TEST BANK FOR Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Linda Lane Lilley ISBN: 9780323694827 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED !!! LATEST UPDATE !!!

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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE 2p




1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal 2p


b. An assessment 2p


c. Subjective data 2p


d. A nursing diagnosis 2p 2p




ANS: D 2p


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
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o heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge 2p 2p




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
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ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
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a. A ―right time‖ problem
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b. A ―right dose‖ problem
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c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C 2p


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
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right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
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related to an inability to swallow. This is not a ―right medication‖ problem because the medication
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t the route.
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DIF: Cognitive Level: Application 2p 2p




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
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gns of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis 2p




ANS: B 2p


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
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ated by this example.
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DIF: Cognitive Level: Application 2p 2p




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
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s an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D 2p


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and
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not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
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DIF: Cognitive Level: Application 2p 2p




5. Which activity best reflects the implementation phase of the nursing process for the patient who is n
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pe 1 diabetes mellitus?
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6. The nurse is working during a very busy night shift, and the health care provider has just given the n
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over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
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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 health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANS: C 2p


If a medication order does not include the route, the nurse must ask the health care provider to clarif
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administration.

DIF: Cognitive Level: Application | Cognitive Level: Analysis
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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 patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A 2p


The traditional Five Rights of medication administration were considered to be Right drug, Right rou
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Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
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DIF: Cognitive Level: Comprehension 2p 2p




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 diagnosin
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g, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosin
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g, planning, implementing, and evaluating
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ANS: D 2p


The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, a
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h may then lead back to any of the other phases.
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DIF: Cognitive Level: Application 2p 2p




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 2p 2p


b. The patient‘s weight 2p 2p


c. The patient‘s last meal 2p 2p 2p


d. Any drug or food allergies 2p 2p 2p 2p




ANS: C 2p


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
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‘s timing.
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DIF: Cognitive Level: Application 2p 2p




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
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a. Anxiety
b. Anxiety related to new drug therapy 2p 2p 2p 2p 2p


c. Anxiety related to anxious feelings about drug therapy, as evidenced b
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y statements such 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 as ―I‘
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m upset about having to give myself shots‖
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Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE 2p




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both a
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n in identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D 2p


Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
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are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the
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―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effec
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the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term u
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stances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension 2p 2p




2. A patient is receiving medication via intravenous injection. Which information should the nurse prov
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly into the tissues over time.
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c. The medication‘s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C 2p


Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
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he intravenous route is not a slow route of absorption, and the intravenous route does not cause inac
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liver before it reaches the target area.
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DIF: Cognitive Level: Comprehension 2p 2p




3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. 2p 2p 2p 2p


b. They decrease blood flow to the stomach.
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c. They are altered by the presence of food in the stomach.
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d. They exert their effects while circulating in the bloodstream.
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ANS: A 2p


Drugs given by the parenteral route bypass the first-
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. E
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rally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of f
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ral drugs must be absorbed into cells and tissues from the circulation before they can exert their eff
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effects while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis 2p 2p




4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- 2p 2p 2p 2p


half of the original amount of a drug to reach the target cells.
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c. The time it takes one-
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half of the original amount of a drug to be removed from the body.
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d. The time it takes one-
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half of the original amount of a drug to be absorbed into the circulation.
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ANS: C 2p