TEST BANK n
CALCULATING DRUG DOSAGES: n n
A Patient-Safe Approach to Nursing and Math
n n n n n n
2nd Edition n
Castillo | Werner-McCullough
n n
TESTBANK n
,Castillo/Werner-McCullough: n CalculatingnDrugnDosages:n A n Patient-SafenApproachn ton Nursingnandn Math,,2e
Testn Bank
Tablenof nContents:
I.nSafetyninnMedicationnAdministration
Chaptern 1.n Safetyn inn Medicationn Administration
Chaptern 2.n Then Drugn Label
II.nSystemsnof nMeasurement
Chaptern 3.n Then Metricn System
Chaptern 4.n Then Household n System
III.nMethodsnof nCalculation
Chaptern 5.n Linearn Ration and n Proportion
Chaptern 6.n Fractionaln Ration and n Proportion
Chaptern 7.n Dimensionaln Analysis
Chaptern 8.n Formulan Method
IV.nAdministrationnof nMedications
Chaptern 9.n Calculatingn Oraln Medicationn Doses
Chaptern 10.n Syringesn and n Needles
Chaptern 11.n Calculatingn Parenteraln Medicationn Dosages
Chaptern 12.n Preparingn Powdered n Parenteraln Medications
Chaptern 13.n Administrationn of n Insulin
V.nIVnTherapynandnAdministrationnof nIntravenousnMedications
Chaptern 14.n Intravenousn Infusionn and n Infusionn Rates
Chaptern 15.n Calculatingn Infusionn and n Completionn Time
Chaptern 16.n Administeringn IVn Pushn Medications
VI.nVerifyingnSafenDosenandnCriticalnCarenCalculations
Chaptern 17.n Verifyingn Safen Dose
Chaptern 18.n Titrationn of n Intravenousn Medications
VII.nIntakenandnOutput
Chaptern 19.n Calculatingn Intaken and n Output
Chaptern 20.n Calculatingn Parenteraln Intake
VIII.nDosagesnfornPediatricnandnOldernAdultnPopulations
Chaptern 21.n Considerationsn forn then Pediatricn Patient
Chaptern 22.n Considerationsn forn then Oldern Adult
,Castillo/Werner-McCullough:nCalculating nDrug nDosages,n2e
Chaptern1:nSafetyninnMedicationnAdministration
Castillo:nCalculating nDrug nDosages:nAnPatient-SafenApproachnto nNursing nandnMathn2ndnEdition
MULTIPLEnCHOICE
1. Then followingn medicationn ordern isn inn then patient’sn medicationn administrationn record n (MAR):
methylPREDnisolonen40nmgnPOndailynatn0900.
Aftern readingn then order,n then nursen correctlyn determines:
A “PO”n isn ann inappropriaten abbreviation.
B then medicationn ordern isn writtenn correctly.
C 40n mgn should n ben writtenn asn 40mg.
D talln mann letteringn indicatesn that n then drugn isn an narcotic.
ANS:n B
Feedback
Then medicationn ordern hasn alln thenrequired n componentsn(drugn name,ndose,n route,nandnfr
equencyn of n administration)n forn andrugn order.n “PO”nisn ann appropriaten abbreviation;n 40n
mgn isn writtenn correctlyn withn an spacen betweennthendosen andnthenunit n ofnmeasurement.n T
alln mann letteringn isn used n ton distinguishn then drugn fromn anothern drug
withn an similarn name.
2. Whichn of n then followingn accuratelyn describesn then “Boxed n Warning”n found n onn an drugn label?
A It n isn primarilyn isn used n ton identifyn then safen dosen forn then patient.
B It n isn commonlyn found n onn alln drugn labels.
C It n identifiesn seriousn potentialn risksn and n siden effectsn related n ton drugn use.
D It n protectsn then patient n byn providingn informationn ton decreasen siden effects.
ANS:n C
Feedback
An drugn labeln withnanboxed n warningn providesn informationn ton healthcaren professionalsn
and n patientsn regardingn thenseriousn risksn and n sideneffectsn relatedn ton then drug.nThen Boxe
d n Warningn isn not n then primaryn sourcen forn identifyingn then patient’sn drugn dosage.
Then warningn isn found n onnspecificn prescriptionn medicationsn andndoesnnot nprovideninform
ationn ton reducen orn decreasen siden effects.
3. Whenn practicingn safetyn inn then administrationn of nmedication,n forn whichn of n then followingn
medicationn ordersn should n an nursen seekn clarificationn beforenthen administrationn of n then me
dication?
