, CompleteTestBankLILLEYSPharmacologyforCanadianHealth vx m&
CarePractice5thEditionSEALOCKChapter1-58
Chapter01:NursingPracticeinCanadaandDrugTherapy Sealock:Lilley’s Pharmaco l xv m& m& m&
ogy forCanadianHealthCarePractice, 5th Edition
m& d
* d
* x m& m&
MULTIPLE CHOICE m&
1. Which isa judgement about aparticularpatient‘s potentialneed or problem?
xv x m& m& m& m& m& m&
a. A goal m&
b. Anassessment
c. Subjective data m&
d. Anursing diagnosis d*
ANS: m & D
Nursingdiagnosisisthe phase ofthenursingprocessduringwhich aclinical judgement is madeabout howapatient responds to h eath co n
m& d* m & m& m& m& m & d* m & m& m & m & m &
dition s and life processes or vulnerability for that response.
m & m& m& m& m& m& m& m& m&
DIF: Cognitive Level: Knowledge m
& m&
2. Thepatientistoreceive oralfurosemide(Lasix)everyday; however,becausethepatient isunabletoswallow,hecannottakemedi cat
m& m& d* d* xv d* d* m& m
& ion orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
m& m& m& m& m& m& m& m& d* m& m& m& m& m& m& m&
a. A—right time‖ problem xv m&
b. A—right dose‖ problem xm & m&
c. A—right route‖ problem d* m&
d. A—rightmedication‖ problem m&
ANS: m & C
Thisisa — m&
right route‖ problem: thenursecannot assumetherouteand must clarifythe routewiththe prescriber. This is not a—
m& m& m& m& m& m
& m
& m
& m& m& m& m&
righ t time‖ problem because the ordered frequencyhas not changed. This is not a —
m& m& m& m& m& m& m& m& m& m& m& m& xm & m&
right dose‖ problem because the dose is not related to an inabilit y to swallow. This is
xm & m & m & m & m & m& m& m & m& m & m & m& m& m& m& m& m&
not a — m& xv
right medication‖ problem because the medication ordered will not change, just the rou
m& m& d* m& m& m& m& m& xm & m& m& m&
te
.
DIF: Cognitive Level: Application d* m&
3. Thenursehas been monitoring the patient‘sprogress onhis newdrugregimen sincethefirst doseand has been documentingsigns of pos s
m& d* d* m& m& m& d* d* m& d* d* m& m& m&
i ble adverse effects. What nursing process phase is the nurse practising?
m& m& m& m& m& m& m& m& m& m& m&
a. Planning
b. Evaluation
c. Implementation
d. Nursingdiagnosis
ANS: m & B
Monitoringthepatient‘s progress ispart oftheevaluation phase.Planning, implementation,andnursingdiagnosis arenot illustrate d by t hi
m& m& x m& m & d* m & m & m& m & m & m
sexample.
&
DIF: Cognitive Level: Application xv m&
4. The nurseiscaringfora patientwhohas beennewlydiagnosed with type 1diabetes mellitus.Whichstatementbestillustrates an outc
xv m & m& d* m & m& m& x m& m &
o m & me criterion for this patient?
m& m& m& m&
a. Thepatient will follow instructions. m& m& m
&
b. Thepatient willnot experience complications. d* d* m&
c. Thepatient adheres to the newinsulin treatment regimen.
m & m & x m& m& m &
d. Thepatientdemonstrates safeinsulinself-administration technique. m & m &
ANS: m & D
Havingthepatient demonstrate safeinsulinself- m& m&
administrationtechniqueis aspecificandmeasurableoutcomecriterion. Following instructions and avoiding complications are not specific cr it
m& m& m& m& m& m& d* m& m& m& m&
er ia. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
m& m& m& m& m& m& m& m& d* d* d* m& d* m& m& m& m&
DIF: Cognitive Level: Application xv m&
5. Whichactivitybestreflects theimplementation phaseofthenursing process forthepatient whoisnewlydiagnosed with type 1 diab xv d* d* m & m& m& m& m & m& m&
e tes mellitus?
