TEST BANK FOR LILLEYS PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 5TH EDITION BY SEALOCK ISBN:9780323811408 COMPLETE GUIDE All CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

, CompleteTestBankLILLEYSPharmacologyforCanadianHealt hCa 1a m
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rePractice 5th EditionSEALOCKChapter1-58 mv mv




Chapter01:Nursing Practicein Canadaand Drug Therapy m v 1a 1a 1a




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE mv




1. Whichis a judgement about a particular patient‘s potential need or problem?
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a. A goal mv



b. An assessment mv



c. Subjective data mv



d. A nursing diagnosis mv f6




ANS: D m v



Nursing diagnosis is the phase ofthe nursingprocess during which a clinical judgement is made about how apatient responds to h eat
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h conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge mv mv




2. The patient is to receive oral furosemide (Lasix)everyday; however, because the patient is unable to swallow, he cannot take m
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v edication 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
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b. A—right dose‖ problem mv mv



c. A —right route‖ problem
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d. A —right medication‖ problem
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ANS: C m v



This is a —right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a —
m
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righ t ti me‖ problem because the ordered frequency has not changed. This is not a —
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right dose‖ problem because the dose is not related to a n inability to swallow. This is not a —
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right medication‖ problem because the medication ordered will not change, just the route
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.

DIF: Cognitive Level: Application mv mv




3. Thenursehas 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 mv




ANS: B m v



Monitoringthe patient‘s progress ispart of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrate d
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by this example.
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DIF: Cognitive Level: Application mv mv




4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an o
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u tcome criterion for this patient?
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a. The patient will follow instructions.mv mv mv mv



b. The patient will not experience complications.
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c. Thepatient adheres to the new insulin treatment regimen. mv mv mv mv mv mv mv



d. Thepatient demonstrates safe insulin self-administration technique. mv mv mv mv mv




ANS: D m v



Having the patient demonstrate safeinsulin self-
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administration technique is aspecific and measurable outcomecriterion. Following instructions and avoiding complications are not specifi
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c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: Cognitive Level: Application mv mv




5. Which activitybest reflects the implementation phase of the nursing process for the patient who is newlydiagnosed with type 1
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d iabetes mellitus?
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a. Providingeducation regarding self-injection technique mv 1a mv



b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a historyof over-the-counter medications used at home 1a mv mv mv mv mv mv



d. Formulating nursing diagnoses regardingknowledge deficits related to the new t m
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reatment regimen
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ANS: A m v



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




1

, 6. The nurse is working during a verybusynight shift, and the health care provider has just given the nurse a medication order over th
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e 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. Recopythe order neatly on the order sheet, with the most common route indicated mv mv mv mv mv mv mv mv mv mv mv mv



b. Consult with the pharmacist for clarification about the most common route
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c. Callthe 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 m
v mv 1a mv mv mv mv mv mv mv




ANS: C m v



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 administr ation.
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DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Whichconstitutes the traditional Five Rights of medication administration? mv mv mv mv mv mv mv



a. Rightdrug, right route, right dose, right time, and right patient mv mv mv mv mv mv mv mv mv



b. Rightdrug, 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
m
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ANS: A m v



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




8. What correctlydescribes the nursing process?
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a. Diagnosing,planning, assessing, implementing, and finallyevaluating mv mv mv mv



b. Assessing,then diagnosing, implementing, and ending with evaluating mv mv mv mv 1a mv



c. Alineardirectionthatbegins with assessing and continues throughdiagnosing, pl mv 1a 1a 1a 1a mv m



anning, and finally implementing
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d. Anongoing process that begins with assessingand continues with diagnosing, p
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lanning, implementing, and evaluating
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ANS: D m v



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




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. Thepatient‘s identification mv



b. Thepatient‘s weight mv



c. Thepatient‘s last meal mv mv



d. Anydrug or food allergies mv mv mv




ANS: C m v



Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydrug– mv 1a mv mv m
v 1a m
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi
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n g.
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DIF: Cognitive Level: Application mv mv




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. Anxietyrelated to new drug therapy mv mv mv mv



c. Anxietyrelated to anxious feelings about drugtherapy, as evidenced by s 1a 1a 1a 1a mv m
v m
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tatements such as —I‘m upset about having to give myself shots‖
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d. Anxietyrelated to new drug therapy, as evidenced bystatements such as — 1a m
v m
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I‘m upset about having to give myself shots‖
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ANS: D m v



Formulation of nursing diagnoses is usually a three- mv mv mv mv mv mv mv



step process. The only complete answer is —
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Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myself shots.‘‖ The ans
mv 1a mv mv mv mv mv mv mv mv mv mv mv mv mv mv 1a mv mv mv mv mv



wer —Anxiety‖ is missing the —related to‖ and —as evidenced by‖ portions. The answer
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—Anxiety related to new drug therapy‖ ismissing the—as evidenced by‖ portion of defining characteristics. The— 1a mv mv mv mv mv mv mv 1a mv mv mv



relatedto‖ sectio ni n— mv mv mv



Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m yself sh mv mv mv 1a mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv



ots‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
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DIF: m v m v Cognitive Level: Analysis mv mv




OTHER

1. Placethe 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 mv mv mv mv




2

, DIF: m v m v Cognitive Level: Analysis
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1