1
, Castillo/Werner-McCullough:nCalculating nDrug nDosages,n2e
A Regularn insulinn 5n un subcut n now.
B Enoxaparinn 80n mgn subcut n everyn 12n hours.
C Benadryln 50n mgn POn PRN n everyn 6n hrn forn itching.
D Ondansetronn 4n mgn IVPn stat.
ANS:n A
Feedback
Then “u”n should n nevern ben usedninn anmedicationnorder;n rather,nfornsafety,nthenwordn“units”n
should n ben spelled n out.n Then othern answern optionsn containn then required
componentsn needed n ton safelyn carryn out n then medicationn order.
4. A n nursen isn reviewingn an drugn labeln withn andrugn namen writtennwithntalln mann lettering.n Whichn stat
ementsn showsn then nursen hasn an correct n understandingn of n talln mann letteringn onn an drugn label?
A “Then talln mann letteringn meansn thisn isn an highn alert n drug.”
B “Then talln mann letteringn helpsn men distinguishn thisn drugn withn othern drugsn that
haven similarn names.”
C “Then talln mann letteringn meansn that n thisn drugn must n haven an Boxed n Warning.”
D “Then talln mann letteringn helpsn men quicklyn identifyn that n thisn drugn isn ann injectable
drug.”
ANS:n B
Feedback
Talln mann letteringn highlightsn an portionn of n thendrugn namen ton helpn distinguishn fromn simila
rn drugn names.n It n isn not n used n ton identifyn highn alert n drugs,n highlight n an boxed
warning,n orn identifyn injectablen drugs.
5. Then followingn medicationn ordersn aren found n inn then patient’sn MAR:
MetforminnHCln500nmgnPOndailynatn0900.nHydrochlorothiazid
en25nmgnPOneveryn12nhrnatn0900nandn2100.nDigoxinn.25nmgnPOnd
ailynatn0900.
Inn readingn then medicationn ordersn forn then 0700–
1500n shift,n thennursen determinesn that n whichn of n then followingn isn then prioritynnursingn interventio
n?
A Clarifyn then metforminn HCln order.
B Clarifyn then hydrochlorothiaziden order.
C Clarifyn then digoxinn order.
D Preparen ton administern then 0900n medications.
ANS:n C
2
CALCULATING DRUG DOSAGES: n n
A Patient-Safe Approach to Nursing and Math
n n n n n n
2nd Edition n
Castillo | Werner-McCullough
n n
TESTBANK n
,Castillo/Werner-McCullough: n CalculatingnDrugnDosages:n A n Patient-SafenApproachn ton Nursingnandn Math,,2e
Testn Bank
Tablenof nContents:
I.nSafetyninnMedicationnAdministration
Chaptern 1.n Safetyn inn Medicationn Administration
Chaptern 2.n Then Drugn Label
II.nSystemsnof nMeasurement
Chaptern 3.n Then Metricn System
Chaptern 4.n Then Household n System
III.nMethodsnof nCalculation
Chaptern 5.n Linearn Ration and n Proportion
Chaptern 6.n Fractionaln Ration and n Proportion
Chaptern 7.n Dimensionaln Analysis
Chaptern 8.n Formulan Method
IV.nAdministrationnof nMedications
Chaptern 9.n Calculatingn Oraln Medicationn Doses
Chaptern 10.n Syringesn and n Needles
Chaptern 11.n Calculatingn Parenteraln Medicationn Dosages
Chaptern 12.n Preparingn Powdered n Parenteraln Medications
Chaptern 13.n Administrationn of n Insulin
V.nIVnTherapynandnAdministrationnof nIntravenousnMedications
Chaptern 14.n Intravenousn Infusionn and n Infusionn Rates
Chaptern 15.n Calculatingn Infusionn and n Completionn Time
Chaptern 16.n Administeringn IVn Pushn Medications
VI.nVerifyingnSafenDosenandnCriticalnCarenCalculations
Chaptern 17.n Verifyingn Safen Dose
Chaptern 18.n Titrationn of n Intravenousn Medications
VII.nIntakenandnOutput
Chaptern 19.n Calculatingn Intaken and n Output
Chaptern 20.n Calculatingn Parenteraln Intake
VIII.nDosagesnfornPediatricnandnOldernAdultnPopulations
Chaptern 21.n Considerationsn forn then Pediatricn Patient
Chaptern 22.n Considerationsn forn then Oldern Adult
,Castillo/Werner-McCullough:nCalculating nDrug nDosages,n2e
Chaptern1:nSafetyninnMedicationnAdministration
Castillo:nCalculating nDrug nDosages:nAnPatient-SafenApproachnto nNursing nandnMathn2ndnEdition
MULTIPLEnCHOICE
1. Then followingn medicationn ordern isn inn then patient’sn medicationn administrationn record n (MAR):
methylPREDnisolonen40nmgnPOndailynatn0900.