m& m& m&
a. Providingeducation regarding self-injection technique m& d* m &
b. Settinggoals and outcome criteriawith thepatient‘s input m& m& d* m& m&
c. Recordinga historyof over-the-counter medications used at home m& m& m& m& m& m&
d. Formulatingnursingdiagnoses regardingknowledge deficits related tothenew tre xv m& m& m& m&
atment regimenm& m&
ANS: m & A
Educationisan interventionthatoccursduringthe implementationphase. Settinggoalsandoutcome criteriareflects theplanning p has
m& m& m& m& m& m& m&
e. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts a
m& m& m& m& m& m& m& m& m& m& m& d* m& d* m& m& m& m&
nalys i s of data as part of the planning phase.
m& m& m& m& m& m& m& m& m& m &
DIF: Cognitive Level: Analysis xv m&
1
, 6. Thenurseis workingduringaverybusynight shift,andthehealth careprovider has just given thenurse amedication order over the
m& xm & m & m& xm & m & xv m & m & m &
tel ephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
m & m & m& xm & m& m& m& xm & m& m& m& m& m& m& m& m& m& m& m& m& m& m&
a. Recopytheorder neatlyon the order sheet, with themost common route indicated
d* m& m& m
& m& m& m& m& d* m&
b. Consultwiththepharmacist forclarification about themost common route m & m& m& m& m&
c. Callthe health care provider to clarifythe routeof administration
m& m& m& m& xm & m& m &
d. Withholdthe druguntil the health care provider visits the patient d* m
& m& m& m
& m& d* m&
ANS: m & C
If a medication order does not includethe route,thenursemustask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
m & m& xv m& d* m& m& xv m& m& d* m & m&
DIF: Cognitive m & Level:Application |Cognitive Level:Analysis xm & m&
7. Which constitutesthetraditional FiveRights ofmedication administration?
xv m& m& m&
a. Rightdrug, right route, right dose, righttime,and right patient m& m& m& m& m
& m& d*
b. Rightdrug, the right effect, theright route,theright time,and theright patient
m& m& xm & m& m& m& m& m&
c. Rightpatient,right strength, right diagnosis,right drug, andright route d* m & xm & m& m& m&
d. Rightpatient, right diagnosis, right drug,right route,andright time m& m& m& m& m& m&
ANS: m & A
ThetraditionalFiveRightsofmedication administrationwereconsidered tobeRight drug,Right route,Right dose,Righttime,and Right m& m& m& m
& m
& m& m & patien
t. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
m& m& m& m& m& m& xv m& m& m& xv m& m& m& m&
DIF: CognitiveLevel: Comprehension m&
8. Whatcorrectlydescribes thenursingprocess?
d* m&
a. Diagnosing,planning, assessing,implementing, andfinallyevaluating m& d* m&
b. Assessing,thendiagnosing, implementing, and endingwithevaluating m& m& m&
c. Alineardirectionthatbegins withassessingandcontinuesthroughdiagnosing, pla x m& m &
nning, and finally implementing m& m& m&
d. Anongoing process thatbegins withassessingand continues withdiagnosing, pla
m& d* m& xv m& m&
nning, implementing, and evaluating
m& m& m& m&
ANS: m & D
Thenursingprocess isan ongoing, flexible, adaptable,andadjustablefive-
vx m& m & m & m&
step process that begins withassessing and continues through diagnosing, planning, implementing, and finallyevaluating, which may t
x m& x m& m& d* d* m& d* m& m& m& m& d* m &
h en lead back to any of the other phases.
m & m& m& m& m& m& m& m& m&
DIF: Cognitive Level: Application x m &
9. Whenthe nurse is considering the timing of a drug dose, which is most important to assess?
xm & d* m& m& d* m& m& m& m& m& m& m& d* m& m&
a. Thepatient‘s identification m&
b. Thepatient‘s weight m&
c. Thepatient‘slast meal m&
d. Anydrug or food allergies m& m& m&
ANS: m & C
Thepharmacokinetic and pharmacodynamic properties ofthedrugneed tobeassessed with regardto anydrug–
vx m& m & m& m& m& m & m & m &
food interactions or compatibilityissues. The patient‘s identification, weight, and drug orfood allergies arenotaffected by the drug‘s timi ng.
