Chapter 04: Drug Calculation: Preparing and Giving Drugs Visovsky: Introduction to Clinical Pharmacology, 9th Edition MULTIPLE CHOICE 1. Which of the following is an example of a drug given in units instead of milligrams? a. Insulin b. Furosemide c. Normal saline d. Nitroglycerine ANS: A Insulin is a parenteral drug that is given in units, not milligrams. Insulin is drawn up using a unit-based syringe DIF:
Cognitive Level: Remembering
REF: p. 37
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2. When calculating the dose of a drug to be given to a child, Clark’s rule is used. What measure is Clark’s rule based upon? a. The age of the child b. The weight of the child c. One-half of the adult dose d. The international standardized ratio
ANS: B The Joint Commission now recommends that all dosages for children be weight-based. Clark’s rule: Pediatric child dose = (weight of child/150 lbs x adult dose). DIF:
Cognitive Level: Remembering
REF: p. 39
3. Which statement is true regarding giving drugs by the IV route? a. Intravenous drugs must go through first-pass metabolism to be absorbed. b. Intravenous drugs are deposited directly into the blood stream. c. Intravenous drugs have lower rates of adverse events. d. Intravenous drugs are less effective than oral drugs.
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ANS: B Drugs administered by the intravenous route are deposited directly into the bloodstream and have a higher incidence of chance for adverse events. DIF:
Cognitive Level: Knowing
REF: p. 39
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4. Which represents the proper way to give an oral capsule? a. Crush and dilute it in warm water. b. Tell the patient to swallow it whole. c. Tell the patient to chew it completely. d. Pierce it with a needle and squeeze into the mouth. ANS: B
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