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!!!!!

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rePractice5thEditionSEALOCKChapter1-58 ht ht




Chapter01:Nursing Practicein Canadaand Drug Therapy h t 1a 1a 1a




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




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



b. An assessment ht



c. Subjective data ht



d. A nursing diagnosis ht f6




ANS: D h t



Nursingdiagnosis is the phase ofthenursingprocess duringwhich a clinical judgement is madeabout howapatient responds to h eat h con
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ditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge ht ht




2. The patient is to receive oral furosemide (Lasix)everyday; however,because thepatient is unable to swallow,he cannot take m edic
1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht



ation 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 ht 1a ht



b. A—right dose‖ problem ht ht



c. A—right route‖problem ht ht ht



d. A—right medication‖ problem
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ANS: C h t



Thisisa —right route‖ problem: the nurse cannot assumethe route and must clarifythe route withtheprescriber. This is not a—
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righ t ti me‖ problem because the ordered frequencyhas 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 ht ht




3. Thenursehas been monitoring the patient‘s progress on his new drugregimen sincethe first doseand has been documentingsigns of possi
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ble adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis ht




ANS: B h t



Monitoringthe patient‘s progress ispartofthe evaluation phase. Planning, implementation, andnursingdiagnosis arenot illustrate d by
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this example.
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DIF: CognitiveLevel: Application ht ht




4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an ou tco
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me criterion for this patient?
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a. The patient will follow instructions. ht ht ht ht



b. Thepatient will not experience complications.
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c. Thepatient adheres tothe new insulin treatment regimen. ht ht ht ht ht ht ht



d. Thepatient demonstrates safeinsulinself-administration technique. ht ht ht ht ht




ANS: D h t



Having thepatient demonstrate safeinsulinself-
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administrationtechnique isaspecific andmeasurableoutcomecriterion. Following instructions and avoiding complications are not specifi c c
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riteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: CognitiveLevel: Application ht ht




5. Whichactivitybest reflects the implementation phase ofthe nursing process forthe patient whois newlydiagnosed with type 1 d iabe
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tes mellitus?
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a. Providingeducation regarding self-injection technique ht 1a ht



b. Settinggoals and outcome criteria with thepatient‘s input ht ht ht ht ht ht ht ht



c. Recording a historyof over-the-counter medications used at home 1a ht ht ht ht ht ht



d. Formulatingnursing diagnosesregardingknowledge deficits related tothenew t re ht 1a ht ht ht ht ht ht ht ht



atment regimen ht




ANS: A h t



Educationisan interventionthat occursduringthe implementation phase. Settinggoals and outcome criteria reflects theplanning p ha se.
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Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts analy
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sis of data as part of the planning phase.
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DIF: CognitiveLevel: Analysis ht ht




1

, 6. The nurse is workingduringaverybusynight shift, and the health care provider has just given the nurse amedication order over th e tele
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phone, 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 ht ht ht ht ht ht ht ht ht ht ht ht



b. Consultwith thepharmacist forclarification about themost common route ht ht ht ht ht ht ht ht ht ht



c. Callthe health care provider to clarifythe route of administration ht ht ht ht ht ht ht ht ht



d. Withholdthe drug until the health care provider visits the patient ht ht 1a ht ht ht ht ht ht ht




ANS: C h t



If a medication order does not include theroute, thenursemust ask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
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DIF: Cognitive Level: Application |Cognitive Level: Analysis ht ht ht ht ht ht




7. Whichconstitutes the traditional Five Rights ofmedication administration? ht ht ht ht ht ht h t



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



b. Rightdrug, the right effect, the right route, the right time,and the right patient ht ht ht ht ht ht ht ht ht ht ht ht ht



c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Rightpatient, right diagnosis, right drug, right route, and right time
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ANS: A h t



ThetraditionalFiveRightsofmedication administration wereconsidered to beRight drug,Right route,Right dose,Right time,and Ri ght pati
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ent. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension ht ht




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



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



c. Alineardirectionthatbeginswith assessing and continues throughdiagnosing, pl ht 1a 1a 1a 1a ht ht



anning, and finally implementing ht ht ht



d. Anongoing process that begins withassessingand continues with diagnosing, p l ht ht 1a ht 1a ht 1a ht ht



anning, implementing, and evaluating ht ht ht




ANS: D h t



Thenursingprocessisan ongoing, flexible, adaptable,and adjustable five- ht ht ht ht ht ht ht ht



step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m ay t
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hen lead back to any of the other phases.
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DIF: CognitiveLevel: Application ht ht




9. When the nurse is considering the timingof a drug dose, which is most important to assess?
1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht



a. Thepatient‘s identification ht



b. Thepatient‘s weight ht



c. Thepatient‘s last meal ht ht



d. Anydrug or food allergies ht ht ht




ANS: C h t



Thepharmacokinetic and pharmacodynamic properties ofthe drugneed to beassessed with regard to anydrug– ht 1a ht ht ht 1a ht ht ht ht ht 1a ht



food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi n g.
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DIF: CognitiveLevel: Application ht ht




