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Test Bank For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne 9780323694803 Chapter 1-58 Complete Guide.

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Test Bank For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne 9780323694803 Chapter 1-58 Complete Guide.

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PHARMACOLOGY FOR CANADIAN HEALTH CARE
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j1 PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
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CHS1-58
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,CH 01: Nursing Practice in Canada and Drug Therapy
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Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
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MULTIPLE CHOICE j1




1. Which is a judgment about a particular hospital client‘s potential need or problem?
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



a. A goal j1



b. An assessment j1



c. Subjective data j1



d. A nursing diagnosis j1 j1




ACCURATE ANS:- D j1 j1



Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



clinicaljudgement is made about how a hospital client responds to heath conditions and life
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



processes or vulnerability for that response.
j1 j1 j1 j1 j1 j1




DIFFICULT: Cognitive Level: Knowledge REF: p. 11 j1 j1 j1 j1 j1




2. The hospital client is to receive oral furosemide (Lasix) every day; however, because the
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



hospital client is unable to swallow, he cannot take medication orally, as ordered. The
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



nursing attendant needs to contact the physician. What type of problem is this?
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



a. A ―right time‖ problem j1 j1 j1



b. A ―right dose‖ problem j1 j1 j1



c. A ―right route‖ problem j1 j1 j1



d. A ―right medication‖ problem
j1 j1 j1




ACCURATE ANS:- C j1 j1


Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the route j1 j1 j1 j 1 j1 j 1 j1 j1 j1 j 1 j1 j1


and must clarify the route
j1 j1 j1 j1 j1



with the prescriber. This is not a ―right time‖ problem because the ordered frequency
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



has notchanged. This is not a ―right dose‖ problem because the dose is not related to an
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



inability toswallow. This is not a ―right medication‖ problem because the medication
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



ordered will notchange, just the route.
j1 j1 j1 j1 j1 j1 j1




DIFFICULT: Cognitive Level: Application REF: p. 14 j1 j1 j1 j1 j1




3. The nursing attendant has been monitoring the hospital client‘s progress on his new drug
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regimen since the first dose and has been documenting signs of possible adverse effects. What
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



nursingprocess phase is the nursing attendant practising?
j1 j1 j1 j1 j1 j1 j1 j1



a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis j1




ACCURATE ANS:- B j1 j1



Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



Planning,implementation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: Cognitive Level: Application REF: p. 19 j1 j1 j1 j1 j1

,4. The nursing attendant is caring for a hospital client who has been newly diagnosed with
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



type 1diabetes mellitus. Which statement best illustrates an outcome criterion for
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this hospital client?
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a. The hospital client will follow instructions.j1 j1 j 1 j1 j1



b. The hospital client will not experience complications.
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c. The hospital client adheres to the new insulin treatment regimen.
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d. The hospital client demonstrates safe insulin self-administration technique.
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ACCURATE ANS:- D j1 j1



Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration j 1 j 1 j1 j 1 j 1 j1 j 1



technique is a specific and measurable outcome criterion. Following instructions and
j 1 j 1 j1 j1 j1 j1 j1 j1 j1 j1 j1



avoiding complications are not specific criteria. Adherence to the new insulin treatment
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regimen is not objective and would be Difficult to measure.
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1




DIFFICULT: Cognitive Level: Application REF: p. 13 j1 j1 j1 j1 j1




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



b. Setting goals and outcome criteria with the hospital client‘s inputj1 j1 j1 j1 j1 j1 j1 j1 j1



c. Recording a history of over-the-counter medications used at home j1 j 1 j1 j1 j 1 j1 j 1 j 1



d. Formulating nursing diagnoses regarding knowledge deficits related to the j 1 j 1 j 1 j1 j 1 j 1 j 1 j 1



new treatment regimen
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ACCURATE ANS:- A j1 j1



Reasoning:->>>Education is an intervention that occurs during the implementation phase. j1 j1 j1 j1 j1 j1 j1 j1 j1



Setting goals and outcome criteria reflects the planning phase. Recording a drug history
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reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge
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deficitreflects analysis of data
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as part of the planning phase.
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DIFFICULT: Cognitive Level: Analysis REF: p. 8 | p. 13 j1 j1 j1 j1 j1 j 1 j1 j1




