, CompleteTestBankLILLEYSPharmacologyforCanadianHealthCa a1 m
v mv
rePractice 5th EditionSEALOCKChapter1-58 m
v m
v
Chapter01:Nursing PracticeinCanadaandDrugTherapy m v 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
mv mv m v mv mv mv mv mv m v
MULTIPLE CHOICE mv
1. Whichis a judgement about a particular patient‘s potential need or problem?
mv mv m v m v v% mv m v mv m v mv
a. A goal m v
b. An assessment mv
c. Subjective data mv
d. A nursing diagnosis mv f6
ANS: m v m v D
Nursing diagnosis is the phase ofthe nursingprocess during which a clinical judgement is made about how apatient responds to h eat
m
v mv mv mv mv m
v mv m
v mv mv mv mv mv mv mv m
v mv mv mv mv
h conditions and life processes or vulnerability for that response.
mv mv mv mv mv mv mv mv mv mv
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
mv mv v% mv mv mv mv mv mv mv mv mv mv mv mv m
v mv mv mv
m edication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
m v m v m v m v m v m v m v m v m v m v m v mv m v m v m v m v m v
a. A —right time‖ problem mv mv mv
b. A—right dose‖ problem mv mv
c. A—right route‖ problem v% mv
d. A—right medication‖ problem mv mv
ANS: m v m v C
This is a —right route‖ problem: the nurse cannot assumethe route and must clarifythe route with the prescriber. This is not a —
v% v% mv mv mv mv mv mv mv mv mv v% mv mv mv mv mv mv mv mv mv v%
righ t ti me‖ problem because the ordered frequency has not changed. This is not a —
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
right dose‖ problem because the dose is not related to a n inability to swallow. This is not a —
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
right medication‖ problem because the medication ordered will not change, just the r oute
mv mv mv mv mv mv mv mv mv mv mv mv m v
.
DIF: m v m v Cognitive Level: Application mv mv
3. Thenursehas been monitoring the patient‘s progress on his new drug regimen since the first doseand has been documenting signs o
mv mv v% mv mv m v mv mv mv v% mv v% mv mv mv mv mv v% mv
f possible adverse effects. What nursing process phase is the nurse practising?
mv mv mv mv mv mv mv mv mv mv mv
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis v%
ANS: m v m v B
Monitoringthepatient‘s progress ispartofthe evaluation phase. Planning, implementation, andnursingdiagnosis arenot illustrate d mv mv 1 mv mv mv mv mv mv mv mv
by this example.
mv mv
DIF: m v m v 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
m
v mv mv mv mv mv mv mv 1mv mv mv mv mv mv mv mv v% mv mv mv mv
mv u tcome criterion for this patient?
mv mv mv mv mv
a. The patient will follow instructions.mv m v mv mv
b. The patient will not experience complications.
mv mv mv mv m v
c. Thepatient adheres to the new insulin treatment regimen. m v m v mv mv mv m v m v
d. Thepatient demonstrates safeinsulin self-administration technique. mv mv m
v mv
ANS: m v m v D
Having the patient demonstrate safeinsulinself-
mv mv mv mv
administration technique is aspecific andmeasurable outcomecriterion. Following instructions and avoiding complications are not speci
v% mv m
v mv m
v mv mv mv mv mv mv mv mv
f i c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
m v m v m v m v m v m v m v m v mv m v m v m v m v m v m v m v mv m v mv
DIF: m v m v Cognitive Level: Application mv mv
5. Which activitybest reflects the implementation phase of the nursing process forthe patient who is newlydiagnosed with type
m
v mv mv mv mv mv mv mv mv mv m
v mv mv m
v mv mv m v mv
1 d iabetes mellitus?
mv mv mv
a. Providingeducation regarding self-injection technique mv 1mv m v
b. Setting goals and outcome criteria with the patient‘s input v% mv mv mv mv mv mv mv
c. Recording a historyof over-the-counter medications used at home mv mv mv mv mv m v m v
d. Formulating nursing diagnoses regardingknowledge deficits related to the new t v% mv mv mv mv v% mv mv mv m
reatment regimen v mv
ANS: m v m v A
Education i s an intervention that occurs duringthe implementation phase. Setting goals and outcome criteria reflects theplanning p h
mv v% mv mv 1 m
v mv v% mv v% m
v mv mv 1 mv mv mv
a se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge defi
mv mv mv mv mv mv mv mv mv mv mv 1m v mv mv mv mv mv
cit refl e cts analysis of data as part of the planning phase.
mv mv mv mv mv mv mv mv mv mv mv mv
DIF: m v m v 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 t
mv mv mv v% m
v mv mv mv mv mv mv mv mv mv mv mv mv mv v% mv mv mv mv
h e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
m v m v m v mv m v m v m v m v m v m v m v m v mv m v mv m v m v m v m v mv m v m v
errors?
