Safe.Approach.to.Nursing.and.Math.
2nd.Edition.by.Castillo..
Chapter.1.-.22.Complete
,Table.of.Contents:
I..Safety.in.Medication.Administration
Chapter.1..Safety.in.Medication.Administration
Chapter.2..The.Drug.Label
II..Systems.of.Measurement
Chapter.3..The.Metric.System
Chapter.4..The.Household.System
III..Methods.of.Calculation
Chapter.5..Linear.Ratio.and.Proportion
Chapter.6..Fractional.Ratio.and.Proportion
Chapter.7..Dimensional.Analysis
Chapter.8..Formula.Method
IV..Administration.of.Medications
Chapter.9..Calculating.Oral.Medication.Doses
Chapter.10..Syringes.and.Needles
Chapter.11..Calculating.Parenteral.Medication.Dosages
Chapter.12..Preparing.Powdered.Parenteral.Medications
Chapter.13..Administration.of.Insulin
V..IV.Therapy.and.Administration.of.Intravenous.Medications
Chapter.14..Intravenous.Infusion.and.Infusion.Rates
Chapter.15..Calculating.Infusion.and.Completion.Time
Chapter.16..Administering.IV.Push.Medications
VI..Verifying.Safe.Dose.and.Critical.Care.Calculations
Chapter.17..Verifying.Safe.Dose
Chapter.18..Titration.of.Intravenous.Medications
VII..Intake.and.Output
Chapter.19..Calculating.Intake.and.Output
Chapter.20..Calculating.Parenteral.Intake
VIII..Dosages.for.Pediatric.and.Older.Adult.Populations
Chapter.21..Considerations.for.the.Pediatric.Patient
Chapter.22..Considerations.for.the.Older.Adult
,Castillo/Werner-
McCullough:.Calculating.Drug.Dosages,.2e
Chapter.1:.Safety.in.Medication.Administration
Castillo:.Calculating.Drug.Dosages:.A.Patient-Safe.Approach.to.Nursing.and.Math.2nd.Edition
MULTIPLE.CHOICE
1. The.following.medication.order.is.in.the.patient’s.medication.administration.record.(MAR):
methylPREDnisolone.40.mg.PO.daily.at.0900.
After.reading.the.order,.the.nurse.correctly.determines:
A “PO”.is.an.inappropriate.abbreviation.
B the.medication.order.is.written.correctly.
C 40.mg.should.be.written.as.40mg.
D tall.man.lettering.indicates.that.the.drug.is.a.narcotic.
ANSWER:.B
Feedback
The.medication.order.has.all.the.required.components.(drug.name,.dose,.route,.and.
frequency.of.administration).for.a.drug.order..“PO”.is.an.appropriate.abbreviation;.
40.mg.is.written.correctly.with.a.space.between.the.dose.and.the.unit.of.measurem
ent..Tall.man.lettering.is.used.to.distinguish.the.drug.from.another.drug
with.a.similar.name.
2. Which.of.the.following.accurately.describes.the.“Boxed.Warning”.found.on.a.drug.label?
A It.is.primarily.is.used.to.identify.the.safe.dose.for.the.patient.
B It.is.commonly.found.on.all.drug.labels.
C It.identifies.serious.potential.risks.and.side.effects.related.to.drug.use.
D It.protects.the.patient.by.providing.information.to.decrease.side.effects.
ANSWER:.C
Feedback
A.drug.label.with.a.boxed.warning.provides.information.to.healthcare.professionals.
and.patients.regarding.the.serious.risks.and.side.effects.related.to.the.drug..The.Box
ed.Warning.is.not.the.primary.source.for.identifying.the.patient’s.drug.dosage.
The.warning.is.found.on.specific.prescription.medications.and.does.not.provide.
information.to.reduce.or.decrease.side.effects.
3. When.practicing.safety.in.the.administration.of.medication,.for.which.of.the.following.
medication.orders.should.a.nurse.seek.clarification.before.the.administration.of.the.m
edication?
1
, Castillo/Werner-
McCullough:.Calculating.Drug.Dosages,.2e
A Regular.insulin.5.u.subcut.now.
B Enoxaparin.80.mg.subcut.every.12.hours.
C Benadryl.50.mg.PO.PRN.every.6.hr.for.itching.
D Ondansetron.4.mg.IVP.stat.
ANSWER:.A
Feedback
The.“u”.should.never.be.used.in.a.medication.order;.rather,.for.safety,.the.word.
“units”.should.be.spelled.out..The.other.answer.options.contain.the.required
components.needed.to.safely.carry.out.the.medication.order.
4. A.nurse.is.reviewing.a.drug.label.with.a.drug.name.written.with.tall.man.lettering..Which.st
atements.shows.the.nurse.has.a.correct.understanding.of.tall.man.lettering.on.a.drug.label?
A “The.tall.man.lettering.means.this.is.a.high.alert.drug.”
B “The.tall.man.lettering.helps.me.distinguish.this.drug.with.other.drugs.that
have.similar.names.”
C “The.tall.man.lettering.means.that.this.drug.must.have.a.Boxed.Warning.”
D “The.tall.man.lettering.helps.me.quickly.identify.that.this.drug.is.an.injectable
drug.”
ANSWER:.B
Feedback
Tall.man.lettering.highlights.a.portion.of.the.drug.name.to.help.distinguish.from.
similar.drug.names..It.is.not.used.to.identify.high.alert.drugs,.highlight.a.boxed
warning,.or.identify.injectable.drugs.
5. The.following.medication.orders.are.found.in.the.patient’s.MAR:
Metformin.HCl.500.mg.PO.daily.at.0900..Hydrochlorothiazi
de.25.mg.PO.every.12.hr.at.0900.and.2100..Digoxin..25.mg.P
O.daily.at.0900.
In.reading.the.medication.orders.for.the.0700–
1500.shift,.the.nurse.determines.that.which.of.the.following.is.the.priority.nursing.interventi
on?
A Clarify.the.metformin.HCl.order.
B Clarify.the.hydrochlorothiazide.order.
C Clarify.the.digoxin.order.
D Prepare.to.administer.the.0900.medications.
ANSWER:.C
2