Aftern readingn then order,n then nursen correctlyn determines:
A “PO”n isn ann inappropriaten abbreviation.
B then medicationn ordern isn writtenn correctly.
C 40n mgn should n ben writtenn asn 40mg.
D talln mann letteringn indicatesn that n then drugn isn an narcotic.
ANS:n B
Feedback
Then medicationn ordern hasn alln thenrequired n componentsn(drugn name,ndose,n route,nandnfr
equencyn of n administration)n forn andrugn order.n “PO”nisn ann appropriaten abbreviation;n 40n
mgn isn writtenn correctlyn withn an spacen betweennthendosen andnthenunit n ofnmeasurement.n T
alln mann letteringn isn used n ton distinguishn then drugn fromn anothern drug
withn an similarn name.
2. Whichn of n then followingn accuratelyn describesn then “Boxed n Warning”n found n onn an drugn label?
A It n isn primarilyn isn used n ton identifyn then safen dosen forn then patient.
B It n isn commonlyn found n onn alln drugn labels.
C It n identifiesn seriousn potentialn risksn and n siden effectsn related n ton drugn use.
D It n protectsn then patient n byn providingn informationn ton decreasen siden effects.
ANS:n C
Feedback
An drugn labeln withnanboxed n warningn providesn informationn ton healthcaren professionalsn
and n patientsn regardingn thenseriousn risksn and n sideneffectsn relatedn ton then drug.nThen Boxe
d n Warningn isn not n then primaryn sourcen forn identifyingn then patient’sn drugn dosage.
Then warningn isn found n onnspecificn prescriptionn medicationsn andndoesnnot nprovideninform
ationn ton reducen orn decreasen siden effects.
3. Whenn practicingn safetyn inn then administrationn of nmedication,n forn whichn of n then followingn
medicationn ordersn should n an nursen seekn clarificationn beforenthen administrationn of n then me
dication?
1
, Castillo/Werner-McCullough:nCalculating nDrug nDosages,n2e
A Regularn insulinn 5n un subcut n now.
B Enoxaparinn 80n mgn subcut n everyn 12n hours.
C Benadryln 50n mgn POn PRN n everyn 6n hrn forn itching.
D Ondansetronn 4n mgn IVPn stat.
ANS:n A
Feedback
Then “u”n should n nevern ben usedninn anmedicationnorder;n rather,nfornsafety,nthenwordn“units”n
should n ben spelled n out.n Then othern answern optionsn containn then required
componentsn needed n ton safelyn carryn out n then medicationn order.
4. A n nursen isn reviewingn an drugn labeln withn andrugn namen writtennwithntalln mann lettering.n Whichn stat
ementsn showsn then nursen hasn an correct n understandingn of n talln mann letteringn onn an drugn label?
A “Then talln mann letteringn meansn thisn isn an highn alert n drug.”
B “Then talln mann letteringn helpsn men distinguishn thisn drugn withn othern drugsn that
haven similarn names.”
C “Then talln mann letteringn meansn that n thisn drugn must n haven an Boxed n Warning.”
D “Then talln mann letteringn helpsn men quicklyn identifyn that n thisn drugn isn ann injectable
drug.”
ANS:n B
Feedback
Talln mann letteringn highlightsn an portionn of n thendrugn namen ton helpn distinguishn fromn simila
rn drugn names.n It n isn not n used n ton identifyn highn alert n drugs,n highlight n an boxed
warning,n orn identifyn injectablen drugs.
5. Then followingn medicationn ordersn aren found n inn then patient’sn MAR:
MetforminnHCln500nmgnPOndailynatn0900.nHydrochlorothiazid
en25nmgnPOneveryn12nhrnatn0900nandn2100.nDigoxinn.25nmgnPOnd
ailynatn0900.
Inn readingn then medicationn ordersn forn then 0700–
1500n shift,n thennursen determinesn that n whichn of n then followingn isn then prioritynnursingn interventio
n?
A Clarifyn then metforminn HCln order.
B Clarifyn then hydrochlorothiaziden order.
C Clarifyn then digoxinn order.
D Preparen ton administern then 0900n medications.
ANS:n C
2