d* xv m& m& d* m& m& m& m& m& m& m& m& m& d* m& m&
DIF: Cognitive Level: Application x m &
10. Thenurseis writingnursingdiagnoses for a plan of care. Which reflects the correct format forher nursingdiagnosis?
m& d* m& m
& m& m& m& m& m& m& m& m& m& m&
a. Anxiety
b. Anxietyrelated to new drug therapy m& m& m& m
&
c. Anxietyrelatedtoanxiousfeelingsabout drugtherapy,as evidenced by sta t xv m& x x m& m& m
&ements such as —I‘m upset about having to give myself shots‖
m& m& m& m& m& m& m& m& m& m&
d. Anxietyrelated tonewdrug therapy,asevidencedbystatementssuch as — xv m & m& x
I‘m up set about having to give myself shots‖
d* m& m& m& m& m& m& m&
ANS: m & D
Formulation of nursing diagnoses is usuallya three m& m& d* m& m& m&
-step process. The only complete answer is —
m& m& m& m& m& m& m&
Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myselfshots.‘‖ Theansw
m& d* m& m& m& m& m& m& m& m& m& m& m& m& m& m & m& m& m& m&
er — Anxiety‖ ismissingthe —related to‖ and —as evidenced by‖portions. Theanswer
m& m& m& xv m& m& m& m& m& m&
—Anxietyrelatedtonewdrugtherapy‖ismissing the—asevidenced by‖portionofdefiningcharacteristics. The— m & m& m&
relatedto‖sectio nin— m&
Anxietyrelatedtoanxiousfeelingsaboutdrugtherapy,asevidenced by statements such as ‗I‘m upset about having to givem yself s xv m& m& m& m& m& m& m& m& m& m& m& m&
hot s‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
m& m& d* m& d* m& m& m& m& m& xm & d* m& m& m& m& m&
DIF: Cognitive Level: Analysis x m &
OTHER
1. Placethephases ofthenursingprocess inthe correct order, startingwith the first phase.
m& m& m& m& m& m& d* m&
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E,A, D, B
m& d* m&
DIF: Cognitive Level: Analysis x m &
2
, Chapter02:Pharmacological Principles xv
Sealock: Lilley’s Pharmacology
m& for CanadianHealthCare Practice, 5th Edition
xv m & m & m& m& m& m &
MULTIPLE CHOICE m&
1. Apatient isreceivingtwo different drugs, which, attheircurrent dose forms and dosages,arebothabsorbed into thecirculationin
xv m& m& m
& m& d* m& m& d* d* m&
ident i m&
cal amounts. Which term best denotes that the drugs have the same absorption rates?
m& m& m& m& m& m& m& m& m& m& m& m& m& m&
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: m & D
Two drugs absorbed into thecirculation at thesameamount (in specific dosage forms) havethesame bioavailability; thus, theyare bioeq ui
m& m& m& m& m& m& xm & m& m& m& m& m& m& m& m& m&
v alent. —Equivalent‖ is incorrect because the term —bioavailability‖ is used to express the extent of drug absorption.
m& m& m& m& m& m& m& m& m& d* m& m& m& m& m& m& m&
—
Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e
m& m& m& m& m& m& m& m& m& xm & m& m& m& m& m& m& m& m& m& m& m& m& m&
eff ects of each drug given alone. —
m& m& m& m& m& d* m&
Compatible‖ is incorrect because this term is a general term used toindicate that two substanc es do not have a chemical reaction
m& m& m& m& d* d* m& m& m& m& m& m& d* m& m& m& m& m & m& m& m&
when mixed (or given, in the case of drugs) together.
m& m& m& m& m& m& m& m& m& m&
DIF: Cognitive Level:Comprehension m&
2. Apatient is receivingmedication via intravenous injection. Whichinformation should
m& m& d* m& m & m& m& m & the nurse provide forpatient
d* m& m& m & education?