a. Recopythe order neatly on the order sheet, with the most common route indicated
mv m v mv m v mv m v m v m v mv m v m v mv
b. Consultwith thepharmacist for clarification about the most common route mv m v mv m v m v mv mv m v
c. Callthe health care provider to clarifythe route of administration
m v m v mv m v mv m v mv m v
d. Withholdthe drug until the health care provider visits the patient mv mv mv m v m v mv mv mv m v
ANS: m v m v C
If a medication order does not include the route, the nursemust ask the health care provider toclarifyit. Never assume the route of administr ation.
mv mv mv mv mv mv mv mv mv mv mv mv mv mv m
v mv m
v mv mv mv m
v mv mv
DIF: Cognitive Level: Application |Cognitive Level: Analysis
mv mv mv mv mv
7. Whichconstitutes the traditional Five Rights of medication administration? mv mv mv mv m v mv m v
a. Rightdrug, right route, right dose, right time, and right patient mv v% mv m v mv mv mv m v mv
b. Rightdrug, the right effect, the right route, the right time, and the right patient
mv mv mv m v mv mv mv mv m v m
v m v mv m v
c. Right patient, right strength, right diagnosis, right drug, and right route
mv mv mv mv v% mv mv mv 1mv m v
d. Rightpatient, right diagnosis, right drug, right route, and right time mv mv m v mv mv mv mv v% m v
ANS: m v m v A
ThetraditionalFiveRights ofmedication administration were considered to beRight drug, Right route, Right dose,Right time, and Ri gh v% mv 1 v% mv mv mv mv mv m
v v% v% mv mv mv
t patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
mv m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v
DIF: Cognitive Level: Comprehension mv mv
8. What correctlydescribes the nursing process?
mv m v mv mv
a. Diagnosing,planning, assessing, implementing, and finallyevaluating mv mv m v mv
b. Assessing,then diagnosing, implementing, and ending with evaluating mv m v mv mv mv mv
c. Alineardirectionthatbegins withassessing and continues throughdiagnosing, pl mv 1 1 m
v mv
anning, and finally implementing
mv mv mv mv
d. Anongoing process that begins withassessing and continues with diagnosing, p
mv mv mv mv m
v m
v mv mv 1 mv mv
lanning, implementing, and evaluating mv mv mv
ANS: m v m v D
Thenursingprocess isan ongoing, flexible, adaptable,and adjustable five- m
v m v m v mv v% mv
step process that begins withassessing and continues through diagnosing, planning, implementing, and finally evaluating, which
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
m ay then lead back to any of the other phases.
vm v mv mv mv 1m v mv mv mv mv mv
DIF: Cognitive Level: Application mv mv
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
mv mv mv m v mv mv m
v m v mv mv m v m v mv mv m v m v
a. Thepatient‘s identification mv
b. Thepatient‘s weight mv
c. Thepatient‘s last meal v% mv
d. Anydrug or food allergies m v m v m v
ANS: m v m v C
Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydrug–mv 1mv mv mv v% 1 m
v mv mv mv mv 1mv mv
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s t
mv 1mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
imi n g. m v mv
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?
m
v mv m v mv m
v m v mv mv m v mv m v mv m v mv m v m v mv m v mv
a. Anxiety
b. Anxietyrelated to new drug therapy m v m v m v mv
c. Anxietyrelatedtoanxious feelings about drugtherapy,asevidenced by s m
v 1 mv 1 mv v
tatements such as —I‘m upset about having to give myself shots‖
m v mv mv mv mv mv mv mv mv mv mv
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as — 1 v% mv m v mv 1 mv mv mv mv
I‘m upset about having to give myself shots‖
mv mv mv mv mv mv mv
ANS: m v m v D
Formulation of nursing diagnoses is usually a three- mv m v m v m v m v mv m v
step process. The only complete answer is —
mv mv mv mv mv mv mv
Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myself shots.‘‖ The a
mv mv mv mv mv mv mv mv mv mv mv mv mv mv m v mv mv mv mv mv mv mv
nswer —Anxiety‖ is missing the —related to‖ and —as evidenced by‖ portions. The ans wer
mv mv mv v% mv mv mv mv mv mv mv mv mv mv
—Anxietyrelatedtonew drug therapy‖ ismissing the—as evidenced by‖ portion of defining characteristics. The— mv mv mv mv mv mv mv mv mv v% mv
relatedto‖ sectio n i n— mv m v mv mv
Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ys elf mv mv v% mv mv mv mv mv mv mv mv mv mv mv v% mv mv mv mv m v
shots‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v
DIF: Cognitive Level: Analysis mv mv
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
mv m v mv mv mv m v mv m v m v m v mv m v mv m v
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
mv mv mv m v
2
, DIF: Cognitive Level: Analysis
mv mv
1
v mv
rePractice 5th EditionSEALOCKChapter1-58 m
v m
v
Chapter01:Nursing PracticeinCanadaandDrugTherapy m v 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
