Dosage Calculations, 2014 3rd Canadian Edition Test Bank

Dosage Calculations, 2014 3rd Canadian Edition Test

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Chapter 8—Oral Dosage of Drugs

MULTIPLE CHOICE

Mr. PETE

Mr. Pete is 60 years old and was admitted to the medical unit with pneumonia. He has a history of
angina, diabetes, hypertension, and hypothyroidism. His prescribed medications include amoxicillin
(Amoxil) 0.5 g PO q8h; ramipril (Altace) 5 mg PO BID; levothyroxine (Eltroxin) 0.15 mg PO daily;
glyburide (Diabeta) 10 mg PO ac breakfast and 5 mg PO ac dinner; and nitroglycerin (Nitrostat) 0.4
mg SL prn for chest pain.

1. Ramipril is available in 5 mg capsules. How many capsules will the nurse administer to the patient per
dose?
a. 0.5
b. 1
c. 1.5
d. 2
ANS: B
5 mg × 1 = 1 cap
5 mg

PTS: 1 REF: Page 140-141 BLM: Higher Order

2. How many tablets of glyburide will the nurse administer to Mr. Pete at breakfast if glyburide is
available as 5 mg tablets?
a. 0.5
b. 2
c. 1.5
d. 1
ANS: B
10 mg × 1 = 2 tab
5 mg

PTS: 1 REF: Pages 142-149 BLM: Higher Order

Copyright © 2015 Nelson Education Limited 8-1

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

3. Levothyroxine is available as indicated on the drug label below. How many tablets will the nurse give
to Mr. Pete?

a. 2
b. 1
c. 0.5
d. 1.5
ANS: D
150 mcg × 1 = 1.5 or 11/2 tab
100 mcg

PTS: 1 REF: Pages 142-149 BLM: Higher Order

4. Mr. Pete complains of angina chest pain during his 1200 head-to-toe assessment. He tells the nurse
that his pain is 6 out of 10 on the pain scale. The nurse decides to give him a dose of nitroglycerin as
ordered. The pharmacy label on this medication reads 0.4 mg/tab. How many tablets will the nurse
give?
a. 0.5
b. 2
c. 1
d. 1.5
ANS: C
0.4 mg × 1 = 1 tab
0.4 mg

PTS: 1 REF: Pages 142-149 BLM: Higher Order

Copyright © 2015 Nelson Education Limited 8-2

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

5. How many amoxicillin capsules will the nurse administer to Mr. Pete for his afternoon (1400) dose?

a. 1
b. 2
c. 1.5
d. 0.5
ANS: B
0.5 g = 500 mg
500 mg × 1 = 2 tab
250 mg

PTS: 1 REF: Pages 142-149 BLM: Higher Order

SHORT ANSWER

ADMINISTER
Compute the amount of medication you will give to administer one dose of the following medication
orders. Assume all tablets are scored, when necessary. The problems and drug orders are presented
for practice only, and actual prescribed dosages will vary according to a patient’s age, condition,
reaction, additional medications, and other factors.

1. Order: furosemide 80 mg po bid

Supply: bottle containing 50 tablets of Lasix (furosemide), 80 mg per tablet
Give: __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-149

2. Order: amoxicillin 0.375 g po q8h

Supply: 100 mL bottle of reconstituted Amoxil oral suspension, 125 mg/5 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

Copyright © 2015 Nelson Education Limited 8-3

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

3. Order: ceflacor 0.3 g po q8h

Supply: Celcor (cefalcor) reconstituted oral suspension, 375 mg per 5 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

4. Order: erythromycin ethylsuccinate 800 mg po q12h

Supply: E.E.S. 400 (erythromycin ethylsuccinate) 400 mg per tablet
Give: __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-149

5. Order: amoxicillin/clavulanic acid (Apo-Amoxi-Clav) 0.5 g po q8h

Supply: 75 mL bottle or reconstituted amoxicillin/clavulanic acid (Apo-Amoxi-Clav), 250 mg/5 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