a. Themedication willcausefewer adverseeffects when given intravenously. d* d* m& m& m& m&
b. Themedication will beabsorbed slowlyinto the tissues overtime. d* m& m& m& m
& m&
c. Themedication‘s action will begin fasterwhen given intravenously. d* m
& m& m& m& m&
d. Mostofthe drugis inactivated bytheliverbefore it reaches the target area. m& m& m& m & d* m& m& m&
ANS: m & C
Intravenous injections arethefastest routeof absorption. Theintravenous routedoes notaffect thenumberof adverseeffects, the intra
m& m& m& m& m& m& m& m& m& m& m& m&
ven ous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug bythe liv er before
m& m& m& d* d* d* m& m& m& m& m& m& m& m& m& m& m& d* m& m& m& m& m & m& m
&it reac hes the target area.
m& m& m& m& m&
DIF: Cognitive Level:Comprehension m&
3. Whichistrueregarding parenteral drugs? d* m& m &
a. Theybypass thefirst-pass effect. m& m&
b. Theydecrease blood flow to the stomach. m& d* m& m& m&
c. Theyarealtered bythe presence of food in the stomach. m& m& m& m& m& m& m&
d. Theyexerttheir effects whilecirculating in thebloodstream. m
& m& m
& m&
ANS: m & A
Drugs givenbytheparenteral routebypass thefirst-
d* m& d*
pass effect, but theystill mustbeabsorbedintocells and tissues before theycan exert their effects. Enteral drugs (drugs taken or
m& m& m& m& m& m& m& m& m& m& m& m & m & m& m& m &
all y), no t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
m& m& m& m& m& m& m& m& m& m& m& d* d* m& m& m& d* d* m& m& d* m& m& m& m
ugs must b e absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effect
& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
s while circulatin g in the bloodstream.
xv m& m& m& m& m&
DIF: Cognitive Level: Analysis m& m&
4. Adrug‘shalf-life isbest defined as d* m& m&
a. Thetimeit takes forthe drug to elicit halfits therapeutic response. m& m& m& d* xm & m& m& m&
b. Thetime ittakes one- xv m&
halfofthe originalamountofa drugto reachthe target cells. x m & x xv m&
c. Thetime it takes one- xv xv m&
halfoftheoriginal amount ofa drugtoberemoved from the body. m& d* xv m& d* m &
d. Thetime it takes one- xv xv m&
halfoftheoriginal amount ofadrug tobeabsorbed into the circulation. d* m& xv m & m & xv m & m & m &
ANS: m & C
Adrug‘s half-life isthetimeit takes forone-
m& m& d* m&
halfofthe original amount of a drug to beremoved from thebody. It is a measure of the rate at which drugsare removed from th ebody
d* m& d* d* m& d* d* d* m & d* d* m& m& m& m& d* m& m& m& m& m&
. Answers A, B, and Darenot correct definitions ofa drug‘s half-life.
m& d* m
& m
& m& m& m& d* m& m
&
DIF: Cognitive Level: Comprehension m& m&
5. Theterm—durationofaction‖isbestdefinedas x
a. Thetimeit takes forthe drug to elicit a therapeutic response. xm & m& m& d* m& m& m& m&
b. Thetime it takes a drugto reach its maximum therapeutic response.
xv m& d* d* m& m & m& d* m&
c. Thelength oftimeit takes to removea drug from circulation. m& m& m& m& m& d* m&
d. The timeduringwhich drug concentration issufficient toelicit a therapeutic r
xv d* m& m& d* xv x m& m&
es ponse. m&
ANS: m & D
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a dr
m& m& m& m& m& m& m& d* m& d* m& m& m& d* m& m& m& d* m& m& m& m& m& m&
ug to elicit a therapeutic response is the drug‘s —
m& m& m& m& m& m& m& m& m&
onset of action.‖ The time it takes a drug to reach its maximum therapeutic response isa drug‘s —peak effect.‖ —
m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
Thelength of timeit takes to remove a drugfromcirculation‖ defines adrug‘s eliminationand does not correc tly define a drug‘s dura
d* m& xv m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
tion of action. m& m&
DIF: Cognitive Level: Comprehension m& m&
1
CarePractice5thEditionSEALOCKChapter1-58
Chapter01:NursingPracticeinCanadaandDrugTherapy Sealock:Lilley’s Pharmaco l xv m& m& m&
