TEST BANK For Calculating Drug Dosages A Patient-Safe Approach to Nursing and Math 2nd Edition by Castillo, Verified Chapters 1 - 22, Complete Newest Version

Test Bank For Calculating Drug Dosages A Patient-Safe
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b Approach to Nursing and Math
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2nd Edition by Castillo
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Chapter 1 - 22 Complete
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,Table of Contents: b b




I. Safety in Medication Administration
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Chapter 1. Safety in Medication Administration
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Chapter 2. The Drug Labelb b b b


II. Systems of Measurement
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Chapter 3. The Metric System
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Chapter 4. The Household System
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III. Methods of Calculation
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Chapter 5. Linear Ratio and Proportion
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Chapter 6. Fractional Ratio and Proportion
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Chapter 7. Dimensional Analysis
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Chapter 8. Formula Methodb b b


IV. Administration of Medications
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Chapter 9. Calculating Oral Medication Doses
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Chapter 10. Syringes and Needles
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Chapter 11. Calculating Parenteral Medication Dosages
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Chapter 12. Preparing Powdered Parenteral Medications
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Chapter 13. Administration of Insulin
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V. IV Therapy and Administration of Intravenous Medications
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Chapter 14. Intravenous Infusion and Infusion Rates
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Chapter 15. Calculating Infusion and Completion Time
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Chapter 16. Administering IV Push Medications
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VI. Verifying Safe Dose and Critical Care Calculations
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Chapter 17. Verifying Safe Dose
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Chapter 18. Titration of Intravenous Medications
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VII. Intake and Output
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Chapter 19. Calculating Intake and Output
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Chapter 20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and Older Adult Populations
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Chapter 21. Considerations for the Pediatric Patient
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Chapter 22. Considerations for the Older Adult
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,Castillo/Werner-McCullough: bCalculating bDrug bDosages,
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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 2nd Edition
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MULTIPLE CHOICE b




1. The following medication order is in the patient’s medication administration record (MAR):
b b b b b b b b b b b




methylPREDnisolone 40 mg PO daily at 0900. b b b b b b




After reading the order, the nurse correctly determines:
b b b b b b b


A ―PO‖ is an inappropriate abbreviation. b b b b


B the medication order is written correctly. b b b b b


C 40 mg should be written as 40mg. b b b b b b


D tall man lettering indicates that the drug is a narcotic.
b b b b b b b b b




ANSWER: B b


Feedback
The medication order has all the required components (drug name, dose, route,
b b b b b b b b b b b


andfrequency of administration) for a drug order. ―PO‖ is an appropriate
b b b b b b b b b b b b


abbreviation;40 mg is written correctly with a space between the dose and the unit
b b b b b b b b b b b b b b b


of measurement. Tall man lettering is used to distinguish the drug from another
b b b b b b b b b b b b b


drug
b


with a similar name. b b b




2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
b b b b b b b b b b b b b


A It is primarily is used to identify the safe dose for the patient.
b b b b b b b b b b b b


B It is commonly found on all drug labels.
b b b b b b b


C It identifies serious potential risks and side effects related to drug use.
b b b b b b b b b b b


D It protects the patient by providing information to decrease side effects.
b b b b b b b b b b




ANSWER: C b


Feedback
A drug label with a boxed warning provides information to healthcare
b b b b b b b b b b


professionalsand patients regarding the serious risks and side effects related to the
b b b b b b b b b b b b b


drug. The Boxed Warning is not the primary source for identifying the patient’s
b b b b b b b b b b b b b


drug dosage.
b b


The warning is found on specific prescription medications and does not
b b b b b b b b b b


provideinformation to reduce or decrease side effects.
b b b b b b b b




3. When practicing safety in the administration of medication, for which of the
b b b b b b b b b b b


followingmedication orders should a nurse seek clarification before the
b b b b b b b b b b


administration of the medication?
b b b b


1

, Castillo/Werner-McCullough: bCalculating bDrug bDosages,
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A Regular insulin 5 u subcut now. b b b b b


B Enoxaparin 80 mg subcut every 12 hours. b b b b b b


C Benadryl 50 mg PO PRN every 6 hr for itching. b b b b b b b b b


D Ondansetron 4 mg IVP stat. b b b b




ANSWER: A b


Feedback
The ―u‖ should never be used in a medication order; rather, for safety, the
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word―units‖ should be spelled out. The other answer options contain the
b b b b b b b b b b b b


required
b


components needed to safely carry out the medication order.
b b b b b b b b




4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
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statements shows the nurse has a correct understanding of tall man lettering on a drug
b b b b b b b b b b b b b b b


label?
b


A ―The tall man lettering means this is a high alert drug.‖
b b b b b b b b b b


B ―The tall man lettering helps me distinguish this drug with other drugs that
b b b b b b b b b b b b


have similar names.‖ b b


C ―The tall man lettering means that this drug must have a Boxed Warning.‖
b b b b b b b b b b b b


D ―The tall man lettering helps me quickly identify that this drug is an injectable
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drug.‖

ANSWER: B b


Feedback
Tall man lettering highlights a portion of the drug name to help distinguish
b b b b b b b b b b b b


fromsimilar drug names. It is not used to identify high alert drugs, highlight a
b b b b b b b b b b b b b b b


boxed
b


warning, or identify injectable drugs. b b b b




5. The following medication orders are found in the patient’s MAR:
b b b b b b b b b




Metformin HCl 500 mg PO daily at 0900. b b b b b b b


Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
b b b b b b b b b b


2100.Digoxin .25 mg PO daily at 0900.
b b b b b b b b




In reading the medication orders for the 0700–1500 shift, the nurse determines that which
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bofthe following is the priority nursing intervention?
b b b b b b b


A Clarify the metformin HCl order. b b b b


B Clarify the hydrochlorothiazide order. b b b


C Clarify the digoxin order. b b b


D Prepare to administer the 0900 medications. b b b b b




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