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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: ss ss
I. Safety in Medication Administration
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Chapter 1. Safety in Medication Administration
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Chapter 2. The Drug Label ss ss ss ss
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 Method ss ss ss
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: Calculating Drug Dosages, 2e
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 ss
1. The following medication order is in the patient’s medication administration record (MAR):
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methylPREDnisolone 40 mg PO daily at 0900. ss ss ss ss ss ss
After ss reading the order, the nurse correctly determines:
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A ―PO‖ is an inappropriate abbreviation. ss ss ss ss
B the medication order is written correctly.
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C 40 mg should be written as 40mg.
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D tall man lettering indicates that the drug is a narcotic.
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ANSWER: B ss
Feedback
The medication order has all the required components (drug name, dose, route,
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andfrequency of administration) for a drug order. ―PO‖ is an appropriate
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abbreviation;40 mg is written correctly with a space between the dose and the
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unit of measurement. Tall man lettering is used to distinguish the drug from
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another drug
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with a similar name. ss ss ss
2. Which of the following accurately describes the ―Boxed Warning‖ found on a drug label?
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A It is primarily is used to identify the safe dose for the patient.
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B It is commonly found on all drug labels.
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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 by providing information to decrease side effects.
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ANSWER: C ss
Feedback
A drug label with a boxed warning provides information to healthcare
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professionalsand patients regarding the serious risks and side effects related to
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the drug. The Boxed Warning is not the primary source for identifying the
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patient’s drug dosage.
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The warning is found on specific prescription medications and does not
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provideinformation to reduce or decrease side effects.
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3. When practicing safety in the administration of medication, for which of the
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followingmedication orders should a nurse seek clarification before the
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administration of the medication?
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, Castillo/Werner-McCullough: Calculating Drug Dosages, 2e
A Regular insulin 5 u subcut now. ss ss ss ss ss
B Enoxaparin 80 mg subcut every 12 hours. ss ss ss ss ss ss
C Benadryl 50 mg PO PRN every 6 hr for itching. ss ss ss ss ss ss ss ss ss
D Ondansetron 4 mg IVP stat. ss ss ss ss
ANSWER: A ss
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
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required
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components needed to safely carry out the medication order. ss ss ss ss ss ss ss ss
4. A nurse is reviewing a drug label with a drug name written with tall man lettering.
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Which statements shows the nurse has a correct understanding of tall man lettering on a
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drug label?
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A ―The tall man lettering means this is a high alert drug.‖ ss ss ss ss ss ss ss ss ss ss
B ―The tall man lettering helps me distinguish this drug with other drugs that
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have similar names.‖ ss ss
C ―The tall man lettering means that this drug must have a Boxed Warning.‖
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D ―The tall man lettering helps me quickly identify that this drug is an
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injectable ss
drug.‖
ANSWER: B ss
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish
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fromsimilar drug names. It is not used to identify high alert drugs, highlight
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a boxed
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warning, or identify injectable drugs. ss ss ss ss
5. The following medication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. ss ss ss ss ss ss ss
Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and
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2100.Digoxin .25 mg PO daily at 0900.
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In reading the medication orders for the 0700–1500 shift, the nurse determines that
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which ofthe following is the priority nursing intervention?
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A Clarify the metformin HCl order. ss ss ss ss
B Clarify the hydrochlorothiazide order. ss ss ss
C Clarify the digoxin order. ss ss ss
D Prepare to administer the 0900 medications. ss ss ss ss ss
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