ogy forCanadianHealthCarePractice, 5th Edition
m& d
* d
* x m& m&
MULTIPLE CHOICE m&
1. Which isa judgement about aparticularpatient‘s potentialneed or problem?
xv x m& m& m& m& m& m&
a. A goal m&
b. Anassessment
c. Subjective data m&
d. Anursing diagnosis d*
ANS: m & D
Nursingdiagnosisisthe phase ofthenursingprocessduringwhich aclinical judgement is madeabout howapatient responds to h eath co n
m& d* m & m& m& m& m & d* m & m& m & m & m &
dition s and life processes or vulnerability for that response.
m & m& m& m& m& m& m& m& m&
DIF: Cognitive Level: Knowledge m
& m&
2. Thepatientistoreceive oralfurosemide(Lasix)everyday; however,becausethepatient isunabletoswallow,hecannottakemedi cat
m& m& d* d* xv d* d* m& m
& ion orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
m& m& m& m& m& m& m& m& d* m& m& m& m& m& m& m&
a. A—right time‖ problem xv m&
b. A—right dose‖ problem xm & m&
c. A—right route‖ problem d* m&
d. A—rightmedication‖ problem m&
ANS: m & C
Thisisa — m&
right route‖ problem: thenursecannot assumetherouteand must clarifythe routewiththe prescriber. This is not a—
m& m& m& m& m& m
& m
& m
& m& m& m& m&
righ t time‖ problem because the ordered frequencyhas not changed. This is not a —
m& m& m& m& m& m& m& m& m& m& m& m& xm & m&
right dose‖ problem because the dose is not related to an inabilit y to swallow. This is
xm & m & m & m & m & m& m& m & m& m & m & m& m& m& m& m& m&
not a — m& xv
right medication‖ problem because the medication ordered will not change, just the rou
m& m& d* m& m& m& m& m& xm & m& m& m&
te
.
DIF: Cognitive Level: Application d* m&
3. Thenursehas been monitoring the patient‘sprogress onhis newdrugregimen sincethefirst doseand has been documentingsigns of pos s
m& d* d* m& m& m& d* d* m& d* d* m& m& m&
i ble adverse effects. What nursing process phase is the nurse practising?
m& m& m& m& m& m& m& m& m& m& m&
a. Planning
b. Evaluation
c. Implementation
d. Nursingdiagnosis
ANS: m & B
Monitoringthepatient‘s progress ispart oftheevaluation phase.Planning, implementation,andnursingdiagnosis arenot illustrate d by t hi
m& m& x m& m & d* m & m & m& m & m & m
sexample.
&
DIF: Cognitive Level: Application xv m&
4. The nurseiscaringfora patientwhohas beennewlydiagnosed with type 1diabetes mellitus.Whichstatementbestillustrates an outc
xv m & m& d* m & m& m& x m& m &
o m & me criterion for this patient?
m& m& m& m&
a. Thepatient will follow instructions. m& m& m
&
b. Thepatient willnot experience complications. d* d* m&
c. Thepatient adheres to the newinsulin treatment regimen.
m & m & x m& m& m &
d. Thepatientdemonstrates safeinsulinself-administration technique. m & m &
ANS: m & D
Havingthepatient demonstrate safeinsulinself- m& m&
administrationtechniqueis aspecificandmeasurableoutcomecriterion. Following instructions and avoiding complications are not specific cr it
m& m& m& m& m& m& d* m& m& m& m&
er ia. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
m& m& m& m& m& m& m& m& d* d* d* m& d* m& m& m& m&
DIF: Cognitive Level: Application xv m&
5. Whichactivitybestreflects theimplementation phaseofthenursing process forthepatient whoisnewlydiagnosed with type 1 diab xv d* d* m & m& m& m& m & m& m&
e tes mellitus?
