Pharmacology for Canadian Health Care Practice 3rd Edition Lilley Test Bank

TESTBANK n




PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
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LINDALANE LILLEY, JULIE S. SNYDER AND SHELLYRAINFORTH COLLINS
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3rd Edition
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TESTBANK n

,Chapter 01: Nursing Practice in Canada and Drug Therapy
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Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
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MULTIPLE CHOICE n




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




b. An assessment n




c. Subjective data n




d. A nursing diagnosis
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ANS: D n




Nursing diagnosis is the phase of the nursing process during which
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a clinical judgement is made about how a patient responds to heath conditions and life processes or
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vulnerability forthat response.
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DIF: Cognitive Level: Knowledge n n REF: p. 11 n n




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 the
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physician. What type of problem is this?
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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 n




This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
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with the prescriber. This is not a ―right time‖ problem because the ordered frequency has 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 n n REF: p. 14 n n




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




ANS: B n




Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
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nursing diagnosis are not illustrated by this example.
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DIF: Cognitive Level: Application n n REF: p. 19 n n

,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.
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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 n




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 n n REF: p. 13 n n




5. Which activity best reflects the implementation phase of the nursing process for the patient who
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n is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique n n n n




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




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




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




treatment regimen
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ANS: A n




Education is an intervention that occurs during the implementation phase. Setting goals and
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outcome criteria reflects the planning phase. Recording a drug history reflects 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 n n REF: p. 8 |p. 13 n n n n n




6. The nurse is working during a very busy night shift, and the health care provider has just given the
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nurse a medication order over the telephone, but the nurse does not recall the route. What is the
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best way for the nurse to 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 n n n n n n n n n n




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 n n n n n n n n n n




ANS: C n




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: p. 17 n n n n n n n n n




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 n

, 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: n n Cognitive Level: Comprehension n n n n n REF: p. 13 n n




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating n n n n n n




b. Assessing, then diagnosing, implementing, and ending with evaluating n n n n n n n




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




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




ANS: D n




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 n n REF: p. 8 n n




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 n n




b. The patient‘s weight n n




c. The patient‘s last meal n n n




d. Any drug or food allergies n n n n




ANS: C n




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, weight,
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and drug or food allergies are not affected by the drug‘s timing.
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DIF: Cognitive Level: Application n n REF: p. 17 n n




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




a. Anxiety
b. Anxiety related to new drug therapy n n n n n




c. Anxiety related to anxious feelings about drug therapy, as evidenced bystatements
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n such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related tonew drug therapy, asevidenced by statements such as―I‘m
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n upset about having to give myself shots‖n n n n n n




ANS: D n