Test Bank for Lilleys Pharmacology for Canadian Health Care Practice, 4th Edition (Sealock, 2021), Chapter 1-58 | All Chapters

PHARMACOLOGY FOR CANADIAN HEALTH CARE
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n7 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 n7




1. Which is a judgment about a particular hospital client‘s potential need or problem?
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a. A goal n7


b. An assessment n7


c. Subjective data n7


d. A nursing diagnosis n7 n7




ACCURATE ANS:- D n7 n7


Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


clinicaljudgement is made about how a hospital client responds to heath conditions
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and life processes or vulnerability for that response.
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DIFFICULT: Cognitive Level: Knowledge REF: p. 11 n7 n7 n7 n7 n7




2. The hospital client is to receive oral furosemide (Lasix) every day; however, because
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the hospital client is unable to swallow, he cannot take medication orally, as
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ordered. The nursing attendant needs to contact the physician. What type of problem
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is this?
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a. A ―right time‖ problemn7 n7 n7


b. A ―right dose‖ problemn7 n7 n7


c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ACCURATE ANS:- C n7 n7

Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7

route and must clarify the route
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with the prescriber. This is not a ―right time‖ problem because the ordered
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frequency has notchanged. This is not a ―right dose‖ problem because the dose is not
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related to an inability toswallow. This is not a ―right medication‖ problem because
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the medication ordered will notchange, just the route.
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DIFFICULT: Cognitive Level: Application REF: p. 14 n7 n7 n7 n7 n7




3. The nursing attendant has been monitoring the hospital client‘s progress on his new
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drug regimen since the first dose and has been documenting signs of possible adverse
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effects. What nursingprocess phase is the nursing attendant practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis n7




ACCURATE ANS:- B n7 n7


Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


Planning,implementation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: Cognitive Level: Application REF: p. 19 n7 n7 n7 n7 n7

,4. The nursing attendant is caring for a hospital client who has been newly diagnosed
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with type 1diabetes mellitus. Which statement best illustrates an outcome
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criterion for this hospital client?
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a. The hospital client will follow instructions.
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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 n7 n7


Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration n7 n7 n7 n 7 n7 n7 n7


n7technique is a specific and measurable outcome criterion. Following instructions and
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avoiding complications are not specific criteria. Adherence to the new insulin
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treatment regimen is not objective and would be Difficult to measure.
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DIFFICULT: Cognitive Level: Application REF: p. 13 n7 n7 n7 n7 n7




5. Which activity best reflects the implementation phase of the nursing process for the
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hospital clientwho is newly diagnosed with 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 hospital client‘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
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the new treatment regimen
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ACCURATE ANS:- A n7 n7


Reasoning:->>>Education is an intervention that occurs during the implementation phase. n7 n7 n7 n7 n7 n7 n7 n7 n7


Setting goals and outcome criteria reflects the planning phase. Recording a drug
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history reflects the assessment phase. Formulating nursing diagnoses regarding a
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knowledge 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
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6. The nursing attendant is working during a very busy night shift, and the primary
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care provider has just given the nursing attendant a medication order over the
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telephone, but thenursing attendant does not recall the route. What is the best way
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for the nursing attendantto avoid medication errors?
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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 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
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ACCURATE ANS:- C n7 n7


Reasoning:->>>If a medication order does not include the route, the nursing n7 n 7 n7 n7 n7 n7 n7 n7 n7 n7


attendant must ask the primary care provider to clarify it. Never assume the route of
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administration.
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DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF:
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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 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
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d. Right hospital client, right diagnosis, right drug, right route, and right time
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ACCURATE ANS:- A n7 n7

, The traditional Five Rights of medication administration were considered to be Right
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drug, Right route, Right dose, Right time, and Right hospital client. Right effect,
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right strength, and right diagnosis are not part of the traditional Five Rights.
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DIFFICULT: Cognitive Level: Comprehension n7 n7 n7 REF: n7 n7 n7 p. 13 n7




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
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diagnosing,planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with
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diagnosing,planning, implementing, and evaluating
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ACCURATE ANS:- D n7 n7


Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and n7 n7 n7 n7 n7 n 7 n7 n 7


adjustable five- step process that begins with assessing and continues through
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diagnosing, planning, implementing, and finally evaluating, which may then lead
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back to any of the other phases.
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DIFFICULT: Cognitive Level: Application REF: p. 8n7 n7 n7 n7 n7




9. When the nursing attendant is considering the timing of a drug dose, which is most
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important toassess?
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a. The hospital client‘s identification
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b. The hospital client‘s weight
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c. The hospital client‘s last meal
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d. Any drug or food allergies n7 n7 n7 n7



ACCURATE ANS:- C n7 n7

Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to n7 n7 n7 n7 n7 n7 n7 n7 n7

beassessed with
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regard to any drug–food interactions or compatibility issues. The hospital client‘s
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n7identification, weight, and drug or food allergies are not affected by the drug‘s timing.
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DIFFICULT: Cognitive Level: Application REF: p. 17
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10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects
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thecorrect format for her nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy n7 n7 n7 n7 n7


c. Anxiety related to anxious feelings about drug therapy, as evidenced by
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statementssuch as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such
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as ―I‘mupset about having to give myself shots‖
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ACCURATE ANS:- D n7 n7