Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition (Sealock) | Complete Test Bank with Answers, Chapters 1–58

,CH 01: Nursing Practice inCanada and Drug Therapy
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Lilley: Pharmacology for CanadianPrimary care Practice, 4TH CanadianEdition
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MULTIPLE CHOICE b




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




b. An assessment b




c. Subjective data b




d. A nursing diagnosisb b




ACCURATE ANS:- D b b




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




judgement is made about how a hospital client responds to heath conditions and life processes or
b b b b b b b b b b b b b b b b




vulnerability for that response.
b b b b




DIFFICULT: CognitiveLevel: Knowledge b b b REF: p. 11 b b




2. The hospital client is to receive oral furosemide (Lasix) every day; however, because the
b b b b b b b b b b b b b




hospital client is unable to swallow, he cannot take medication orally, as ordered. The nursing
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attendant needs to contact the physician. What type of problem is this?
b b b b b b b b b b b b




a. A―right time‖ problem
b b b




b. A―right dose‖ problem
b b b




c. A―right route‖ problem
b b b




d. A ―right medication‖ problem
b b b




ACCURATE ANS:- C b b




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




clarify the route
b b b




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 inability to
b b b b b b b b b b b b b b b b b b




swallow. This is not a ―right medication‖ problem because the medication ordered will not
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change, just the route.
b b b b




DIFFICULT: CognitiveLevel: Application REF: p. 14 b b b b b




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




a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis b




ACCURATE ANS:- B b b




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




implementation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: CognitiveLevel: Application REF: p. 19 b b b b b

,4. The nursing attendant is caring for a hospital client who has been newly diagnosed with type
b b b b b b b b b b b b b b b




1diabetes mellitus. Which statement best illustrates an outcome criterion for this
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hospital client?
b b




a. The hospital client will follow instructions.
b b b b b




b. The hospital client will not experience complications.
b b b b b b




c. The hospital client adheres to the new insulin treatment regimen.
b b b b b b b b b




d. The hospital client demonstrates safe insulin self-administration technique.
b b b b b b b




ACCURATE ANS:- D b b




Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration b b b b b b b




technique is a specific and measurable outcome criterion. Following instructions and avoiding
b b b b b b b b b b b b




complications are not specific criteria. Adherence to the new insulin treatment regimen is not
b b b b b b b b b b b b b b




objective and would be Difficult to measure.
b b b b b b b




DIFFICULT: CognitiveLevel: Application REF: p. 13 b b b b b




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




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 b b b b b b b b




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




treatment regimen
b b




ACCURATE ANS:- A b b




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




goals and outcome criteria reflects the planning phase. Recording a drug history reflects the
b b b b b b b b b b b b b b




assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflects analysis of
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data
b




as part of the planning phase.
b b b b b




DIFFICULT: Cognitive Level: Analysis REF: p. 8 |p. 13 b b b b b b b b




6. The nursing attendant is working during a very busy night shift, and the primary care provider
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has just given the nursing attendant a medication order over the telephone, but thenursing
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attendant does not recall the route. What is the best way for the nursing attendantto avoid
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medication errors?
b b




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 b b b b b b b b b b




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 b b b b b b b b b b b




ACCURATE ANS:- C b b




Reasoning:->>>If a medication order does not include the route, the nursing attendant must ask b b b b b b b b b b b b b




the primary care provider to clarify it. Never assume the route of administration.
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DIFFICULT: Cognitive Level: Application |Cognitive Level: Analysis REF: b b b b b b b b b p. 17 b




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
b b b b b b b b b b b




d. Right hospital client, right diagnosis, right drug, right route, and right time
b b b b b b b b b b b




ACCURATE ANS:- A b b

, 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 hospital client. Right effect, right strength, and
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right diagnosis are not part of the traditional Five Rights.
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DIFFICULT: Cognitive Level: Comprehension REF: p. 13 b b b bbb b




8. What correctly describes the nursing process?
b b b b b




a. Diagnosing, planning, assessing, implementing, and finally evaluating b b b b b b




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




c. A linear direction that begins with assessing and continues through diagnosing,
b b b b b b b b b b




planning, and finally implementing
b b b b




d. An ongoing process that begins with assessing and continues with diagnosing,
b b b b b b b b b b




planning, implementing, and evaluating
b b b b




ACCURATE ANS:- D b b




Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable five- b b b b b b b b b b




step process that begins with assessing and continues through diagnosing, planning,
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implementing, and finally evaluating, which may then lead back to any of the other phases.
b b b b b b b b b b b b b b b




DIFFICULT: CognitiveLevel: Application REF: p. 8 b b b b b




9. When the nursing attendant is considering the timing of a drug dose, which is most important to
b b b b b b b b b b b b b b b b




assess?
b




a. The hospital client‘s identification
b b b




b. The hospital client‘s weight b b b




c. The hospital client‘s last meal
b b b b




d. Any drug or food allergies b b b b




ACCURATE ANS:- C b b




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




assessed with
b b




regard to any drug–food interactions or compatibility issues. The hospital client‘s
b b b b b b b b b b




identification, weight, and drug or food allergies are not affected by the drug‘s timing.
b b b b b b b b b b b b b b




DIFFICULT: CognitiveLevel: Application REF: p. 17 b b b b b




10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects thecorrect
b b b b b b b b b b b b b b b




format for her nursing diagnosis?
b b b b b




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




c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
b b b b b b b b b b b




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




d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
b b b b b b b b b b b b




upset about having to give myself shots‖
b b b b b b b




ACCURATE ANS:- D b b