mv mv m v mv mv mv mv mv m v
MULTIPLE CHOICE mv
1. Whichis a judgement about a particular patient‘s potential need or problem?
mv mv m v m v v% mv m v mv m v mv
a. A goal m v
b. An assessment mv
c. Subjective data mv
d. A nursing diagnosis mv f6
ANS: m v m v D
Nursing diagnosis is the phase ofthe nursingprocess during which a clinical judgement is made about how apatient responds to h eat
m
v mv mv mv mv m
v mv m
v mv mv mv mv mv mv mv m
v mv mv mv mv
h conditions and life processes or vulnerability for that response.
mv mv mv mv mv mv mv mv mv mv
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
mv mv v% mv mv mv mv mv mv mv mv mv mv mv mv m
v mv mv mv
m edication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
m v m v m v m v m v m v m v m v m v m v m v mv m v m v m v m v m v
a. A —right time‖ problem mv mv mv
b. A—right dose‖ problem mv mv
c. A—right route‖ problem v% mv
d. A—right medication‖ problem mv mv
ANS: m v m v C
This is a —right route‖ problem: the nurse cannot assumethe route and must clarifythe route with the prescriber. This is not a —
v% v% mv mv mv mv mv mv mv mv mv v% mv mv mv mv mv mv mv mv mv v%
righ t ti me‖ problem because the ordered frequency has not changed. This is not a —
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
right dose‖ problem because the dose is not related to a n inability to swallow. This is not a —
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
right medication‖ problem because the medication ordered will not change, just the r oute
mv mv mv mv mv mv mv mv mv mv mv mv m v
.
DIF: m v m v Cognitive Level: Application mv mv
3. Thenursehas been monitoring the patient‘s progress on his new drug regimen since the first doseand has been documenting signs o
mv mv v% mv mv m v mv mv mv v% mv v% mv mv mv mv mv v% mv
f possible adverse effects. What nursing process phase is the nurse practising?
mv mv mv mv mv mv mv mv mv mv mv
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis v%
ANS: m v m v B
Monitoringthepatient‘s progress ispartofthe evaluation phase. Planning, implementation, andnursingdiagnosis arenot illustrate d mv mv 1 mv mv mv mv mv mv mv mv
by this example.
mv mv
DIF: m v m v 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
m
v mv mv mv mv mv mv mv 1mv mv mv mv mv mv mv mv v% mv mv mv mv
mv u tcome criterion for this patient?
mv mv mv mv mv
a. The patient will follow instructions.mv m v mv mv
b. The patient will not experience complications.
mv mv mv mv m v
c. Thepatient adheres to the new insulin treatment regimen. m v m v mv mv mv m v m v
d. Thepatient demonstrates safeinsulin self-administration technique. mv mv m
v mv
ANS: m v m v D
Having the patient demonstrate safeinsulinself-
mv mv mv mv
administration technique is aspecific andmeasurable outcomecriterion. Following instructions and avoiding complications are not speci
v% mv m
v mv m
v mv mv mv mv mv mv mv mv
f i c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
m v m v m v m v m v m v m v m v mv m v m v m v m v m v m v m v mv m v mv
DIF: m v m v Cognitive Level: Application mv mv
5. Which activitybest reflects the implementation phase of the nursing process forthe patient who is newlydiagnosed with type
m
v mv mv mv mv mv mv mv mv mv m
v mv mv m
v mv mv m v mv
1 d iabetes mellitus?
mv mv mv
a. Providingeducation regarding self-injection technique mv 1mv m v
b. Setting goals and outcome criteria with the patient‘s input v% mv mv mv mv mv mv mv
c. Recording a historyof over-the-counter medications used at home mv mv mv mv mv m v m v
d. Formulating nursing diagnoses regardingknowledge deficits related to the new t v% mv mv mv mv v% mv mv mv m
reatment regimen v mv
ANS: m v m v A
Education i s an intervention that occurs duringthe implementation phase. Setting goals and outcome criteria reflects theplanning p h
mv v% mv mv 1 m
v mv v% mv v% m
v mv mv 1 mv mv mv
a se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge defi
mv mv mv mv mv mv mv mv mv mv mv 1m v mv mv mv mv mv
cit refl e cts analysis of data as part of the planning phase.
mv mv mv mv mv mv mv mv mv mv mv mv
DIF: m v m v 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 t
mv mv mv v% m
v mv mv mv mv mv mv mv mv mv mv mv mv mv v% mv mv mv mv
h e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
m v m v m v mv m v m v m v m v m v m v m v m v mv m v mv m v m v m v m v mv m v m v
errors?
