CALCULATING DRUG DOSAGES A PATIENT-SAFE APPROACH TO NURSING AND MATH
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nm ANDRA LUZ MARTINEZ DE CASTILLO AND MARYANNE WERNER-MCCULLOUGH
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2nd Edition
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TESTBANK m
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,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient-Safe Approach to Nursing and
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Math,,2e Test Bank
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Table of Contents:
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I. Safety in Medication Administration
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Chapter 1. Safety in Medication
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Administration Chapter 2. The Drug Label
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II. Systems of Measurement nm nm
Chapter 3. The Metric System
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Chapter 4. The Household
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System
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III. Methods of Calculation nm nm
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
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IV. Administration of Medications nm nm
Chapter 9. Calculating Oral Medication
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Doses Chapter 10. Syringes and Needles
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Chapter 11. Calculating Parenteral Medication
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Dosages Chapter 12. Preparing Powdered Parenteral
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Medications 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
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Time Chapter 16. Administering IV Push
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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 nm nm
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: n m Calculating n m Drug
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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 nm
1. The following medication order is in the patient’s medication administration record
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(MAR):
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methylPREDnisolone 40 mg PO daily at 0900. nm nm nm nm nm nm
After nm reading the order, the nurse correctly determines:
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A “PO” is an inappropriate abbreviation.
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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
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narcotic. ANS: B
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Feedback
The medication order has all the required components (drug name, dose, route,
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and frequency 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
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the unit of measurement. Tall man lettering is used to distinguish the drug
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from another drug with a similar name.
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2. Which nm 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
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effects. ANS: C
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Feedback
A drug label with a boxed warning provides information to healthcare
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professionals and patients regarding the serious risks and side effects related
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to the drug. The Boxed Warning is not the primary source for identifying
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the patient’s drug dosage. The warning is found on specific prescription
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medications and does not provide information to reduce or decrease side
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effects.
3. When practicing safety in the administration of medication, for which of the
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following medication orders should a nurse seek clarification before the
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administration of the medication?
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A Regular insulin 5 u subcut now.nm nm nm nm nm
B Enoxaparin 80 mg subcut every 12 hours. nm nm nm nm nm nm
C Benadryl 50 mg PO PRN every 6 hr for itching.
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D Ondansetron 4 mg IVP nm nm nm
stat. ANS: A
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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 components needed to safely carry out the medication order.
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4. A nurse is reviewing a drug label with a drug name written with tall man
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lettering. Which statements shows the nurse has a correct understanding of tall man
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lettering on a drug label?
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A “The tall man lettering means this is a high alert drug.”
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B “The tall man lettering helps me distinguish this drug with other
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drugs that have similar names.”
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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 injectable
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drug.”
ANS: B nm
Feedback
Tall man lettering highlights a portion of the drug name to help
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distinguish from similar drug names. It is not used to identify high alert
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drugs, highlight a boxed warning, or identify injectable drugs.
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5. The following medication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. nm nm nm nm nm nm nm
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 of the following is the priority nursing intervention?
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A Clarify the metformin HCl order. nm nm nm nm
B Clarify the hydrochlorothiazide order. nm nm nm
C Clarify the digoxin order. nm nm nm
D Prepare to administer the 0900 nm nm nm nm
medications. ANS: C
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