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Safe 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:
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I.nSafetyninnMedicationnAdministration
Chaptern1.nSafetyninnMedicationnAdministration
Chaptern2.nThenDrugnLabel
II.nSystemsnofnMeasurement
Chaptern3.nThenMetricnSystem
Chaptern4.nThenHouseholdnSystem
III.nMethodsnofnCalculation
Chaptern5.nLinearnRationandnProportion
Chaptern6.nFractionalnRationandnProportion
Chaptern7.nDimensionalnAnalysis
Chaptern8.nFormulanMethod
IV.nAdministrationnofnMedications
Chaptern9.nCalculatingnOralnMedicationnDoses
Chaptern10.nSyringesnandnNeedles
Chaptern11.nCalculatingnParenteralnMedicationnDosages
Chaptern12.nPreparingnPowderednParenteralnMedications
Chaptern13.nAdministrationnofnInsulin
V.nIVnTherapynandnAdministrationnofnIntravenousnMedications
Chaptern14.nIntravenousnInfusionnandnInfusionnRates
Chaptern15.nCalculatingnInfusionnandnCompletionnTime
Chaptern16.nAdministeringnIVnPushnMedications
VI.nVerifyingnSafenDosenandnCriticalnCarenCalculations
Chaptern17.nVerifyingnSafenDose
Chaptern18.nTitrationnofnIntravenousnMedications
VII.nIntakenandnOutput
Chaptern19.nCalculatingnIntakenandnOutput
Chaptern20.nCalculatingnParenteralnIntake
VIII.nDosagesnfornPediatricnandnOldernAdultnPopulations
Chaptern21.nConsiderationsnfornthenPediatricnPatient
Chaptern22.nConsiderationsnfornthenOldernAdult
,Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
Chaptern1:nSafetyninnMedicationnAdministration
Castillo:nCalculatingnDrugnDosages:nAnPatient-SafenApproachntonNursingnandnMathn2ndnEdition
MULTIPLEnCHOICE
1. Thenfollowingnmedicationnordernisninnthenpatient’snmedicationnadministrationnrecordn(MAR):
methylPREDnisolonen40nmgnPOndailynatn0900.
Afternreadingnthenorder,nthennursencorrectlyndetermines:
A “PO”nisnanninappropriatenabbreviation.
B thenmedicationnordernisnwrittenncorrectly.
C 40nmgnshouldnbenwrittennasn40mg.
D tallnmannletteringnindicatesnthatnthendrugnisnannarcotic.
ANSWER:nB
Feedback
Thenmedicationnordernhasnallnthenrequiredncomponentsn(drugnname,ndose,nroute,na
ndnfrequencynofnadministration)nfornandrugnorder.n“PO”nisnannappropriatenabbreviati
on;n40nmgnisnwrittenncorrectlynwithnanspacenbetweennthendosenandnthenunitnofnmeas
urement.nTallnmannletteringnisnusedntondistinguishnthendrugnfromnanotherndrug
withnansimilarnname.
2. Whichnofnthenfollowingnaccuratelyndescribesnthen“BoxednWarning”nfoundnonnandrugnlabel?
A Itnisnprimarilynisnusedntonidentifynthensafendosenfornthenpatient.
B Itnisncommonlynfoundnonnallndrugnlabels.
C Itnidentifiesnseriousnpotentialnrisksnandnsideneffectsnrelatedntondrugnuse.
D Itnprotectsnthenpatientnbynprovidingninformationntondecreasensideneffects.
ANSWER:nC
Feedback
Andrugnlabelnwithnanboxednwarningnprovidesninformationntonhealthcarenprofessional
snandnpatientsnregardingnthenseriousnrisksnandnsideneffectsnrelatedntonthendrug.nThenB
oxednWarningnisnnotnthenprimarynsourcenfornidentifyingnthenpatient’sndrugndosage.
Thenwarningnisnfoundnonnspecificnprescriptionnmedicationsnandndoesnnotnprovid
eninformationntonreducenorndecreasensideneffects.
3. Whennpracticingnsafetyninnthenadministrationnofnmedication,nfornwhichnofnthenfollowin
gnmedicationnordersnshouldnannursenseeknclarificationnbeforenthenadministrationnofnthen
medication?
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, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regularninsulinn5nunsubcutnnow.
B Enoxaparinn80nmgnsubcutneveryn12nhours.
C Benadryln50nmgnPOnPRNneveryn6nhrnfornitching.
D Ondansetronn4nmgnIVPnstat.
ANSWER:nA
Feedback
Then“u”nshouldnnevernbenusedninnanmedicationnorder;nrather,nfornsafety,nthenwor
dn“units”nshouldnbenspellednout.nThenothernanswernoptionsncontainnthenrequired
componentsnneededntonsafelyncarrynoutnthenmedicationnorder.
4. Annursenisnreviewingnandrugnlabelnwithnandrugnnamenwrittennwithntallnmannlettering.nWhichnst
atementsnshowsnthennursenhasnancorrectnunderstandingnofntallnmannletteringnonnandrugnlabel
?
A “Thentallnmannletteringnmeansnthisnisnanhighnalertndrug.”
B “Thentallnmannletteringnhelpsnmendistinguishnthisndrugnwithnotherndrugsnthat
havensimilarnnames.”
C “ThentallnmannletteringnmeansnthatnthisndrugnmustnhavenanBoxednWarning.”
D “Thentallnmannletteringnhelpsnmenquicklynidentifynthatnthisndrugnisnanninjectable
drug.”
ANSWER:nB
Feedback
Tallnmannletteringnhighlightsnanportionnofnthendrugnnamentonhelpndistinguishnfro
mnsimilarndrugnnames.nItnisnnotnusedntonidentifynhighnalertndrugs,nhighlightnanboxe
d
warning,nornidentifyninjectablendrugs.
5. Thenfollowingnmedicationnordersnarenfoundninnthenpatient’snMAR:
MetforminnHCln500nmgnPOndailynatn0900.nHydrochlorothiaziden2
5nmgnPOneveryn12nhrnatn0900nandn2100.nDigoxinn.25nmgnPOndailyn
atn0900.
Innreadingnthenmedicationnordersnfornthen0700–
1500nshift,nthennursendeterminesnthatnwhichnofnthenfollowingnisnthenprioritynnursingnintervent
ion?
A ClarifynthenmetforminnHClnorder.
B Clarifynthenhydrochlorothiazidenorder.
C Clarifynthendigoxinnorder.
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