CALCULATING DRUG DOSAGES A PATIENT-SAFE APPROACH TO NURSING AND MATH
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ANDRA LUZ MARTINEZ DE CASTILLO AND MARYANNE WERNER-MCCULLOUGH
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2nd Edition
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TESTBANK am
,Castillo/Werner-McCullough: Calculating Drug Dosages: A Patient- ma ma ma ma ma
Safe Approach to Nursing and Math,,2e Test Bank
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Table of Contents: ma ma
I. Safety in Medication Administration Cha
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pter 1. Safety in Medication Administration Ch
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apter 2. The Drug Label
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II. Systems of Measurement Ch ma ma ma
apter 3. The Metric System Chap
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ter 4. The Household System
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III. Methods of Calculation ma ma
Chapter 5. Linear Ratio and Proportion Chapt
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er 6. Fractional Ratio and Proportion Chapter 7
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. Dimensional Analysis
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Chapter 8. Formula Method ma ma ma
IV. Administration of Medications ma ma
Chapter 9. Calculating Oral Medication Doses
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Chapter 10. Syringes and Needles ma ma ma ma
Chapter 11. Calculating Parenteral Medication Dosage
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s Chapter 12. Preparing Powdered Parenteral Medicatio
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ns 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 Cha
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pter 15. Calculating Infusion and Completion Time Chapt
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er 16. Administering IV Push Medications
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VI. Verifying Safe Dose and Critical Care Calculations ma ma ma ma ma ma
Chapter 17. Verifying Safe Dose ma ma ma ma
Chapter 18. Titration of Intravenous Medications
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VII. Intake and Output ma ma
Chapter 19. Calculating Intake and Output Cha
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pter 20. Calculating Parenteral Intake
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VIII. Dosages for Pediatric and Older Adult Populations ma ma ma ma ma ma
Chapter 21. Considerations for the Pediatric Patient Chapt
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er 22. Considerations for the Older Adult
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,Castillo/Werner-
McCullough: Calculating Drug Dosages, 2e
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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 ma
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. ma ma ma ma ma ma
After reading the order, the nurse correctly determines:
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A “PO” is an inappropriate abbreviation. ma ma ma ma
B the medication order is written correctly.
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C 40 mg should be written as 40mg. ma ma ma ma ma ma
D tall man lettering indicates that the drug is a narcotic
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. ANS: B
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Feedback
The medication order has all the required components (drug name, dose, route, and f
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requency of administration) for a drug order. “PO” is an appropriate abbreviation; 4
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0 mg is written correctly with a space between the dose and the unit of measurem
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ent. Tall man lettering is used to distinguish the drug from another drug with a si
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milar name. ma
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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. ANS: C
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Feedback
A drug label with a boxed warning provides information to healthcare professionals
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and patients regarding the serious risks and side effects related to the drug. The B
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oxed Warning is not the primary source for identifying the patient’s drug dosage.
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The warning is found on specific prescription medications and does not provide in
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formation to reduce or decrease side effects. ma ma ma ma ma ma
3. When practicing safety in the administration of medication, for which of the followin
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g medication orders should a nurse seek clarification before the administration of th
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e medication?
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, Castillo/Werner-
McCullough: Calculating Drug Dosages, 2e
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A Regular insulin 5 u subcut now. ma ma ma ma ma
B Enoxaparin 80 mg subcut every 12 hours. ma ma ma ma ma ma
C Benadryl 50 mg PO PRN every 6 hr for itching. ma ma ma ma ma ma ma ma ma
D Ondansetron 4 mg IVP stat. ma ma ma ma
ANS: A
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Feedback
The “u” should never be used in a medication order; rather, for safety, the word “un
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its” should be spelled out. The other answer options contain the required compone
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nts 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 lettering. Which
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statements shows the nurse has a correct understanding of tall man lettering on a drug labe
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l?
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 drugs tha
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t have similar names.” ma ma ma
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 injectabl
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e drug.” ma
ANS: B ma
Feedback
Tall man lettering highlights a portion of the drug name to help distinguish fro
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m similar drug names. It is not used to identify high alert drugs, highlight a b
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oxed 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. Hydrochlorothiazi
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de 25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg P
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O daily at 0900.
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In reading the medication orders for the 0700–
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1500 shift, the nurse determines that which of the following is the priority nursing interve
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ntion?
A Clarify the metformin HCl order. ma ma ma ma
B Clarify the hydrochlorothiazide order. ma ma ma
C Clarify the digoxin order. ma ma ma
D Prepare to administer the 0900 medications. ma ma ma ma ma
ANS: C
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