m& m& m&
a. Providingeducation regarding self-injection technique m& d* m &
b. Settinggoals and outcome criteriawith thepatient‘s input m& m& d* m& m&
c. Recordinga historyof over-the-counter medications used at home m& m& m& m& m& m&
d. Formulatingnursingdiagnoses regardingknowledge deficits related tothenew tre xv m& m& m& m&
atment regimenm& m&
ANS: m & A
Educationisan interventionthatoccursduringthe implementationphase. Settinggoalsandoutcome criteriareflects theplanning p has
m& m& m& m& m& m& m&
e. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts a
m& m& m& m& m& m& m& m& m& m& m& d* m& d* m& m& m& m&
nalys i s of data as part of the planning phase.
m& m& m& m& m& m& m& m& m& m &
DIF: Cognitive Level: Analysis xv m&
1
, 6. Thenurseis workingduringaverybusynight shift,andthehealth careprovider has just given thenurse amedication order over the
m& xm & m & m& xm & m & xv m & m & m &
tel ephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
m & m & m& xm & m& m& m& xm & m& m& m& m& m& m& m& m& m& m& m& m& m& m&
a. Recopytheorder neatlyon the order sheet, with themost common route indicated
d* m& m& m
& m& m& m& m& d* m&
b. Consultwiththepharmacist forclarification about themost common route m & m& m& m& m&
c. Callthe health care provider to clarifythe routeof administration
m& m& m& m& xm & m& m &
d. Withholdthe druguntil the health care provider visits the patient d* m
& m& m& m
& m& d* m&
ANS: m & C
If a medication order does not includethe route,thenursemustask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
m & m& xv m& d* m& m& xv m& m& d* m & m&
DIF: Cognitive m & Level:Application |Cognitive Level:Analysis xm & m&
7. Which constitutesthetraditional FiveRights ofmedication administration?
xv m& m& m&
a. Rightdrug, right route, right dose, righttime,and right patient m& m& m& m& m
& m& d*
b. Rightdrug, the right effect, theright route,theright time,and theright patient
m& m& xm & m& m& m& m& m&
c. Rightpatient,right strength, right diagnosis,right drug, andright route d* m & xm & m& m& m&
d. Rightpatient, right diagnosis, right drug,right route,andright time m& m& m& m& m& m&
ANS: m & A
ThetraditionalFiveRightsofmedication administrationwereconsidered tobeRight drug,Right route,Right dose,Righttime,and Right m& m& m& m
& m
& m& m & patien
t. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
m& m& m& m& m& m& xv m& m& m& xv m& m& m& m&
DIF: CognitiveLevel: Comprehension m&
8. Whatcorrectlydescribes thenursingprocess?
d* m&
a. Diagnosing,planning, assessing,implementing, andfinallyevaluating m& d* m&
b. Assessing,thendiagnosing, implementing, and endingwithevaluating m& m& m&
c. Alineardirectionthatbegins withassessingandcontinuesthroughdiagnosing, pla x m& m &
nning, and finally implementing m& m& m&
d. Anongoing process thatbegins withassessingand continues withdiagnosing, pla
m& d* m& xv m& m&
nning, implementing, and evaluating
m& m& m& m&
ANS: m & D
Thenursingprocess isan ongoing, flexible, adaptable,andadjustablefive-
vx m& m & m & m&
step process that begins withassessing and continues through diagnosing, planning, implementing, and finallyevaluating, which may t
x m& x m& m& d* d* m& d* m& m& m& m& d* m &
h en lead back to any of the other phases.
m & m& m& m& m& m& m& m& m&
DIF: Cognitive Level: Application x m &
9. Whenthe nurse is considering the timing of a drug dose, which is most important to assess?
xm & d* m& m& d* m& m& m& m& m& m& m& d* m& m&
a. Thepatient‘s identification m&
b. Thepatient‘s weight m&
c. Thepatient‘slast meal m&
d. Anydrug or food allergies m& m& m&
ANS: m & C
Thepharmacokinetic and pharmacodynamic properties ofthedrugneed tobeassessed with regardto anydrug–
vx m& m & m& m& m& m & m & m &
food interactions or compatibilityissues. The patient‘s identification, weight, and drug orfood allergies arenotaffected by the drug‘s timi ng.
