I I I I I I I
Safe Approach to Nursing and Math
I I I I I I
2nd Edition by Castillo
I I I II
Chapter 1 - 22 Complete
I I I I
,Table of Contents:
I I
I.ISafetyIinIMedicationIAdministration
ChapterI1.ISafetyIinIMedicationIAdministration
ChapterI2.ITheIDrugILabel
II.ISystemsIofIMeasurement
ChapterI3.ITheIMetricISystem
ChapterI4.ITheIHouseholdISystem
III.IMethodsIofICalculation
ChapterI5.ILinearIRatioIandIProportion
ChapterI6.IFractionalIRatioIandIProportion
ChapterI7.IDimensionalIAnalysis
ChapterI8.IFormulaIMethod
IV.IAdministrationIofIMedications
ChapterI9.ICalculatingIOralIMedicationIDoses
ChapterI10.ISyringesIandINeedles
ChapterI11.ICalculatingIParenteralIMedicationIDosages
ChapterI12.IPreparingIPowderedIParenteralIMedications
ChapterI13.IAdministrationIofIInsulin
V.IIVITherapyIandIAdministrationIofIIntravenousIMedications
ChapterI14.IIntravenousIInfusionIandIInfusionIRates
ChapterI15.ICalculatingIInfusionIandICompletionITime
ChapterI16.IAdministeringIIVIPushIMedications
VI.IVerifyingISafeIDoseIandICriticalICareICalculations
ChapterI17.IVerifyingISafeIDose
ChapterI18.ITitrationIofIIntravenousIMedications
VII.IIntakeIandIOutput
ChapterI19.ICalculatingIIntakeIandIOutput
ChapterI20.ICalculatingIParenteralIIntake
VIII.IDosagesIforIPediatricIandIOlderIAdultIPopulations
ChapterI21.IConsiderationsIforItheIPediatricIPatient
ChapterI22.IConsiderationsIforItheIOlderIAdult
,Castillo/Werner-McCullough:ICalculatingIDrugIDosages,I2e
ChapterI1:ISafetyIinIMedicationIAdministration
Castillo:ICalculatingIDrugIDosages:IAIPatient-SafeIApproachItoINursingIandIMathI2ndIEdition
MULTIPLEICHOICE
1. TheIfollowingImedicationIorderIisIinItheIpatient’sImedicationIadministrationIrecordI(MAR):
methylPREDnisoloneI40ImgIPOIdailyIatI0900.
AfterIreadingItheIorder,ItheInurseIcorrectlyIdetermines:
A “PO”IisIanIinappropriateIabbreviation.
B theImedicationIorderIisIwrittenIcorrectly.
C 40ImgIshouldIbeIwrittenIasI40mg.
D tallImanIletteringIindicatesIthatItheIdrugIisIaInarcotic.
ANSWER:IB
Feedback
TheImedicationIorderIhasIallItheIrequiredIcomponentsI(drugIname,Idose,Iroute,IandIf
requencyIofIadministration)IforIaIdrugIorder.I“PO”IisIanIappropriateIabbreviation;I40I
mgIisIwrittenIcorrectlyIwithIaIspaceIbetweenItheIdoseIandItheIunitIofImeasurement.IT
allImanIletteringIisIusedItoIdistinguishItheIdrugIfromIanotherIdrug
withIaIsimilarIname.
2. WhichIofItheIfollowingIaccuratelyIdescribesItheI“BoxedIWarning”IfoundIonIaIdrugIlabel?
A ItIisIprimarilyIisIusedItoIidentifyItheIsafeIdoseIforItheIpatient.
B ItIisIcommonlyIfoundIonIallIdrugIlabels.
C ItIidentifiesIseriousIpotentialIrisksIandIsideIeffectsIrelatedItoIdrugIuse.
D ItIprotectsItheIpatientIbyIprovidingIinformationItoIdecreaseIsideIeffects.
ANSWER:IC
Feedback
AIdrugIlabelIwithIaIboxedIwarningIprovidesIinformationItoIhealthcareIprofessionalsIan
dIpatientsIregardingItheIseriousIrisksIandIsideIeffectsIrelatedItoItheIdrug.ITheIBoxedIW
arningIisInotItheIprimaryIsourceIforIidentifyingItheIpatient’sIdrugIdosage.
TheIwarningIisIfoundIonIspecificIprescriptionImedicationsIandIdoesInotIprovideIinf
ormationItoIreduceIorIdecreaseIsideIeffects.
3. WhenIpracticingIsafetyIinItheIadministrationIofImedication,IforIwhichIofItheIfollowingIm
edicationIordersIshouldIaInurseIseekIclarificationIbeforeItheIadministrationIofItheImedic
ation?
1
, Castillo/Werner-McCullough:ICalculatingIDrugIDosages,I2e
A RegularIinsulinI5IuIsubcutInow.
B EnoxaparinI80ImgIsubcutIeveryI12Ihours.
C BenadrylI50ImgIPOIPRNIeveryI6IhrIforIitching.
D OndansetronI4ImgIIVPIstat.
ANSWER:IA
Feedback
TheI“u”IshouldIneverIbeIusedIinIaImedicationIorder;Irather,IforIsafety,ItheIwordI“u
nits”IshouldIbeIspelledIout.ITheIotherIanswerIoptionsIcontainItheIrequired
componentsIneededItoIsafelyIcarryIoutItheImedicationIorder.
4. AInurseIisIreviewingIaIdrugIlabelIwithIaIdrugInameIwrittenIwithItallImanIlettering.IWhichIstate
mentsIshowsItheInurseIhasIaIcorrectIunderstandingIofItallImanIletteringIonIaIdrugIlabel?
A “TheItallImanIletteringImeansIthisIisIaIhighIalertIdrug.”
B “TheItallImanIletteringIhelpsImeIdistinguishIthisIdrugIwithIotherIdrugsIthat
haveIsimilarInames.”
C “TheItallImanIletteringImeansIthatIthisIdrugImustIhaveIaIBoxedIWarning.”
D “TheItallImanIletteringIhelpsImeIquicklyIidentifyIthatIthisIdrugIisIanIinjectable
drug.”
ANSWER:IB
Feedback
TallImanIletteringIhighlightsIaIportionIofItheIdrugInameItoIhelpIdistinguishIfromIsi
milarIdrugInames.IItIisInotIusedItoIidentifyIhighIalertIdrugs,IhighlightIaIboxed
warning,IorIidentifyIinjectableIdrugs.
5. TheIfollowingImedicationIordersIareIfoundIinItheIpatient’sIMAR:
MetforminIHClI500ImgIPOIdailyIatI0900.IHydrochlorothiazideI25I
mgIPOIeveryI12IhrIatI0900IandI2100.IDigoxinI.25ImgIPOIdailyIatI09
00.
InIreadingItheImedicationIordersIforItheI0700–
1500Ishift,ItheInurseIdeterminesIthatIwhichIofItheIfollowingIisItheIpriorityInursingIintervention
?
A ClarifyItheImetforminIHClIorder.
B ClarifyItheIhydrochlorothiazideIorder.
C ClarifyItheIdigoxinIorder.
D PrepareItoIadministerItheI0900Imedications.
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