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!!!!!

, CompleteTestBankLILLEYSPharmacologyforCanadianHealthCa 1a jt tj




rePractice5thEditionSEALOCKChapter1-58
Chapter01:Nursing PracticeinCanadaandDrugTherapy t jt j 1a




Sealock:Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition tj t j t j tj tj tj tj tj t j




MULTIPLE CHOICE tj




1. Whichis a judgement about aparticularpatient‘s potentialneed or problem?
ht ht tj tj tj tj tj tj


a. A goal tj


b. Anassessment
c. Subjectivedata
d. Anursing diagnosis tj tj




ANS: t j D
Nursingdiagnosis isthephaseofthenursingprocessduringwhich a clinical judgementismade about howapatientrespondsto h eat h con diti
ht ht tj ht ht tj ht ht ht tj tj tj tj tj ht tj tj


ons and life processes or vulnerability for that response.
tj tj tj tj tj tj tj tj




DIF: Cognitive Level: Knowledge tj tj




2. The patient istoreceive oralfurosemide(Lasix)everyday;however,becausethepatientisunabletoswallow,he cannot take m edic at
tj ht ht ht tj ht tj ht ht tj tj tj


ion orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj


a. A —right time‖problem ht 1tj



b. A—rightdose‖problem tj


c. A—right route‖problem ht ht



d. A— rightmedication‖problem ht tj tj




ANS: t j C
Thisi sa —rightroute‖problem:thenurse cannotassumetherouteandmust clarifytheroutewiththeprescriber.This is not a—
ht ht tj ht tj ht ht ht ht



righ t ti me‖ problem because the ordered frequencyhas not changed. This is not a —
ht tj tj tj tj tj ht tj ht tj tj tj tj tj


right dose‖problem becausethe doseis not related to a n inabilityto swallow. This is not a —
tj tj tj tj tj tj tj ht tj tj tj ht tj tj tj tj ht tj tj


right medication‖ problem because the medication ordered will not change, just the route
tj tj tj ht tj tj tj tj tj tj tj tj tj


.

DIF: Cognitive Level: Application tj tj




3. Thenursehasbeen monitoringthepatient‘sprogress on hisnewdrugregimensincethefirstdoseand hasbeen documentingsigns of possi b ht tj ht ht ht tj ht ht tj tj tj


le adverse effects. What nursing process phase is the nurse practising?
tj tj tj tj tj tj tj tj tj tj


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




ANS: t j B
Monitoringthepatient‘s progressispartoftheevaluation phase.Planning, implementation, andnursingdiagnosis arenot illustrated by thi ht ht tj 1tj ht ht ht ht ht ht ht tj tj


s example.
tj




DIF: Cognitive Level: Application ht tj




4. Thenurseiscaring fora patientwhohas been newlydiagnosed with type 1diabetes mellitus.Which statementbestillustratesan ou tco me
tj 1tj tj tj tj 1tj 1tj tj tj tj tj ht tj tj tj tj tj tj t


j criterion for this patient? tj tj tj


a. Thepatient willfollowinstructions. tj tj tj


b. Thepatientwillnot experience complications. tj tj tj


c. Thepatient adheres tothenewinsulin treatment regimen. tj tj tj tj


d. Thepatientdemonstrates safeinsulinself-administration technique. tj ht ht ht




ANS: t j D
Having thepatientdemonstratesafeinsulinself- tj ht tj ht



administrationtechniqueisaspecific andmeasurableoutcomecriterion. Following instructions and avoiding complications arenot specifi c c rit
ht ht ht ht tj tj tj tj tj tj tj ht tj tj tj


eria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
tj tj tj tj tj ht tj tj tj tj tj tj tj tj tj tj