d* xv m& m& d* m& m& m& m& m& m& m& m& m& d* m& m&
DIF: Cognitive Level: Application x m &
10. Thenurseis writingnursingdiagnoses for a plan of care. Which reflects the correct format forher nursingdiagnosis?
m& d* m& m
& m& m& m& m& m& m& m& m& m& m&
a. Anxiety
b. Anxietyrelated to new drug therapy m& m& m& m
&
c. Anxietyrelatedtoanxiousfeelingsabout drugtherapy,as evidenced by sta t xv m& x x m& m& m
&ements such as —I‘m upset about having to give myself shots‖
m& m& m& m& m& m& m& m& m& m&
d. Anxietyrelated tonewdrug therapy,asevidencedbystatementssuch as — xv m & m& x
I‘m up set about having to give myself shots‖
d* m& m& m& m& m& m& m&
ANS: m & D
Formulation of nursing diagnoses is usuallya three m& m& d* m& m& m&
-step process. The only complete answer is —
m& m& m& m& m& m& m&
Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myselfshots.‘‖ Theansw
m& d* m& m& m& m& m& m& m& m& m& m& m& m& m& m & m& m& m& m&
er — Anxiety‖ ismissingthe —related to‖ and —as evidenced by‖portions. Theanswer
m& m& m& xv m& m& m& m& m& m&
—Anxietyrelatedtonewdrugtherapy‖ismissing the—asevidenced by‖portionofdefiningcharacteristics. The— m & m& m&
relatedto‖sectio nin— m&
Anxietyrelatedtoanxiousfeelingsaboutdrugtherapy,asevidenced by statements such as ‗I‘m upset about having to givem yself s xv m& m& m& m& m& m& m& m& m& m& m& m&
hot s‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
m& m& d* m& d* m& m& m& m& m& xm & d* m& m& m& m& m&
DIF: Cognitive Level: Analysis x m &
OTHER
1. Placethephases ofthenursingprocess inthe correct order, startingwith the first phase.
m& m& m& m& m& m& d* m&
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E,A, D, B
m& d* m&
DIF: Cognitive Level: Analysis x m &
2
, Chapter02:Pharmacological Principles xv
Sealock: Lilley’s Pharmacology
m& for CanadianHealthCare Practice, 5th Edition
xv m & m & m& m& m& m &
MULTIPLE CHOICE m&
1. Apatient isreceivingtwo different drugs, which, attheircurrent dose forms and dosages,arebothabsorbed into thecirculationin
xv m& m& m
& m& d* m& m& d* d* m&
ident i m&
cal amounts. Which term best denotes that the drugs have the same absorption rates?
m& m& m& m& m& m& m& m& m& m& m& m& m& m&
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: m & D
Two drugs absorbed into thecirculation at thesameamount (in specific dosage forms) havethesame bioavailability; thus, theyare bioeq ui
m& m& m& m& m& m& xm & m& m& m& m& m& m& m& m& m&
v alent. —Equivalent‖ is incorrect because the term —bioavailability‖ is used to express the extent of drug absorption.
m& m& m& m& m& m& m& m& m& d* m& m& m& m& m& m& m&
—
Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e
m& m& m& m& m& m& m& m& m& xm & m& m& m& m& m& m& m& m& m& m& m& m& m&
eff ects of each drug given alone. —
m& m& m& m& m& d* m&
Compatible‖ is incorrect because this term is a general term used toindicate that two substanc es do not have a chemical reaction
m& m& m& m& d* d* m& m& m& m& m& m& d* m& m& m& m& m & m& m& m&
when mixed (or given, in the case of drugs) together.
m& m& m& m& m& m& m& m& m& m&
DIF: Cognitive Level:Comprehension m&
2. Apatient is receivingmedication via intravenous injection. Whichinformation should
m& m& d* m& m & m& m& m & the nurse provide forpatient
d* m& m& m & education?