a. Recopythe order neatly on the order sheet, with the most common route indicated
mv m v mv m v mv m v m v m v mv m v m v mv
b. Consultwith thepharmacist for clarification about the most common route mv m v mv m v m v mv mv m v
c. Callthe health care provider to clarifythe route of administration
m v m v mv m v mv m v mv m v
d. Withholdthe drug until the health care provider visits the patient mv mv mv m v m v mv mv mv m v
ANS: m v m v C
If a medication order does not include the route, the nursemust ask the health care provider toclarifyit. Never assume the route of administr ation.
mv mv mv mv mv mv mv mv mv mv mv mv mv mv m
v mv m
v mv mv mv m
v mv mv
DIF: Cognitive Level: Application |Cognitive Level: Analysis
mv mv mv mv mv
7. Whichconstitutes the traditional Five Rights of medication administration? mv mv mv mv m v mv m v
a. Rightdrug, right route, right dose, right time, and right patient mv v% mv m v mv mv mv m v mv
b. Rightdrug, the right effect, the right route, the right time, and the right patient
mv mv mv m v mv mv mv mv m v m
v m v mv m v
c. Right patient, right strength, right diagnosis, right drug, and right route
mv mv mv mv v% mv mv mv 1mv m v
d. Rightpatient, right diagnosis, right drug, right route, and right time mv mv m v mv mv mv mv v% m v
ANS: m v m v A
ThetraditionalFiveRights ofmedication administration were considered to beRight drug, Right route, Right dose,Right time, and Ri gh v% mv 1 v% mv mv mv mv mv m
v v% v% mv mv mv
t patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
mv m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v
DIF: Cognitive Level: Comprehension mv mv
8. What correctlydescribes the nursing process?
mv m v mv mv
a. Diagnosing,planning, assessing, implementing, and finallyevaluating mv mv m v mv
b. Assessing,then diagnosing, implementing, and ending with evaluating mv m v mv mv mv mv
c. Alineardirectionthatbegins withassessing and continues throughdiagnosing, pl mv 1 1 m
v mv
anning, and finally implementing
mv mv mv mv
d. Anongoing process that begins withassessing and continues with diagnosing, p
mv mv mv mv m
v m
v mv mv 1 mv mv
lanning, implementing, and evaluating mv mv mv
ANS: m v m v D
Thenursingprocess isan ongoing, flexible, adaptable,and adjustable five- m
v m v m v mv v% mv
step process that begins withassessing and continues through diagnosing, planning, implementing, and finally evaluating, which
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
m ay then lead back to any of the other phases.
vm v mv mv mv 1m v mv mv mv mv mv
DIF: Cognitive Level: Application mv mv
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
mv mv mv m v mv mv m
v m v mv mv m v m v mv mv m v m v
a. Thepatient‘s identification mv
b. Thepatient‘s weight mv
c. Thepatient‘s last meal v% mv
d. Anydrug or food allergies m v m v m v
ANS: m v m v C
Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydrug–mv 1mv mv mv v% 1 m
v mv mv mv mv 1mv mv
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s t
mv 1mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv
imi n g. m v mv
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?
m
v mv m v mv m
v m v mv mv m v mv m v mv m v mv m v m v mv m v mv
a. Anxiety
b. Anxietyrelated to new drug therapy m v m v m v mv
c. Anxietyrelatedtoanxious feelings about drugtherapy,asevidenced by s m
v 1 mv 1 mv v
tatements such as —I‘m upset about having to give myself shots‖
m v mv mv mv mv mv mv mv mv mv mv
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as — 1 v% mv m v mv 1 mv mv mv mv
I‘m upset about having to give myself shots‖
mv mv mv mv mv mv mv
ANS: m v m v D
Formulation of nursing diagnoses is usually a three- mv m v m v m v m v mv m v
step process. The only complete answer is —
mv mv mv mv mv mv mv
Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myself shots.‘‖ The a
mv mv mv mv mv mv mv mv mv mv mv mv mv mv m v mv mv mv mv mv mv mv
nswer —Anxiety‖ is missing the —related to‖ and —as evidenced by‖ portions. The ans wer
mv mv mv v% mv mv mv mv mv mv mv mv mv mv
—Anxietyrelatedtonew drug therapy‖ ismissing the—as evidenced by‖ portion of defining characteristics. The— mv mv mv mv mv mv mv mv mv v% mv
relatedto‖ sectio n i n— mv m v mv mv
Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ys elf mv mv v% mv mv mv mv mv mv mv mv mv mv mv v% mv mv mv mv m v
shots‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v m v
DIF: Cognitive Level: Analysis mv mv
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
mv m v mv mv mv m v mv m v m v m v mv m v mv m v
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
mv mv mv m v
2
, DIF: Cognitive Level: Analysis
mv mv
1
