Pharmacology for Canadian Health Care Practice – 3rd Edition (Lilley, Snyder, Rainforth Collins) – Test Bank with Questions and Answers

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PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
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LINDALANELILLEY,JULIE S. SNYDERAND SHELLYRAINFORTH COLLINS
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3rd Edition
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TESTBANK Il̀

,Chapter01: Nursing Practice in Canada and Drug Therapy
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Lilley:Pharmacology for CanadianHealth Care Practice, 3rd Canadian Edition
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MULTIPLE CHOICE Il`




1. Which is a judgement about a particular patient‘s potential need or Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




problem?
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a. A goal Il`




b. An assessment Il`




c. Subjective data Il`




d. A nursing diagnosis Il` Il`




ANS: D I l `




Nursing diagnosis is the phase of the nursing process during which Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




a clinical judgement is made about how a patient responds to heath conditions and life processes
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or vulnerability forthat response.
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DIF: Cognitive Level: Knowledge Il` Il` REF: p. 11 Il` Il`




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




b. A ―right dose‖ problem Il` Il ` Il`




c. A ―right route‖ problem Il` Il` Il`




d. A ―right medication‖ problem Il` Il` Il`




ANS: I l ` C
This is a ―right route‖ problem: the nursecannot assume the route and must clarifythe route
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withthe prescriber. This is not a ―right time‖ problem because the ordered frequencyhas not
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changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
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swallow. This is not a ―right medication‖ problem because the medication ordered will not
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change, just the route.
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DIF: Cognitive Level: Application Il` Il` REF: I l ` p. 14 Il`




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




ANS: B I l `




Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




nursing diagnosis are not illustrated by this example.
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DIF: Cognitive Level: Application Il` Il` REF: p. 19 Il` Il`

,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
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Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions. Il` Il` Il` Il`




b. Thepatient will not experience complications. Il̀ Il` Il` Il` Il`




c. The patient adheres to the new insulin treatment regimen. Il` Il` Il` Il` Il` Il` Il` Il`




d. Thepatient demonstrates safe insulin self-administration technique.
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ANS: D I l `




Having the patient demonstrate safe insulin self-administration technique is a specific and
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measurable outcome criterion. Following instructions and avoiding complications are not
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specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
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difficult to measure.
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DIF: Cognitive Level: Application Il` Il` REF: p. 13 Il` Il`




5. Which activitybest reflects the implementation phase of the nursing process for the patient
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Il` who is newly diagnosed with type 1 diabetes mellitus?
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a. Providingeducation regarding self-injection technique Il̀ Il` Il` Il`




b. Setting goals and outcome criteria with the patient‘s input Il` Il` Il` Il` Il` Il` Il` Il`




c. Recording a history of over-the-counter medications used at home Il` Il` Il` Il` Il` Il` Il` Il`




d. Formulating nursing diagnoses regarding knowledge deficits related to the new Il` Il` Il` Il` Il` Il` Il` Il` Il`




treatment regimen
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ANS: A I l `




Education is an intervention that occurs during the implementation phase. Setting goals and Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




outcome criteria reflects the planning phase. Recording a drug historyreflects the assessment
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phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
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part of the planning phase.N
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DIF: Cognitive Level: Analysis Il` Il` REF: p. 8 |p. 13 Il ` Il` Il` Il̀ Il`




6. The nurse is working during a very busy night shift, and the health care provider has just given
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the nurse a medication order over the telephone, but the nurse does not recall the route. What is
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the best way for the nurse to avoid medication errors?
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a. Recopythe order neatly on the order sheet, with the most common route indicated Il̀ Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




b. Consult with the pharmacist for clarification about the most common route Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




c. Call the health care provider to clarifythe route of administrationIl` Il` Il` Il` Il` Il` Il̀ Il` Il` Il`




d. Withhold the drug until the health care provider visits the patient Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




ANS: C I l `




If a medication order does not include the route, the nurse must ask the health care provider to
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clarify it. Never assume the route of administration.
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DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: Il` Il` Il` Il̀ Il` Il` I l ` I l ` p. 17 Il`




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 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




b. Right drug, the right effect, the right route, the right time, and the right patient Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




c. Right patient, right strength, right diagnosis, right drug, and right route Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




d. Right patient, right diagnosis, right drug, right route, and right time Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




ANS: A I l `

, The traditional Five Rights of medication administration were considered to be Right drug,
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Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
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diagnosis are not part of the traditional Five Rights.
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DIF: I l ` I l ` Cognitive Level: Comprehension Il` Il` I l ` I l ` I l ` REF: I l ` p. 13 Il`




8. What correctlydescribes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating Il` Il` Il` Il` Il` Il`




b. Assessing, then diagnosing, implementing, and ending with evaluating Il` Il` Il` Il` Il` Il` Il`




c. A linear direction that begins with assessing and continues through diagnosing,
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Il` planning, and finally implementing Il` Il` Il`




d. An ongoing process that begins with assessing and continues with diagnosing,
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Il` planning, implementing, and evaluating Il` Il` Il`




ANS: D I l `




The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
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begins with assessing and continues through diagnosing, planning, implementing, and finally
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evaluating, which may then lead back to any of the other phases.
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DIF: Cognitive Level: Application Il` Il` REF: p. 8 Il` Il`




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 Il` Il`




b. Thepatient‘s weight Il̀ Il`




c. The patient‘s last meal Il` Il` Il`




d. Any drug or food allergies Il` Il` Il` Il`




ANS: I l ` C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
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regard to any drug–food interactions or compatibility issues. The patient‘s identification,
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weight, and drug or food allergies are not affected by the drug‘s timing.
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DIF: Cognitive Level: Application Il` Il` REF: p. 17 Il` Il`




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
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Il` nursing diagnosis? Il`




a. Anxiety
b. Anxietyrelated to new drug therapy Il̀ Il` Il` Il` Il`




c. Anxietyrelated to anxious feelings about drug therapy, as evidenced bystatements Il̀ Il` Il` Il` Il` Il` Il` Il` Il` Il` Il̀




Il` such as ―I‘m upset about having to give myself shots‖ Il` Il` Il` Il` Il` Il` Il` Il` Il`




d. Anxietyrelatedtonewdrugtherapy,asevidencedbystatementssuchas―I‘m upset Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il̀ Il`




Il` about having to give myself shots‖ Il` Il` Il` Il` Il`




ANS: D I l `