6. Order: levothyroxine 0.2 mg po daily

Supply: bottle of 100 tablets of levothyroxine 100 mcg per tablet
Give: __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-149

Copyright © 2015 Nelson Education Limited 8-4

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

7. Order: pediatric dose: clarithromycin 100 mg po q12h

Supply: 100 mL of reconstituted clarithromycin (Biaxin), 250 mg per 5 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

8. Order: tamoxifen 0.02 g po bid, morning and evening

Supply: NOVO-TAMOXIFEN (tamoxifen) 20 mg per tablet
Give: __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-147

9. Order: valproic acid 375 mg po bid

Supply: valproic acid 250 mg/5 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 142-147

10. Order: nizatidine 0.15 g po bid

Supply: bottle containing 60 capsules of nizatidine (Axid), 150 mg per capsule
Give: __________ capsule(s)

ANS:

PTS: 1 REF: Pages 142-147

Copyright © 2015 Nelson Education Limited 8-5

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

11. Order: fluoxetine hydrochloride (Prozac) 40 mg po bid., morning and noon

Supply: Prozac 20 mg per tablet
Give: __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-147

12. Order: hydrochlorothiazide 50 mg po bid

Supply: hydrochlorothiazide 100 mg tablets
Give: _____ tab(s)

ANS:

PTS: 1 REF: Pages 142-147

13. Decide which supply you would select and enter the number of tablets you would give.
Order: warfarin sodium (Coumadin) 6 mg once today
Supply: 1 mg, 2 mg, and 3 mg tablets
Give: Select __________ mg tablets, and give __________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-147

14. Decide which supply you would select and enter the number of tablets you would give.
Order: levothyroxine 75 mcg once daily
Supply: 50 mcg, 100 mcg, and 300 mcg tablets
Give: Select __________ mg tablets, and give ___________ tablet(s)

ANS:

PTS: 1 REF: Pages 142-147

Copyright © 2015 Nelson Education Limited 8-6

 Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

15. Order: amoxicillin suspension 375 mg po q6h

Supply: amoxicillin (Amoxil) suspension 250 mg/5mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

16. Order: potassium chloride 10 mEq po bid pc

Supply: potassium chloride oral solution, 20 mEq/15 mL
Give: __________ mL

ANS:

PTS: 1 REF: Pages 153-157

17. Analyze this situation: Mr. R. is an alert, anxious-appearing, frail gentleman, 76 years old, weighing
65 kilograms. He has been admitted to the hospital two days before with complaints of chest pain. His
medication orders included Lanoxin 125 mcg daily every morning. This was the only medication
ordered for the morning. On hand on the floor in the nursing station was digoxin (Lanoxin) 0.25
mg/tablet. The patient mentions to the head nurse on the floor that his doctor must have changed his
medication order because for two days he had been taking only a half of a tablet in the morning, and
yesterday and today, his new nurse had given him two tablets each day. His wife agreed. He wanted to
know if this meant that his heart problem was getting worse.

ORDER:

GIVEN:

ERROR(S):

POTENTIAL INJURY:

ANS:

ORDER: Lanoxin 125 mcg

GIVEN: 1/2 x 250 mcg = 125 mcg for 2 days then 2 x 250 mcg = 500 mcg for yesterday and today

ERROR(S): 250 mcg/125 mcg instead of 125 mcg/250 mcg

POTENTIAL INJURY: 4 times the dose prescribed; --> dysarrthmyia, anxiety for patient, toxic side
effects, make cardiac problems worse

PTS: 1

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Dosage Calculations, 2014 3rd Canadian Edition Test Bank

Chapter 8 Oral Dosage of Drugs Pickar 3CE TB

18. Use the label below to answer this question: The physician orders 100 mg of
sulfamethoxazole and 20 mg of trimethoprim twice daily. How many mLs will the patient
take per dose?

ANS:

X = 2.5 mL

PTS: 1 REF: page 142-147

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