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<< Test Bank For Meds Drug Calculations Using Dimensional Analysis 2nd ed Mulholland | Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig Test Bank >> |

**Meds Drug Calculations Using Dimensional Analysis 2e Mulholland**

**Mulholland: The Nurse, The Math, The Meds, 2nd Edition**

** **

**Chapter 02A: Dimensional Analysis Calculations **

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**Test Bank**

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**ESSAY**

Directions: Analyze the problem for the desired answer. Set up a dimensional analysisstyle equation in the space provided using the available data. Ensure that all undesired units will be canceled *before* doing the math. Do not use shortcuts to solve the equations even if the answer is known. For credit, show all work. Label answers. Evaluate each equation for correct setup and desired answer units.

- How many miles are in 100 kilometers?

Conversion formula: 1 km = 0.6 miles

DA equation:

Evaluation:

ANS:

PTS: 1

- How many donuts are in 15 dozen?

Conversion formula: 1 dozen = 12 donuts

DA equation:

Evaluation:

ANS:

PTS: 1

- How many pounds are in 22 kg?

Conversion formula: 1 kg = 2.2 lb

DA equation:

Evaluation:

ANS:

PTS: 1

- How many milligrams are in 5.5 grams?

Conversion formula: 1000 mg = 1 g

DA equation:

Evaluation:

ANS:

PTS: 1

- A baby weighs 2500 g. How many kilograms does the baby weigh?

Conversion formula: 1 kg = 1000 g

DA equation:

Evaluation:

ANS:

PTS: 1

- How many hours are in 780 minutes?

Conversion formula: 1 hour = 60 minutes

DA equation:

Evaluation:

ANS:

PTS: 1

- How many seconds are in 5 hours?

Conversion formulas: 60 seconds = 1 minute; 60 minutes = 1 hour

DA equation:

Evaluation:

ANS:

PTS: 1

- A patient has a scar that is 7 inches long. What is the equivalent number of millimeters to the nearest whole number?

Conversion formulas: 1 inch = 2.54 cm; 1 cm = 10 mm

DA equation:

Evaluation:

ANS:

PTS: 1

- An area rug 92 inches long is needed for the waiting room. How many yards in length will be needed to the nearest tenth of a yard?

Conversion formulas: 12 inches = 1 foot; 3 feet = 1 yard

DA equation:

Evaluation:

ANS:

PTS: 1

- A hospital hires one registered nurse for every three nurse assistants. How many nurse assistants will be needed for 85 registered nurses?

DA equation:

Evaluation:

ANS:

PTS: 1

**Mulholland: The Nurse, The Math, The Meds, 2 ^{nd} Edition**

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**Chapter 04: Patient Records, Medication Orders and Labels**

** **

**Test Bank**

** **

**ESSAY**

- Define the following medical abbreviations:
- NPO:
- IV:
- IM:
- ID (route):
- NG:
- PO:
- SL:
- subcut:
- stat:
- bid:

ANS:

- Nothing by mouth
- Intravenous
- Intramuscular
- Intradermal
- Nasogastric
- By mouth
- Sublingual
- Subcutaneous
- Immediately
- Twice a day; two times a day

PTS: 1

- Write the medical abbreviations for the following words and phrases:
- Before meals:
- After meals:
- When needed:
- With:
- Without:
- Immediately:
- Three times a day:
- As desired:
- Every 4 hours:
- Twice a day:

ANS:

- ac
- pc
- prn
- stat
- tid
- ad lib
- q4h
- bid

PTS: 1

- It is recommended that HS be written out: What are two possible meanings for HS?

ANS:

Hour of sleep (bedtime); half strength (solution)

PTS: 1

- Write out the following order: ibuprofen ent tab 400 mg stat and tid pc.

ANS:

Ibuprofen enteric coated tablet 400 mg immediately and three times daily after meals.

PTS: 1

- Change the traditional time to notations from the 24-hour clock system:
- 4 PM:
- Midnight:
- Noon:
- 1:30 AM:
- 11:45 AM:

ANS:

- 1600
- 2400 0000
- 1200
- 0130
- 1145

PTS: 1

- Name six basic patient rights.

ANS:

Right patient, right drug, right dose, right time, right route, and right documentation. There is one additional patient right: right to refuse.

PTS: 1

- Ordered: 200 mg of a medication PO stat. Supplied as 0.1 g oral tablets.
- Write the appropriate conversion formula:

How many tablets will you give?

- Estimated dose: (Move the decimal point to estimate.)
- Verify with a DA-style equation:
- Evaluation:

ANS:

- 1000 mg = 1 g
- Estimate: Give 2 (100 mg) tablets. (0.1 g = 0.100.mg)
- Tablets =
- Estimate supports the answer.

