Chapter 7 1. To what number on the scale is the arrow pointing? Answer: 4.4 Rationale: Each light line between the darker lines = 0.2. 2. To what number on the scale is the arrow pointing? Answer: 28 Rationale: Each light line between the darker lines = 2. 3. To what number on the scale is the arrow pointing? Answer: 1.8 Rationale: Each light line between the two dark lines = 0.1. 4. To what number on the scale is the arrow pointing? Answer: 0.27 Rationale: The light lines between the darker lines represents 0.01. 5. To what number on the scale is the arrow pointing? Answer: 22 Rationale: Each lighter line = 2. 6. Indicate with an arrow a reading of 0.3 mL on the scale below. Answer: Rationale: Each lightly colored line = 0.1. 7. Indicate with an arrow a reading of 0.42 mL on the scale below. Answer: Rationale: Each lightly colored line = 0.01 8. Indicate with an arrow a reading of 1.2 mL on the scale below. Answer: Rationale: Each lightly colored line = 0.2. 9. Indicate with an arrow a reading of 2.8 mL on the scale below. Answer: Rationale: Each lightly colored line = 0.2 mL. 10. Indicate with an arrow a reading of 26 mL on the scale below. Answer: Rationale: Each lightly colored line = 2 mL. 11. Order: Humulin R Regular U-100 insulin 36 units subcut. AC breakfast. Indicate on the syringe the dose to be administered. Answer: 12. Order: Novolin R Regular U-100 insulin 24 units subcut. stat. Indicate on the syringe the dose to be administered. Answer: 13. Order: Humulin L U-100 insulin 67 units subcut. stat. Indicate on the syringe the dose to be administered. Answer: 14. Order: Humulin R U-100 insulin 56 units subcut. stat. Indicate on the syringe the dose to be administered. Answer: 15. Order: Humulin R U-100 insulin 18 units subcut. stat. Indicate on the syringe the dose to be administered. Answer: 16. Order: Neupogen (filgrastim) 300 mcg subcut. stat. The patient weighs 132 pounds. Read the label in the figure. If the recommended dose is 5 mcg/kg/d, is the prescribed dose safe? If the prescribed dose is safe, how many milliliters will you administer? 1. The prescribed dose is too large. 2. 0.5 mL 3. The prescribed dose is too small. 4. 1 mL Answer: 2 Rationale: Convert pounds to kilograms 132 ÷ 2.2 = 60 kg. 60 kg × 5 mcg/kg = 300 mcg. Per the label 300 mcg/0.5 mL. 17. Order: Neulasta (pegfilgrastim) 6 mg subcut. once per chemotherapy cycle at least 24h after chemotherapy. Read the label in the figure. How many milliliters will you administer? 1. 0.6 mL 2. 0.1 mL 3. 10 mL 4. 1 mL Answer: 1 Rationale: Per the label there is 6 mg in 0.6 mL. 18. Order: Kineret (anakinra) 100 mg subcut once per day. Read the label in the figure. How many milliliters will you administer? 1. 0.67 mL 2. 1 mL 3. 10 mL 4. 6.7 mL Answer: 1 Rationale: 100 mg is ordered, per the label there is 100 mg in 0.67 mL. 19. Order: Sandostatin (octreotide acetate) 40 mcg subcut. Q.6h. Read the label in the figure. If the recommended dose is 100 – 600 mcg/d in 2 – 4 divided doses titrate to response, is the prescribed dose safe? If the prescribed dose is safe, how many milliliters will you administer? 1. Yes; 0.8 mL 2. Yes; 0.5 ml 3. Yes; 1.2 mL 4. No, the dosage is not safe. Answer: 1 Rationale: 40 mcg. given every six hours is four times per day yielding 40 × 4 = 160 mg. or a maximum daily dose of 160 mg which is within the 100 – 600 mg safe dosage range. 20. Place an arrow on the most appropriate syringe indicating the dose if the amount to be administered is 0.35 mL. Answer: Rationale: The 3 mL syringe is too large for accurately determining 0.35 mL. It is always best to use the smallest syringe possible. The bottom syringe is an insulin syringe, and is calibrated in units, not mL. 21. Place an arrow on the most appropriate syringe indicating the dose if the amount to be administered is 25 units of U-100 insulin. Answer: Rationale: This syringe is an insulin syringe, while the top syringe is calibrated in mL and not units. 22. Place an arrow on the most appropriate syringe indicating the dose if the amount to be administered is 2.4 mL. Answer: Rationale: The only syringe large enough to hold 2.4 mL is the 3mL syringe. 23. Place an arrow on the most appropriate syringe indicating the dose if the amount to be administered is 0.08 mL. Answer: Rationale: The third syringe is calibrated in units, not mL, and the 3mL syringe is too large to accurately measure the amount ordered. 24. Place an arrow on the most appropriate syringe indicating the dose if the amount to be administered is 0.65 mL. Answer: Rationale: Use the smallest syringe possible. Test Bank for Dosage Calculations: A Multi-Method Approach Anthony Patrick Giangrasso, Dolores M. Shrimpton 9780132158626
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