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Giangrasso/Shrimpton, Dosage Calculations: A Dimensional Analysis Approach
Chapter 4
Question 1
Type: MCSA
The nurse is teaching a client to take 1 ounce of cough medicine every 6 hours. Using household measurements,
what should the nurse instruct the client to take for each dose?
1. 2t
2. 3t
3. 2T
4. 3T
Correct Answer: 3
Rationale 1: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three
teaspoons. 3 T is three tablespoons.
Rationale 2: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three
teaspoons. 3 T is three tablespoons.
Rationale 3: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three
teaspoons. 3 T is three tablespoons.
Rationale 4: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three
teaspoons. 3 T is three tablespoons.
Global Rationale: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three
teaspoons. 3 T is three tablespoons.
Cognitive Level: Remembering
Client Need: Physiological Integrity
, Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: Identify the units of measurement in the household and metric systems.
Question 2
Type: MCSA
A client is receiving 100 mL of intravenous fluid for 18 hours. How many liters of fluid did the client receive?
1. 1.2
2. 1.5
3. 1.8
4. 2.2
Correct Answer: 3
Rationale 1: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all
the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8. The mL and the hrs cancel each other out, which leaves
the label of the answer as L. The client received 1.8 L of intravenous fluid.
Rationale 2: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all
the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8. The mL and the hrs cancel each other out, which leaves
the label of the answer as L. The client received 1.8 L of intravenous fluid.
Rationale 3: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all
the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8. The mL and the hrs cancel each other out, which leaves
the label of the answer as L. The client received 1.8 L of intravenous fluid.
Rationale 4: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all
the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8. The mL and the hrs cancel each other out, which leaves
the label of the answer as L. The client received 1.8 L of intravenous fluid.
Global Rationale: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply
all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8. The mL and the hrs cancel each other out, which
leaves the label of the answer as L. The client received 1.8 L of intravenous fluid.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Identify the units of measurement in the household and metric systems.
Question 3
Type: MCSA
The home care nurse reviews the following medication order for a client: Take 2 t ampicillin oral suspension every 6
hours. How many T of the medication will the client take in 1 day?
1. 2
2. 2 1/3
3. 2 2/3
4. 3 1/3
Correct Answer: 3
Rationale 1: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day. Multiply all the numerators (1 x 2 x 24 = 48). Multiply all
the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals. Convert 0.66
into a fraction by placing 66/100 which reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.
Rationale 2: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day. Multiply all the numerators (1 x 2 x 24 = 48). Multiply all
the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals. Convert 0.66
into a fraction by placing 66/100 which reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.