CALCULATING DRUG DOSAGES: j j
A Patient-Safe Approach to Nursing and Math
j j j j j j
2nd Edition
j
Castillo | Werner-McCullough
j j
TESTBANK j
,Castillo/Werner-McCullough:jCalculatingjDrugjDosages:jAjPatient-SafejApproachjtojNursingjandjMath,,2e
TestjBank
TablejofjContents:
I.jSafetyjinjMedicationjAdministration
Chapterj1.jSafetyjinjMedicationjAdministration
Chapterj2.jThejDrugjLabel
II.jSystemsjofjMeasurement
Chapterj3.jThejMetricjSystem
Chapterj4.jThejHouseholdjSystem
III.jMethodsjofjCalculation
Chapterj5.jLinearjRatiojandjProportion
Chapterj6.jFractionaljRatiojandjProportion
Chapterj7.jDimensionaljAnalysis
Chapterj8.jFormulajMethod
IV.jAdministrationjofjMedications
Chapterj9.jCalculatingjOraljMedicationjDoses
Chapterj10.jSyringesjandjNeedles
Chapterj11.jCalculatingjParenteraljMedicationjDosages
Chapterj12.jPreparingjPowderedjParenteraljMedications
Chapterj13.jAdministrationjofjInsulin
V.jIVjTherapyjandjAdministrationjofjIntravenousjMedications
Chapterj14.jIntravenousjInfusionjandjInfusionjRates
Chapterj15.jCalculatingjInfusionjandjCompletionjTime
Chapterj16.jAdministeringjIVjPushjMedications
VI.jVerifyingjSafejDosejandjCriticaljCarejCalculations
Chapterj17.jVerifyingjSafejDose
Chapterj18.jTitrationjofjIntravenousjMedications
VII.jIntakejandjOutput
Chapterj19.jCalculatingjIntakejandjOutput
Chapterj20.jCalculatingjParenteraljIntake
VIII.jDosagesjforjPediatricjandjOlderjAdultjPopulations
Chapterj21.jConsiderationsjforjthejPediatricjPatient
Chapterj22.jConsiderationsjforjthejOlderjAdult
,Castillo/Werner-McCullough:jCalculatingjDrugjDosages,j2e
Chapterj1:jSafetyjinjMedicationjAdministration
Castillo:jCalculatingjDrugjDosages:jAjPatient-SafejApproachjtojNursingjandjMathj2ndjEdition
MULTIPLEjCHOICE
1. Thejfollowingjmedicationjorderjisjinjthejpatient’sjmedicationjadministrationjrecordj(MAR):
methylPREDnisolonej40jmgjPOjdailyjatj0900.
Afterjreadingjthejorder,jthejnursejcorrectlyjdetermines:
A “PO”jisjanjinappropriatejabbreviation.
B thejmedicationjorderjisjwrittenjcorrectly.
C 40jmgjshouldjbejwrittenjasj40mg.
D talljmanjletteringjindicatesjthatjthejdrugjisjajnarcotic.
ANS:jB
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Thejmedicationjorderjhasjalljthejrequiredjcomponentsj(drugjname,jdose,jroute,jandjfre
quencyjofjadministration)jforjajdrugjorder.j“PO”jisjanjappropriatejabbreviation;j40jm
gjisjwrittenjcorrectlyjwithjajspacejbetweenjthejdosejandjthejunitjofjmeasurement.jTallj
manjletteringjisjusedjtojdistinguishjthejdrugjfromjanotherjdrug
withjajsimilarjname.
2. Whichjofjthejfollowingjaccuratelyjdescribesjthej“BoxedjWarning”jfoundjonjajdrugjlabel?
A Itjisjprimarilyjisjusedjtojidentifyjthejsafejdosejforjthejpatient.
B Itjisjcommonlyjfoundjonjalljdrugjlabels.
C Itjidentifiesjseriousjpotentialjrisksjandjsidejeffectsjrelatedjtojdrugjuse.
D Itjprotectsjthejpatientjbyjprovidingjinformationjtojdecreasejsidejeffects.
ANS:jC
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Ajdrugjlabeljwithjajboxedjwarningjprovidesjinformationjtojhealthcarejprofessionalsjan
djpatientsjregardingjthejseriousjrisksjandjsidejeffectsjrelatedjtojthejdrug.jThejBoxedjW
arningjisjnotjthejprimaryjsourcejforjidentifyingjthejpatient’sjdrugjdosage.
Thejwarningjisjfoundjonjspecificjprescriptionjmedicationsjandjdoesjnotjprovidejinforma
tionjtojreducejorjdecreasejsidejeffects.
3. Whenjpracticingjsafetyjinjthejadministrationjofjmedication,jforjwhichjofjthejfollowingjm
edicationjordersjshouldjajnursejseekjclarificationjbeforejthejadministrationjofjthejmedica
tion?
1
, Castillo/Werner-McCullough:jCalculatingjDrugjDosages,j2e
A Regularjinsulinj5jujsubcutjnow.
B Enoxaparinj80jmgjsubcutjeveryj12jhours.
C Benadrylj50jmgjPOjPRNjeveryj6jhrjforjitching.
D Ondansetronj4jmgjIVPjstat.
ANS:jA
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Thej“u”jshouldjneverjbejusedjinjajmedicationjorder;jrather,jforjsafety,jthejwordj“units”js
houldjbejspelledjout.jThejotherjanswerjoptionsjcontainjthejrequired
componentsjneededjtojsafelyjcarryjoutjthejmedicationjorder.
4. Ajnursejisjreviewingjajdrugjlabeljwithjajdrugjnamejwrittenjwithjtalljmanjlettering.jWhichjstate
mentsjshowsjthejnursejhasjajcorrectjunderstandingjofjtalljmanjletteringjonjajdrugjlabel?
A “Thejtalljmanjletteringjmeansjthisjisjajhighjalertjdrug.”
B “Thejtalljmanjletteringjhelpsjmejdistinguishjthisjdrugjwithjotherjdrugsjthat
havejsimilarjnames.”
C “ThejtalljmanjletteringjmeansjthatjthisjdrugjmustjhavejajBoxedjWarning.”
D “Thejtalljmanjletteringjhelpsjmejquicklyjidentifyjthatjthisjdrugjisjanjinjectable
drug.”
ANS:jB
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Talljmanjletteringjhighlightsjajportionjofjthejdrugjnamejtojhelpjdistinguishjfromjsimilarj
drugjnames.jItjisjnotjusedjtojidentifyjhighjalertjdrugs,jhighlightjajboxed
warning,jorjidentifyjinjectablejdrugs.
5. Thejfollowingjmedicationjordersjarejfoundjinjthejpatient’sjMAR:
MetforminjHClj500jmgjPOjdailyjatj0900.jHydrochlorothiazide
j25jmgjPOjeveryj12jhrjatj0900jandj2100.jDigoxinj.25jmgjPOjdail
yjatj0900.
Injreadingjthejmedicationjordersjforjthej0700–
1500jshift,jthejnursejdeterminesjthatjwhichjofjthejfollowingjisjthejpriorityjnursingjintervention?
A ClarifyjthejmetforminjHCljorder.
B Clarifyjthejhydrochlorothiazidejorder.
C Clarifyjthejdigoxinjorder.
D Preparejtojadministerjthej0900jmedications.
ANS:jC
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