a. Themedication willcausefewer adverseeffects when given intravenously. d* d* m& m& m& m&
b. Themedication will beabsorbed slowlyinto the tissues overtime. d* m& m& m& m
& m&
c. Themedication‘s action will begin fasterwhen given intravenously. d* m
& m& m& m& m&
d. Mostofthe drugis inactivated bytheliverbefore it reaches the target area. m& m& m& m & d* m& m& m&
ANS: m & C
Intravenous injections arethefastest routeof absorption. Theintravenous routedoes notaffect thenumberof adverseeffects, the intra
m& m& m& m& m& m& m& m& m& m& m& m&
ven ous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug bythe liv er before
m& m& m& d* d* d* m& m& m& m& m& m& m& m& m& m& m& d* m& m& m& m& m & m& m
&it reac hes the target area.
m& m& m& m& m&
DIF: Cognitive Level:Comprehension m&
3. Whichistrueregarding parenteral drugs? d* m& m &
a. Theybypass thefirst-pass effect. m& m&
b. Theydecrease blood flow to the stomach. m& d* m& m& m&
c. Theyarealtered bythe presence of food in the stomach. m& m& m& m& m& m& m&
d. Theyexerttheir effects whilecirculating in thebloodstream. m
& m& m
& m&
ANS: m & A
Drugs givenbytheparenteral routebypass thefirst-
d* m& d*
pass effect, but theystill mustbeabsorbedintocells and tissues before theycan exert their effects. Enteral drugs (drugs taken or
m& m& m& m& m& m& m& m& m& m& m& m & m & m& m& m &
all y), no t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
m& m& m& m& m& m& m& m& m& m& m& d* d* m& m& m& d* d* m& m& d* m& m& m& m
ugs must b e absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effect
& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
s while circulatin g in the bloodstream.
xv m& m& m& m& m&
DIF: Cognitive Level: Analysis m& m&
4. Adrug‘shalf-life isbest defined as d* m& m&
a. Thetimeit takes forthe drug to elicit halfits therapeutic response. m& m& m& d* xm & m& m& m&
b. Thetime ittakes one- xv m&
halfofthe originalamountofa drugto reachthe target cells. x m & x xv m&
c. Thetime it takes one- xv xv m&
halfoftheoriginal amount ofa drugtoberemoved from the body. m& d* xv m& d* m &
d. Thetime it takes one- xv xv m&
halfoftheoriginal amount ofadrug tobeabsorbed into the circulation. d* m& xv m & m & xv m & m & m &
ANS: m & C
Adrug‘s half-life isthetimeit takes forone-
m& m& d* m&
halfofthe original amount of a drug to beremoved from thebody. It is a measure of the rate at which drugsare removed from th ebody
d* m& d* d* m& d* d* d* m & d* d* m& m& m& m& d* m& m& m& m& m&
. Answers A, B, and Darenot correct definitions ofa drug‘s half-life.
m& d* m
& m
& m& m& m& d* m& m
&
DIF: Cognitive Level: Comprehension m& m&
5. Theterm—durationofaction‖isbestdefinedas x
a. Thetimeit takes forthe drug to elicit a therapeutic response. xm & m& m& d* m& m& m& m&
b. Thetime it takes a drugto reach its maximum therapeutic response.
xv m& d* d* m& m & m& d* m&
c. Thelength oftimeit takes to removea drug from circulation. m& m& m& m& m& d* m&
d. The timeduringwhich drug concentration issufficient toelicit a therapeutic r
xv d* m& m& d* xv x m& m&
es ponse. m&
ANS: m & D
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a dr
m& m& m& m& m& m& m& d* m& d* m& m& m& d* m& m& m& d* m& m& m& m& m& m&
ug to elicit a therapeutic response is the drug‘s —
m& m& m& m& m& m& m& m& m&
onset of action.‖ The time it takes a drug to reach its maximum therapeutic response isa drug‘s —peak effect.‖ —
m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
Thelength of timeit takes to remove a drugfromcirculation‖ defines adrug‘s eliminationand does not correc tly define a drug‘s dura
d* m& xv m& m& m& m& m& m& m& m& m& m& m& m& m& m& m&
tion of action. m& m&
DIF: Cognitive Level: Comprehension m& m&
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