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SafeApproachto Nursingand Math,,2e Test Bank
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Table of Contents: i@ i@
I. Safety in Medication Administration Cha
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p ter1.SafetyinMedicationAdministration Ch
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apt er 2. The Drug Label
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II. Systems of Measurement Ch i@ i@ i@
a pter3. TheMetric System Chapt
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er
4.TheHousehold System i@
III. Methods of Calculation i@ i@
Chapter5. Linear Ratioand Proportion Chapter
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6.FractionalRatioandProportion Chapter 7. Di m ensio
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nal Analysis
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Chapter8. Formula Method i@ i@
IV. Administration of Medications Chapter9. i@ i@ i@
CalculatingOralMedicationDoses C ha pter 10. pf pf pf i@ i@ i@ i
@Syringes and Needles i@ i@
Chapter 11. Calculating Parenteral Medication Dosage
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s Chapter12.PreparingPowdered Parenteral Medicatio
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ns Chapter 13. Administration of Insulin
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V. IVTherapy and Administration of Intravenous Medications i@ i@ i@ i@ i@
Chapter 14. Intravenous Infusion and Infusion Rates Chapt er
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15.CalculatingInfusionandCompletionTime Chapter 16 pf pf pf i@ i@
. Administering IVPush Medications
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VI. Verifying SafeDoseand Critical Care Calculations
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Chapter17. Verifying Safe Dose i@ i@ i@
Chapter18. Titration of Intravenous Medications
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VII. Intake and Output i@ i@
Chapter19.CalculatingIntakeandOutput Chap ter pf pf pf i@
20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and OlderAdult Populations i@ i@ i@ i@ i@
Chapter21.Considerations forthePediatricPatient Chapter i@ pf pf i@
22. Considerations forthe Older Adult
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,Castillo/Werner-
Chapter1:Safety in Medication Administration i@ i@ i@
Castillo: Calculating Drug Dosages: A Patient-Safe Approachto Nursing and Math2nd Edition
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MULTIPLE CHOICE i@
1. The following medication order is in the patient’s medication administration record (MAR):
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methylPREDnisolone40 mg POdaily at 0900. i@ i@ i@ pf
Afterreading the order, the nurse correctlydetermines: pf pf i@ pf pf
A “PO”is an inappropriate abbreviation. i@ i@ i@
B the medication order is written correctly.
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C 40 mgshould bewritten as 40mg. i@ pf pf i@ i@
D tallmanlettering indicatesthat thedrug is a narcotic. pf i@ v v i@ i@ i@
A NS: B
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Feedback
Themedication orderhas all therequired components (drug name, dose, route, and f
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r equency of administration) for a drug order. “PO” is an appropriate abbreviation;
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40 mg is written correctly with a space between the dose and the unit of mea
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surement. Tall man lettering is used to distinguish the drug from another drug
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with a similar name.
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2. Whichofthefollowing accuratelydescribes the “Boxed Warning” found on a drug label? i@ pf i@ i@ i@ pf vi @ i@ vi@
A It isprimarilyis used to identifythe safedose forthepatient.
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B It is commonlyfoundon all druglabels.
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C It identifies serious potential risks and side effects related to drug use.
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D It protects the patient byproviding information to decreaseside effects.
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A NS: C
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Feedback
A drug label with aboxed warning provides information tohealthcare professionals
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an d patients regarding the serious risks and side effects related to the drug. The
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Boxed Warning is not the primary source for identifying the patient’s drug do
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sage.
The warning is found on specific prescription medications and does not provide info
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rm ation to reduce or decrease side effects.
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3. When practicing safety in theadministration of medication, forwhich of thefollowingm e
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d ication orders should a nurseseek clarification before theadministration of themedic ati
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on
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, Castillo/Werner-
A Regularinsulin 5usubcut now. i@ pf
B Enoxaparin 80 mgsubcutevery12 hours. i@ pf i@
C Benadryl 50 mgPOPRNevery6 hr foritching. i@ i@ pf i@ i@
D Ondansetron4mgIVPstat. v i
@ANS: A i@
Feedback
The“u” should never be used in a medication order; rather, for safety, the word “units”
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should be spelled out. The other answer options contain the required components ne
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e ded to safely carry out the medication order.
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4. Anurse is reviewing a druglabel with a drugnamewritten with tallman lettering. Which stat e
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m ents shows thenursehas acorrect understanding of tall manlettering on adrug label?
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A “The tall man lettering means this is a high alert drug.”
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B “Thetallman lettering helps medistinguish thisdrug with otherdrugs that ha v
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e similar names.” i@ i@
C “Thetall man letteringmeans that this drugmust havea Boxed Warning.” i@ pf i@ pf i@ i@ i@ pf
D “Thetall man lettering helps me quicklyidentifythat this drug is an injectable dr
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ug.”
ANS: B i@
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish from
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si milar drug names. It is not used to identify high alert drugs, highlight a bo
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xed wa i@
rning, or identify injectable drugs.
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5. Thefollowingmedicationordersarefoundin the patient’s MAR:
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Metformin HCl 500 mg PO dailyat 0900. Hydrochlorothiazide 25 mg PO every12 hrat
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0900and2100. Digoxin .25 mg PO dail i@ i@ i@ i@ i@
y at 0900.
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In readingthemedication ordersforthe0700–
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1500shift, the nursedetermines that which of the following is the priority nursing intervention
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?
A Clarifythemetformin HCl order. pf i@
B Clarifythe hydrochlorothiazide order. i@ i@
C Clarifythedigoxin order. pf
D Preparetoadministerthe0900medications. pf i@
ANS: C i@
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