DIF: Cognitive Level: Application ht tj




5. Whichactivitybestreflectstheimplementation phaseofthenursing process forthepatient whoisnewlydiagnosed with type 1 d iabe te
ht tj tj ht ht tj tj ht ht tj t j tj tj tj tj


s mellitus?
tj


a. Providingeducation regardingself-injection technique ht tj tj


b. Settinggoals and outcomecriteriawith thepatient‘s input ht tj tj tj tj


c. Recordinga historyofover-the-countermedicationsused at home tj tj tj tj tj tj tj


d. Formulatingnursing diagnosesregardingknowledgedeficitsrelatedtothenewt re a ht tj tj ht tj tj


tment regimen tj




ANS: t j A
Educationisan interventionthatoccursduringthe implementationphase.Settinggoals and outcomecriteriareflectstheplanning p ha se. Re
ht t j ht tj ht ht tj ht tj ht tj tj tj tj ht tj tj tj tj


cording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts analy sis of d
tj tj tj tj tj tj tj tj tj tj tj tj ht tj ht tj tj tj tj tj


ata as part of the planning phase.
tj tj tj tj tj tj




DIF: Cognitive Level: Analysis ht tj




1

, 6. The nurse isworkingduringa verybusynight shift,and thehealthcareproviderhas just giventhenurseamedication order overth e tele p
tj ht ht ht ht ht 1 tj ht tj ht tj tj tj tj tj tj


hone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
tj ht tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj


a. Recopythe order neatlyon the order sheet, with themost common route indicated ht tj tj tj tj tj tj tj tj tj


b. Consultwiththepharmacist forclarification about the mostcommon route ht tj ht tj tj tj ht tj tj


c. Callthe health care provider toclarifythe routeof administration tj tj tj tj tj tj t j


d. Withholdthe drug untilthe health care provider visits the patient ht ht tj tj tj tj ht tj ht tj




ANS: t j C
Ifa medicationorderdoesnotincludetheroute,thenursemustask thehealth careprovidertoclarifyit.Never assumethe routeof administr ation.
1t j ht ht tj ht ht tj ht t j t j




DIF: Cognitive Level:Application | CognitiveLevel:Analysis ht tj ht tj




7. Whichconstitutesthetraditional Five Rights ofmedication administration? tj tj ht tj tj


a. Rightdrug,rightroute, right dose,right time,and right patient tj tj tj tj ht tj tj tj


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


c. Rightpatient,right strength, right diagnosis,right drug, and right route ht tj ht tj tj tj tj


d. Rightpatient,rightdiagnosis, rightdrug, right route,andright time
ht tj tj tj ht tj tj tj




ANS: t j A
ThetraditionalFiveRightsofmedicationadministration wereconsidered tobeRight drug,Rightroute,Right dose,Righttime,and Ri ght pati
ht ht ht ht 1 ht ht ht ht ht ht ht ht tj tj tj


ent. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
tj tj tj tj tj ht ht tj tj tj tj tj tj tj tj




DIF: CognitiveLevel: Comprehension tj




8. Whatcorrectlydescribes the nursing process? t j tj ht



a. Diagnosing,planning,assessing, implementing, andfinallyevaluating tj ht tj


b. Assessing,thendiagnosing, implementing, andending with evaluating tj tj tj tj ht



c. Alineardirectionthatbeginswith assessingand continuesthroughdiagnosing, pl ht 1 tj tj tj tj


anning, and finally implementing tj tj tj


d. Anongoing process thatbeginswithassessingandcontinueswithdiagnosing,pl a ht ht tj tj tj tj tj tj tj tj


nning, implementing, and evaluating tj tj tj




ANS: t j D
Thenursingprocessisan ongoing, flexible,adaptable,and adjustablefive- ht ht tj tj ht ht



stepprocessthat beginswith assessingand continuesthroughdiagnosing,planning, implementing,and finallyevaluating, whichm ay t he
tj ht 1 1 tj ht ht ht ht tj tj tj tj


n lead back to any of the other phases.
tj tj tj tj tj tj tj tj




DIF: CognitiveLevel: Application tj




9. Whenthenurseis considering the timingof adrug dose, which is mostimportant to assess?
tj tj tj ht tj tj tj tj tj tj tj


a. Thepatient‘s identification ht



b. Thepatient‘s weight tj


c. Thepatient‘slast meal ht tj


d. Anydrug or food allergies tj tj tj




ANS: t j C
Thepharmacokineticand pharmacodynamicpropertiesofthe drugneed tobeassessedwithregard to anydrug– tj ht 1 ht ht ht tj tj tj tj


food interactions or compatibility issues. Thepatient‘s identification, weight, and drug or food allergies arenot affected by the drug‘s timi n g.
ht tj tj tj tj tj tj tj tj tj tj tj tj tj tj ht tj tj tj ht tj tj




