebfrombthebpharmacistbwhenever
therebisbabquestion,bbutbthisbisbnotbspecificbforbhigh-alertbmedications.
10. Allbofbthebfollowingbmedicationbordersbarebfoundbinbabpatient’sbMAR.bSelectbthebmedicationbo
rderbthatbrequiresbclarificationbbeforebadministration.
A Captoprilb12.5bmgbPObatb0700bandb1700
B Regularbinsulinb7bunitsbsubcutb30bminutesbbeforebbreakfast.
C Ketorolacb15bmgbIMbstat
D Morphinebsulfateb45.0bmgbPObeveryb5bhrbforbpain.
5
,Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
ANSWER:bD
Feedback
Theborderedbdosebofbmorphinebsulfate,b45.0bmg,bhasbabtrailingbzero,bwhichbmaybleadbt
obanberrorbinbthebadministrationbofbtheborderedbdose.bThebmedicationbordersbforbcapto
pril,bRegularbinsulin,bandbketorolacbcontainbthebrequiredbcomponentsbofba
medicationborder.
6
, Castillo/Werner-
McCullough:bCalculatingbDrugbDosages,b2e
Chapter 2: The Drug Label
b b b b
Castillo:bCalculatingbDrugbDosages:bAbPatient-SafebApproachbtobNursingbandbMathb2ndbEdition
MULTIPLEbCHOICE
1. Onbabhomebhealthbvisit,bthebnursebfindsbabdrugbbottlebwithbthebfollowingbinformationbonbthebla
bel:
Flagylb®
metronidazolebtabletsbUSP
250bmgbtablets
Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A Metronidazolebisbthebgenericbnamebofbthebdrug.
B Flagylbisbthebgenericbnamebofbthebdrug.
C “USP”bindicatesbabboxedbwarning.
D Thebsymbolb®bidentifiesbthebdrugbasbabhigh-alertbdrug.
ANSWER:bA
Feedback
Thebgenericbnamebisblistedbunderbthebbrandbname.bFlagylbisbthebbrandbname.bUSPbsta
ndsbforbUnitedbStatesbPharmacopeiabandbdoesbnotbindicatebabboxedbwarning.bThebsym
bolb®bisbfoundbnextbtobthebbrandbnamebandbindicatesbthatbthebdrugbnamebis
registeredbandbtrademarkbprotected.
2. Thebfollowingbinformationbisbonbthebdrugblabel:
DiazepambCIVb
Oralb Solutionb
5bmgbperb5bmL
Inbreadingbthebdrugblabel,bthebnursebisbcorrectbtobinterpretbthat:
A diazepambisbthebbrandbname.
B diazepambisbabcontrolledbsubstance.
C thebCIVbisbusedbtobidentifyboralbsolutionsbonbtheblabel.
D thebdrugbisbonbtheblistbofbConfusedbDrugbnames.
ANSWER:bB
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