10. The nurse is writing nursingdiagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht



a. Anxiety
b. Anxietyrelated to new drug therapy ht ht ht ht



c. Anxietyrelated to anxious feelings about drugtherapy,asevidenced by s t 1a 1a 1a 1a ht ht ht 1a ht ht



atements such as —I‘m upset about having to give myself shots‖ ht ht ht ht ht ht ht ht ht ht



d. Anxietyrelated tonewdrug therapy, as evidenced bystatementssuch as— 1a ht ht ht ht 1a ht ht ht ht



I‘m upset about having to give myself shots‖
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ANS: D h t



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



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 answer —
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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 ht ht ht ht ht ht ht 1a ht ht ht



relatedto‖ sectio ni n— ht ht ht



Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m yself shots‘‖ i ht ht ht 1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht



s simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
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DIF: h t h t CognitiveLevel: Analysis ht ht




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
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DIF: h t h t CognitiveLevel: Analysis ht ht




2

, Chapter02:Pharmacological Principles ht




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




1. A patient isreceivingtwo different drugs, which, at their current dose forms and dosages, arebothabsorbed into the circulation in i denti
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cal 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 h t



Two drugs absorbed into the circulation at thesameamount (in specific dosage forms) have thesame bioavailability; thus, theyare b ioequiv
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alent. —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 th e effec
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ts of each drug given alone. —
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Compatible‖ is incorrect because this term is a general term used to indicate that two substanc e s do not have a chemical reaction when m
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ixed (or given, in the case of drugs) together.
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DIF: Cognitive Level:Comprehension ht ht




2. Apatient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
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a. Themedication will cause fewer adverse effects when given intravenously. ht ht ht ht ht ht ht ht



b. Themedication will be absorbed slowlyinto the tissues over time. ht ht ht ht ht ht ht ht



c. Themedication‘s action will begin faster when given intravenously. ht ht ht ht ht ht ht



d. Mostofthe drugis inactivated bythe liver before it reaches the target area. ht ht ht ht ht ht ht ht h t ht ht ht ht




ANS: C h t



Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the i ntrav
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enous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liv e r before i
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t reaches the target area.
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DIF: Cognitive Level:Comprehension ht ht




3. Whichis true regarding parenteral drugs? ht ht ht ht ht



a. Theybypass the first-pass effect. ht ht h t



b. Theydecrease blood flow to the stomach. ht ht ht ht ht



c. Theyare altered bythe presence of food in the stomach. ht ht ht ht ht ht ht ht ht



d. Theyexert their effects while circulating in the bloodstream. ht ht ht ht ht ht ht




ANS: A h t



Drugs givenbytheparenteral routebypass thefirst-ht ht ht ht ht ht ht



pass effect, but theystill mustbeabsorbed intocells and tissues beforetheycan exert their effects. Enteral drugs (drugs taken orall y
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), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr ug s m
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ust be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects whi le circ
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ulating in the bloodstream. ht ht ht




DIF: h t h t Cognitive Level: Analysis ht h t




4. Adrug‘s half-life is best defined as
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a. Thetimeit takes for the drug to elicit half its therapeutic response. ht ht ht ht ht ht ht ht ht ht ht



b. Thetimeit takesone- 1a ht



halfoftheoriginal amount ofa drugto reachthetarget cells.
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c. Thetimeit takes one- ht ht



half oftheoriginal amount of adrugto be removed from the body.
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d. Thetimeit takes one- ht ht



halfofthe original amount ofadrug tobeabsorbed into the circulation.
ht ht 1a ht 1a ht ht ht ht ht ht ht




ANS: C h t



Adrug‘s half-life is thetimeit takes for one-
ht ht ht ht ht ht ht ht ht



half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from th e body.
ht ht ht ht ht ht ht ht ht ht ht ht ht ht ht 1a ht ht ht ht ht ht ht ht ht ht ht ht ht ht



Answers A, B, and D are not correct definitions of a drug‘s half-life. ht ht ht ht ht ht 1a 1a ht ht ht ht




DIF: h t h t Cognitive Level: Comprehension ht h t




5. The term —durationofaction‖is best definedas
1a ht ht ht ht 1a ht



a. Thetimeit takes for the drug to elicit a therapeutic response. ht ht ht ht ht ht ht ht ht ht



b. Thetimeit takes a drugto reach its maximum therapeutic response. ht ht ht ht ht ht ht ht ht



c. The length of timeit takes to remove a drug from circulation.ht ht ht ht ht ht ht ht ht 1a h t



d. Thetimeduring which drug concentration is sufficient to elicit atherapeutic r e 1a ht ht ht 1a ht 1a ht ht ht ht



sponse.
ANS: D h t



Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a d
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rug to elicit a therapeutic response is the drug‘s —
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onset of action.‖ The time it takes a drug to reach its maximum therapeutic r esponse isadrug‘s—peak effect.‖ —
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Thelength of timeittakes toremove a drugfrom circulation‖ defines adrug‘s eliminationand do es not correctly define a drug‘s duration
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of action. ht




DIF: h t h t Cognitive Level: Comprehension ht h t




1