CALCULATING DRUG DOSAGES: n n
nn A Patient-Safe Approach to Nursing and Math
n n n n n n nn
2nd Edition
n
Castillo | Werner-McCullough
n n
TEST BANK n
,Castillo/Werner-McCullough:nCalculatingnDrugnDosages:nAnPatient-SafenApproachntonNursingnandnMath,,2e
TestnBank
TablenofnContents:
I.nSafetyninnMedicationnAdministration
Chaptern1.nSafetyninnMedicationnAdministration
Chaptern2.nThenDrugnLabel
II.nSystemsnofnMeasurement
Chaptern3.nThenMetricnSystem
Chaptern4.nThenHouseholdnSystem
III.nMethodsnofnCalculation
Chaptern5.nLinearnRationandnProportion
Chaptern6.nFractionalnRationandnProportion
Chaptern7.nDimensionalnAnalysis
Chaptern8.nFormulanMethod
IV.nAdministrationnofnMedications
Chaptern9.nCalculatingnOralnMedicationnDoses
Chaptern10.nSyringesnandnNeedles
Chaptern11.nCalculatingnParenteralnMedicationnDosages
Chaptern12.nPreparingnPowderednParenteralnMedications
Chaptern13.nAdministrationnofnInsulin
V.nIVnTherapynandnAdministrationnofnIntravenousnMedications
Chaptern14.nIntravenousnInfusionnandnInfusionnRates
Chaptern15.nCalculatingnInfusionnandnCompletionnTime
Chaptern16.nAdministeringnIVnPushnMedications
VI.nVerifyingnSafenDosenandnCriticalnCarenCalculations
Chaptern17.nVerifyingnSafenDose
Chaptern18.nTitrationnofnIntravenousnMedications
VII.nIntakenandnOutput
Chaptern19.nCalculatingnIntakenandnOutput
Chaptern20.nCalculatingnParenteralnIntake
VIII.nDosagesnfornPediatricnandnOldernAdultnPopulations
Chaptern21.nConsiderationsnfornthenPediatricnPatient
Chaptern22.nConsiderationsnfornthenOldernAdult
,Castillo/Werner-
McCullough:nCalculatingnDrugnDosages,n2e
Chaptern1:nSafetyninnMedicationnAdministration
Castillo:nCalculatingnDrugnDosages:nAnPatient-SafenApproachntonNursingnandnMathn2ndnEdition
MULTIPLEnCHOICE
1. Thenfollowingnmedicationnordernisninnthenpatient’snmedicationnadministrationnrecordn(MAR):
methylPREDnisolonen40nmgnPOndailynatn0900.
Afternreadingnthenorder,nthennursencorrectlyndetermines:
A “PO”nisnanninappropriatenabbreviation.
B thenmedicationnordernisnwrittenncorrectly.
C 40nmgnshouldnbenwrittennasn40mg.
D tallnmannletteringnindicatesnthatnthendrugnisnannarcotic.
ANS:nB
Feedback
Thenmedicationnordernhasnallnthenrequiredncomponentsn(drugnname,ndose,nroute,nandnf
requencynofnadministration)nfornandrugnorder.n“PO”nisnannappropriatenabbreviation;n40
nmgnisnwrittenncorrectlyn withnanspacenbetweennthendosenandnthenunitnofnmeasurement.n
Tallnmannletteringnisnusedntondistinguishnthendrugnfromnanotherndrug
withnansimilarnname.
2. Whichnofnthenfollowingnaccuratelyndescribesnthen“BoxednWarning”nfoundnonnandrugnlabel?
A Itnisnprimarilynisnusedntonidentifynthensafendosenfornthenpatient.
B Itnisncommonlynfoundnonnallndrugnlabels.
C Itnidentifiesnseriousnpotentialnrisksnandnsideneffectsnrelatedntondrugnuse.
D Itnprotectsnthenpatientnbynprovidingninformationntondecreasensideneffects.
ANS:nC
Feedback
Andrugnlabelnwithnanboxednwarningnprovidesninformationntonhealthcarenprofessionalsna
ndnpatientsnregardingnthenseriousnrisksnandnsideneffectsnrelatedntonthendrug.nThenBoxed
nWarningnisnnotnthenprimarynsourcenfornidentifyingnthenpatient’sndrugndosage.
Thenwarningnisnfoundnonnspecificnprescriptionnmedicationsnandndoesnnotnprovideni
nformationntonreducenorndecreasensideneffects.
3. Whennpracticingnsafetyninnthenadministrationnofnmedication,nfornwhichnofnthenfollowingn
medicationnordersnshouldnannursenseeknclarificationnbeforenthenadministrationnofnthenme
dication?
1
, Castillo/Werner-
McCullough:nCalculatingnDrugnDosages,n2e
A Regularninsulinn5nunsubcutnnow.
B Enoxaparinn80nmgnsubcutneveryn12nhours.
C Benadryln50nmgnPOnPRNneveryn6nhrnfornitching.
D Ondansetronn4nmgnIVPnstat.
ANS:nA
Feedback
Then“u”nshouldnnevernbenusedninnanmedicationnorder;nrather,nfornsafety,nthenwordn“
units”nshouldnbenspellednout.nThenothernanswernoptionsncontainnthenrequired
componentsnneededntonsafelyncarrynoutnthenmedicationnorder.
4. Annursenisnreviewingnandrugnlabelnwithnandrugnnamenwrittennwithntallnmannlettering.nWhichnstat
ementsnshowsnthennursenhasnancorrectnunderstandingnofntallnmannletteringnonnandrugnlabel?
A “Thentallnmannletteringnmeansnthisnisnanhighnalertndrug.”
B “Thentallnmannletteringnhelpsnmendistinguishnthisndrugnwithnotherndrugsnthat
havensimilarnnames.”
C “ThentallnmannletteringnmeansnthatnthisndrugnmustnhavenanBoxednWarning.”
D “Thentallnmannletteringnhelpsnmenquicklynidentifynthatnthisndrugnisnanninjectable
drug.”
ANS:nB
Feedback
Tallnmannletteringnhighlightsnanportionnofnthendrugnnamentonhelpndistinguishnfromns
imilarndrugnnames.nItnisnnotnusedntonidentifynhighnalertndrugs,nhighlightnanboxed
warning,nornidentifyninjectablendrugs.
5. Thenfollowingnmedicationnordersnarenfoundninnthenpatient’snMAR:
MetforminnHCln500nmgnPOndailynatn0900.nHydrochlorothiazid
en25nmgnPOneveryn12nhrnatn0900nandn2100.nDigoxinn.25nmgnPOn
dailynatn0900.
Innreadingnthenmedicationnordersnfornthen0700–
1500nshift,nthennursendeterminesnthatnwhichnofnthenfollowingnisnthenprioritynnursingninterventio
n?
A ClarifynthenmetforminnHClnorder.
B Clarifynthenhydrochlorothiazidenorder.
C Clarifynthendigoxinnorder.
D Preparentonadministernthen0900nmedications.
ANS:nC
2