DIF: CognitiveLevel: Application tj




10. Thenurseis writing nursingdiagnoses for a plan of care. Which reflects the correct format forher nursing diagnosis?
tj ht tj ht ht tj tj ht tj tj tj tj tj tj tj tj tj tj ht



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


c. Anxietyrelatedtoanxiousfeelings aboutdrugtherapy,asevidencedbys t a tj 1 ht ht tj tj tj tj


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


d. Anxietyrelatedtonewdrugtherapy,as evidenced bystatementssuchas— tj ht tj tj tj ht ht ht



I‘m upset about having to give myself shots‖
ht tj tj tj tj tj tj




ANS: t j D
Formulation of nursing diagnoses is usually a three- tj tj tj tj tj tj tj


step process. Theonlycomplete answeris —
ht tj tj tj tj


Anxietyrelated to newdrug therapy,asevidencedbystatementssuch as‗I‘mupseta bout having togive myselfshots.‘‖Theanswer—
1tj ht tj ht tj tj tj tj ht tj tj tj ht tj ht tj


Anxiety‖ismissingthe—relatedto‖and —asevidencedby‖portions.The answer
tj tj tj ht



—Anxiety relatedtonewdrug therapy‖ismissingthe—asevidencedby‖portion ofdefiningcharacteristics.The—
tj ht tj tj


relatedto‖sectio ni n— tj tj


Anxietyrelatedtoanxiousfeelingsabout drugtherapy,as evidencedbystatementssuchas‗I‘mupset abouthaving to givem yself shots‘‖ i s ht tj tj ht ht ht ht ht tj tj tj


simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
tj tj tj ht tj tj tj tj tj tj tj tj tj tj tj




DIF: Cognitive Level: Analysis ht tj




OTHER

1. Placethephases ofthe nursingprocess in the correct order, startingwith thefirst phase.
tj tj ht tj tj ht tj tj tj tj tj tj tj


a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E,A,D, B
tj tj




DIF: Cognitive Level: Analysis ht tj




2

, Chapter02:Pharmacological Principles ht




Sealock:Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition tj t j t j tj tj tj tj tj t j




MULTIPLE CHOICE tj




1. Apatient isreceivingtwo different drugs,which, attheircurrentdose formsanddosages, arebothabsorbedintothecirculation in
ht ht ht ht tj tj ht ht ht tj ht



i denti
tj tj


cal amounts. Which term best denotes that the drugs have the same absorption rates?
tj tj tj tj tj tj tj tj tj tj tj tj tj


a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: t j D
Twodrugs absorbedinto thecirculation at thesameamount (in specific dosage forms)havethe samebioavailability;thus,theyareb ioequiv alent.
ht tj ht tj ht ht tj ht ht ht ht tj tj tj tj tj tj tj


—Equivalent‖ is incorrect because the term —bioavailability‖ is used to express the extent of drug absorption. tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj


—
Synergistic‖is incorrect because this term refers totwo drugs given togetherwhoseresulting effect is greaterthan the sumofth eeffec tsofe
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj ht tj tj tj tj tj


ach drug givenalone.—
ht ht



Compatible‖isincorrect becausethis term isageneraltermusedto indicatethat twosubstance s do not have a chemical reaction when m ix ht ht 1tj tj tj ht ht tj tj tj tj tj tj tj tj ht tj tj


ed (or given, in the case of drugs) together.
tj tj tj tj tj tj tj tj




DIF: Cognitive Level:Comprehension tj




2. Apatient is receivingmedication viaintravenous injection. Whichinformation should thenurseprovideforpatient education?
tj tj tj tj tj tj tj tj tj t j


a. Themedication willcausefewer adverse effects when given intravenously. ht tj tj ht tj tj tj


b. Themedication will beabsorbed slowlyinto the tissues overtime. tj tj tj tj tj tj tj tj


c. Themedication‘sactionwillbeginfasterwhen given intravenously. tj tj tj tj tj


d. Mosto fthe d rug i s inactivated bytheliver before it reaches the target area.
ht tj ht tj tj tj tj ht tj tj tj




