TEST BANK FOR Lilley's Pharmacology for Canadian Health Care Practice, 5th Edition by Kara Sealock and Cydnee Seneviratne ||All Chapters 1-58|| Complete A+Guide

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LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
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KARA SEALOCK
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4th Edition
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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE w2




1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal w2




b. An assessment w2




c. Subjective data w2




d. A nursing diagnosis w2 w2




ANS: D w 2




Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
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heath conditions and life processes or vulnerability for that response.
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DIF: w 2 w 2 Cognitive Level: Knowledge w2 w2




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take
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medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A “right time” problem w2 w2 w2




b. A “right dose” problem w2 w2 w2




c. A “right route” problem w2 w2 w2




d. A “right medication” problem w2 w2 w2




ANS: C w 2




This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “right
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time” problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not related to
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an inability to swallow. This is not a “right medication” problem because the medication ordered will not change, just the route.
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DIF: w 2 w 2 Cognitive Level: Application w2 w2




3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been documenting signs of
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possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis w2




ANS: B w 2




Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
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by this example.
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DIF: w 2 w 2 Cognitive Level: Application w2 w2




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an
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outcome criterion for this patient?
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a. The patient will follow instructions. w2 w2 w2 w2




b. The patient will not experience complications. w2 w2 w2 w2 w2




c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D w 2




Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome criterion. Following
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instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not objective
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and would be difficult to measure.
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DIF: w 2 w 2 Cognitive Level: Application w2 w2




5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1
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diabetes mellitus?
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a. Providing education regarding self-injection technique w2 w2 w2 w2




b. Setting goals and outcome criteria with the patient’s input w2 w2 w2 w2 w2 w2 w2 w2




c. Recording a history of over-the-counter medications used at home w2 w2 w2 w2 w2 w2 w2 w2




d. Formulating nursing diagnoses regarding knowledge deficits related to the new w2 w2 w2 w2 w2 w2 w2 w2 w2




treatment regimen
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ANS: A w 2




Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
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phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit
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reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis w2 w2




Copyright © 2021, Elsevier Inc. All rights reserved.
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order over
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the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common routew2 w2 w2 w2 w2 w2 w2 w2 w2 w2




c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient w2 w2 w2 w2 w2 w2 w2 w2 w2 w2




ANS: C w2




If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route of
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administration.
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DIF: Cognitive Level: Application | Cognitive Level: Analysis w2 w2 w2 w2 w2 w2




7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A w2




The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and
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Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension w2 w2




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating w2 w2 w2 w2 w2 w2




b. Assessing, then diagnosing, implementing, and ending with evaluating w2 w2 w2 w2 w2 w2 w2




c. A linear direction that begins with assessing and continues through diagnosing,
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planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosing,
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planning, implementing, and evaluating
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ANS: D w2




The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with assessing and continues
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through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other phases.
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DIF: Cognitive Level: Application w2 w2




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient’s identification w2 w2




b. The patient’s weight w2 w2




c. The patient’s last meal w2 w2 w2




d. Any drug or food allergies w2 w2 w2 w2




ANS: C w2




The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–food interactions or
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compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s timing.
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DIF: Cognitive Level: Application w2 w2




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy w2 w2 w2 w2 w2




c. Anxiety related to anxious feelings about drug therapy, as evidenced by w2 w2 w2 w2 w2 w2 w2 w2 w2 w2




statements such as “I’m upset about having to give myself shots”
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d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
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upset about having to give myself shots”
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ANS: D w2




Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety related to new drug
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therapy, as evidenced by statements such as ‘I’m upset about having to give myself shots.’” The answer “Anxiety” is missing the
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“related to” and “as evidenced by” portions. The answer “Anxiety related to new drug therapy” is missing the “as evidenced by”
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portion of defining characteristics. The “related to” section in “Anxiety related to anxious feelings about drug therapy, as evidenced by
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statements such as ‘I’m upset about having to give myself shots’” is simply a restatement of the problem “anxiety,” not a separate
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factor related to the response.
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DIF: Cognitive Level: Analysis w2 w2




OTHER

1. Place the phases of the nursing process in the correct order, starting with the first phase.
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E, A, D, B
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DIF: Cognitive Level: Analysis w2 w2

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Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE w2




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in
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identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D w 2




Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are
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bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
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“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the
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effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two substances
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do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: w 2 w 2 Cognitive Level: Comprehension w2 w2




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly into the tissues over time.
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c. The medication’s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C w 2




Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
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intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liver
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before it reaches the target area.
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DIF: w 2 w 2 Cognitive Level: Comprehension w2 w2




3. Which is true regarding parenteral drugs?w2 w2 w2 w2 w2




a. They bypass the first-pass effect. w2 w2 w2 w2




b. They decrease blood flow to the stomach. w2 w2 w2 w2 w2 w2




c. They are altered by the presence of food in the stomach. w2 w2 w2 w2 w2 w2 w2 w2 w2 w2




d. They exert their effects while circulating in the bloodstream. w2 w2 w2 w2 w2 w2 w2 w2




ANS: A w 2




Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and tissues before they can
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exert their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach and are altered by
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the presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before they can
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exert their effects; they do not exert their effects while circulating in the bloodstream.
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DIF: w 2 w 2 Cognitive Level: Analysis w2 w2




4. A drug’s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one-half of the original amount of a drug to reach the target
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cells.
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c. The time it takes one-half of the original amount of a drug to be removed from the
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body.
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d. The time it takes one-half of the original amount of a drug to be absorbed into the
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circulation.
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ANS: C w 2




A drug’s half-life is the time it takes for one-half of the original amount of a drug to be removed from the body. It is a measure of the
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rate at which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug’s half-life.
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DIF: w 2 w 2 Cognitive Level: Comprehension w2 w2




5. The term “duration of action” is best defined as
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a. The time it takes for the drug to elicit a therapeutic response.
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b. The time it takes a drug to reach its maximum therapeutic response.
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c. The length of time it takes to remove a drug from circulation.
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d. The time during which drug concentration is sufficient to elicit a therapeutic
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w2 response.
ANS: D w 2




Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a
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drug to elicit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therapeutic
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response is a drug’s “peak effect.” “The length of time it takes to remove a drug from circulation” defines a drug’s elimination and
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does not correctly define a drug’s duration of action.
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DIF: w 2 w 2 Cognitive Level: Comprehension w2 w2