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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, 5th Edition
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MULTIPLE CHOICE XF




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


b. An assessment XF


c. Subjective data XF


d. A nursing diagnosis
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ANS: D XF


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




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he can
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not take 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
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b. A “right dose” problem
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c. A “right route” problem
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d. A “right medication” problem
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ANS: C XF


This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is no
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t a “right time” problem because the ordered frequency has not changed. This is not a “right dose” problem because the do
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se is not related to an inability to swallow. This is not a “right medication” problem because the medication ordered will n
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ot change, just the route.
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DIF: Cognitive Level: Application XF XF




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




ANS: B XF


Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not il
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lustrated by this example. XF XF XF




DIF: Cognitive Level: Application XF XF




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illus
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trates an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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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 XF


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications a
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re not specific 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 XF XF




5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed wit
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h type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique
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b. Setting goals and outcome criteria with the patient’s input
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c. Recording a history of over-the-counter medications used at home
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d. Formulating nursing diagnoses regarding knowledge deficits related to the
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new treatment regimen XF XF




ANS: A XF


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




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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 o
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rder over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
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errors?
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 route
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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
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ANS: C XF


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


The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time,
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and 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 XF XF




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnos
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ing, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnos
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ing, planning, implementing, and evaluating
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ANS: D XF


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




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
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b. The patient’s weight XF XF


c. The patient’s last meal XF XF XF


d. Any drug or food allergies XF XF XF XF




ANS: C XF


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




DIF: Cognitive Level: Application XF XF




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 XF XF XF XF XF


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


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




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:
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C, E, A, D, B
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DIF: Cognitive Level: Analysis
XF XF




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