ANS: t j C
Intravenousinjectionsarethefastestrouteofabsorption.Theintravenousroute doesnot affect thenumberofadverseeffects, the i ntrav e ht ht ht ht tj tj tj tj


nousrouteis not a slow route of absorption, and the intravenous route does not cause inactivation of the drug bythe liv e r before i t reache
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj t j tj tj tj tj tj


s the target area.
tj tj tj




DIF: Cognitive Level:Comprehension tj




3. Whichistrueregarding parenteral drugs? ht ht t j


a. Theybypass thefirst-pass effect. tj tj t j


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


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


d. Theyexerttheir effects while circulating in the bloodstream. tj tj tj tj tj tj tj




ANS: t j A
Drugs givenbytheparenteral routebypass thefirst-
ht ht t j tj


passeffect,but theystillmustbeabsorbed intocells andtissuesbeforetheycan exert theireffects.Enteral drugs(drugstakenorall y
tj ht ht ht ht ht tj tj tj tj tj tj tj tj tj tj tj tj


), 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 ust b
tj ht tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj ht tj tj tj tj tj tj tj tj ht



e absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects whi le circ ulating in
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj ht tj tj tj tj tj tj tj ht



the bloodstream. tj




DIF: t j t j t j CognitiveLevel: Analysis tj t j




4. Adrug‘shalf-lifeisbest defined as tj t j


a. Thetimeit takes forthe drugto elicit halfits therapeutic response. tj tj tj tj tj tj tj tj


b. Thetimeit takesone- 1 ht



halfoftheoriginalamount ofa drugtoreachthetarget cells.
ht ht ht ht t j ht t j


c. Thetimeittakes one- tj


halfoftheoriginalamountofadrugto beremoved from the body.
tj ht ht tj ht tj ht ht tj


d. Thetimeittakes one- tj


halfoft heoriginal amount ofadrugtobeabsorbed into the circulation.
ht ht tj ht 1tj tj ht ht tj tj




ANS: t j C
Adrug‘s half-lifeisthetimeit takes forone-
ht ht ht ht ht



halfoftheoriginalamount ofadrugto be removed from thebody.Itis a measure oftherateatwhichdrugs areremovedfromthe body. Answe ht ht ht ht ht tj ht ht tj tj tj tj tj ht tj tj tj tj tj tj


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




DIF: t j t j t j CognitiveLevel: Comprehension tj t j




5. Theterm—duration ofaction‖is best defined as ht ht tj 1 ht



a. Thetimeit takes forthe drug to elicit a therapeutic response. tj tj tj tj ht tj tj tj tj


b. Thetimeit takes ad rug t o reach its maximum therapeutic response. tj tj tj ht tj tj tj tj tj


c. Thelength oftimeit takes to removeadrug from circulation. tj tj tj tj tj t j


d. Thetimeduring whichdrugconcentrationis sufficient toelicit atherapeutic r e s 1a tj tj tj ht tj ht ht ht tj tj


ponse.
ANS: t j D
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time ittakes for a d rug to
tj tj tj tj tj tj ht tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj ht tj tj tj


elicit a therapeutic response is the drug‘s —
tj ht tj tj tj tj tj


onsetofaction.‖Thetimeittakesadrug toreachitsmaximumtherapeuticr esponsei sa drug‘s—peak effect.‖—
tj tj tj tj tj tj tj tj ht tj tj tj tj tj tj tj ht ht ht



The lengthof timeittakes toremoveadrugfrom circulation‖definesadrug‘seliminationanddo es not correctly define a drug‘s duration of
ht ht ht ht tj ht ht tj ht tj ht tj tj tj tj tj tj tj tj tj tj


action.

DIF: t j t j t j CognitiveLevel: Comprehension tj t j




1