6. The nursing attendant is working during a very busy night shift, and the primary care
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provider has just given the nursing attendant a medication order over the telephone, but
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thenursing attendant does not recall the route. What is the best way for the nursing
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



attendantto avoid medication errors?
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a. Recopy the order neatly on the order sheet, with the most common route indicated
j1 j1 j 1 j1 j1 j1 j 1 j1 j1 j1 j 1 j1 j1



b. Consult with the pharmacist for clarification about the most common routej1 j1 j1 j1 j1 j1 j1 j1 j1 j1



c. Call the primary care provider to clarify the route of administration
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d. Withhold the drug until the primary care provider visits the hospital client j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1




ACCURATE ANS:- C j1 j1



Reasoning:->>>If a medication order does not include the route, the nursing attendant j1 j 1 j 1 j 1 j1 j1 j1 j1 j1 j1 j1



must ask the primary care provider to clarify it. Never assume the route of administration.
j 1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1




DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF: j1 j1 j1 j1 j1 j1 j1 j1 j 1 p. 17 j1




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 hospital client
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b. Right drug, the right effect, the right route, the right time, and the right hospital client
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c. Right hospital client, right strength, right diagnosis, right drug, and right route
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



d. Right hospital client, right diagnosis, right drug, right route, and right time
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1




ACCURATE ANS:- A j1 j1

, The traditional Five Rights of medication administration were considered to be Right
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



drug, Right route, Right dose, Right time, and Right hospital client. Right effect, right
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strength, and right diagnosis are not part of the traditional Five Rights.
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DIFFICULT: Cognitive Level: Comprehension REF: p. 13 j1 j1 j1 j1 j1 j1 j1




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating j 1 j 1 j 1 j 1 j 1 j 1



b. Assessing, then diagnosing, implementing, and ending with evaluating j1 j1 j1 j1 j1 j1 j1



c. A linear direction that begins with assessing and continues through
j1 j1 j1 j1 j1 j1 j1 j1 j1



diagnosing,planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with
j1 j1 j1 j 1 j 1 j1 j1 j1 j 1



diagnosing,planning, implementing, and evaluating
j1 j1 j1 j1 j1




ACCURATE ANS:- D j1 j1



Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable j 1 j 1 j 1 j1 j 1 j 1 j 1 j 1 j 1



five- step process that begins with assessing and continues through diagnosing, planning,
j 1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



implementing, and finally evaluating, which may then lead back to any of the other
j1 j1 j1 j1 j 1 j 1 j1 j1 j1 j1 j1 j1 j1 j1



phases.
j 1




DIFFICULT: Cognitive Level: Application REF: p. 8 j1 j1 j1 j1 j1




9. When the nursing attendant is considering the timing of a drug dose, which is most important
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



toassess?
j1 j1



a. The hospital client‘s identification j1 j1 j1



b. The hospital client‘s weight j1 j1 j1



c. The hospital client‘s last meal j1 j1 j1 j1



d. Any drug or food allergies j1 j1 j1 j1




ACCURATE ANS:- C j1 j1


Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to j1 j1 j1 j1 j1 j1 j1 j1 j1


beassessed with
j1 j1 j1



regard to any drug–food interactions or compatibility issues. The hospital client‘s
j1 j 1 j1 j 1 j 1 j 1 j1 j 1 j1 j1



j1identification, weight, and drug or food allergies are not affected by the drug‘s timing. j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1




DIFFICULT: Cognitive Level: Application REF: p. 17 j1 j1 j1 j1 j1




10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



thecorrect format for her nursing diagnosis?
j1 j1 j1 j1 j1 j1 j1



a. Anxiety
b. Anxiety related to new drug therapy j1 j1 j1 j1 j1



c. Anxiety related to anxious feelings about drug therapy, as evidenced by
j1 j1 j1 j 1 j1 j 1 j1 j 1 j 1 j 1



statementssuch as ―I‘m upset about having to give myself shots‖
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



d. Anxiety related to new drug therapy, as evidenced by statements such as
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



―I‘mupset about having to give myself shots‖
j1 j1 j1 j1 j1 j1 j1 j1




ACCURATE ANS:- D j1 j1

Connected book
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Kara Sealock, Cydnee Seneviratne, Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder Lilley\'s Pharmacology for Canadian Health Care Practice - E-Book
Publisher: 2020 ISBN: 9780323694810 Edition: Unknown

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