PTS: 1

- Ordered: Keflex 0.5 g PO stat.
- What is the generic name of this medication?
- What is the concentration of this medication?
- Write the appropriate conversion formula:

How many capsules will you give?

- Estimated dose: (Move the decimal point to estimate.)
- Verify with a DA-style equation:
- Evaluation:

ANS:

- Cephalexin
- 250 mg/cap
- 1000 mg = 1 g
- Estimate: Give 2 (250 mg) capsules (250 mg .250 0.25 g)
- Capsules =
- Estimate supports the answer.

PTS: 1

- What is missing from the following order: aspirin 2 tablets PO stat?

ANS:

The total dose in measurement units is omitted. Correct example: Aspirin 650 mg by mouth immediately. The number of tablets should not be written in the order. The nurse determines the number of tablets to give based on the strength supplied.

PTS: 1

- What is meant by a scored tablet? How is a scored tablet treated differently from an unscored tablet?

ANS:

A scored tablet has a dividing line cut into it. Only scored tablets may be divided in half. Unscored tablets may not be cut.

PTS: 1

Directions: Supply the requested medication terms and abbreviations.

- (1-20):

Abbreviation | Term | Term | Abbreviation | ||

1 | ac | 11 | nothing by mouth | ||

2 | pc | 12 | intravenous (route) | ||

3 | prn | 13 | intramuscular (route) | ||

4 | c | 14 | intradermal (route) | ||

4 | s | 15 | nasogastric (route) | ||

6 | stat | 16 | by mouth | ||

7 | bid | 17 | sublingual (route) | ||

8 | ad lib | 18 | subcutaneous (route) | ||

9 | q2h | 19 | immediately | ||

10 | tid | 20 | gastric tube |

ANS:

Abbreviation | Term | Term | Abbreviation | ||

1 | ac | before meals | 11 | nothing by mouth | NPO |

2 | pc | after meals | 12 | intravenous (route) | IV |

3 | prn | as needed; when necessary | 13 | intramuscular (route) | IM |

4 | c | with | 14 | intradermal (route) | ID |

4 | s | without | 15 | nasogastric (route) | NG |

6 | stat | immediately | 16 | by mouth | PO |

7 | bid | twice a day | 17 | sublingual (route) | SL |

8 | ad lib | as desired | 18 | subcutaneous (route) | subcut |

9 | q2h | every two hours | 19 | immediately | stat |

10 | tid | three times a day | 20 | gastric tube | GT |

PTS: 1

- Write out the following order for a patient on this antidepressant: Effexor XR tab ent 75 mg AM pc full glass of water.

ANS:

Give Effexor extended release tablet enteric coated 75 mg after the morning meal with a full glass of water.

PTS: 1

- Why do you think XR, ent, DR, SR, and SL tablets should never be crushed?

ANS:

Crushing these tablets would cancel the delayed or extended or sustained release. The patient might then have an adverse drug event from side effects of too much of the medication being released and absorbed too soon. The medication may be very irritating to the mucosa of the GI tract if broken down before it leaves the esophagus or stomach.

PTS: 1

- Why do you think unscored tablets should never be cut?

ANS:

The medication may be unevenly distributed within the tablet. The cut probably would not be precise. With either of the foregoing problems, one part would have too much and one part would have too little of the medication. The patient would receive the wrong dose.

PTS: 1

- Why do you think some medications must be given with food, or given after meals, and/or the patient must remain upright for 30 minutes after the medication is administered?

ANS:

The medications may be too irritating to mucosa on an empty stomach or may cause nausea.

Staying upright for 30 minutes after a medication is administered with a full glass of water helps prevent reflux of irritating medications before it reaches the stomach. This helps prevent irritation of the esophagus by a potentially caustic substance.

PTS: 1

- If the nurse does not document the medication promptly after administration, what adverse event might occur during that shift?

ANS:

Right route is violated if route is changed without the prescribers order. The nurse is liable if an adverse event occurs.

PTS: 1

**COMPLETION**

Directions: Change the traditional time to the international 24-hr clock:

- 12:30 PM: _____________

ANS: 1230 hours

PTS: 1

- 1:00 AM: ___________

ANS: 0100 hours

PTS: 1

- 10:15 AM: _____________

ANS: 1015 hours

PTS: 1

- 5:00 PM: _____________

ANS: 1700 hours

PTS: 1

- 9: 45 PM: ___________

ANS: 2145 hours

PTS: 1

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