F K
F F
K
h Care Practice 5th Edition SEALOCK Chapter 1
FK FK FK FK FK FK FK
Chapter 01: Nursing Practice in Canada and Drug Therapy
FK FK FK FK FK FK FK FK
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
FK FK FK FK FK FK FK FK FK
MULTIPLE CHOICE FK
1. Which is a judgement about a particular patient‘s potential need or problem?
FK FK FK FK FK FK FK FK FK FK FK
a. A goal FK
b. An assessment FK
c. Subjective data FK
d. A nursing diagnosis FK f6
ANS: D FK
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made ab
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
ds to h eath conditions and life processes or vulnerability for that response.
FK FK FK FK FK FK FK FK FK FK FK FK
DIF: Cognitive Level: Knowledge FK FK
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
ot take medication orally, as ordered. The nurse needs to contact the physician. What type of pr
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
a. A ―right time‖ problem
FK FK FK
b. A ―right dose‖ problem
FK FK FK
c. A ―right route‖ problem
FK FK FK
d. A ―right medication‖ problem
FK FK FK
ANS: C FK
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
a ―righ t time‖ problem because the ordered frequency has not changed. This is not a ―right do
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
ose is not related to an inability to swallow. This is not a ―right medication‖ problem because t
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
Knot change, just the route
FK FK FK FK
.
DIF: Cognitive Level: Application FK FK
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
g signs of possible adverse effects. What nursing process phase is the nurse practising?
FK FK FK FK FK FK FK FK FK FK FK FK FK
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis FK
ANS: B FK
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
FK FK FK FK FK FK FK FK FK FK FK FK FK
strate d by this example.
FK FK FK FK
DIF: Cognitive Level: Application FK FK
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Whi
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
ates an outcome criterion for this patient?
FK FK FK FK FK FK
a. The patient will follow instructions.
FK FK FK FK
b. The patient will not experience complications.
FK FK FK FK FK
c. The patient adheres to the new insulin treatment regimen.
FK FK FK FK FK FK FK FK
d. The patient demonstrates safe insulin self-administration technique.
FK FK FK FK FK FK
ANS: D FK
Having the patient demonstrate safe insulin self-
FK FK FK FK FK FK
administration technique is a specific and measurable outcome criterion. Following instructions and
FK FK FK FK FK FK FK FK FK FK FK
, 6. The nurse is working during a very busy night shift, and the health care provider has just given the
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
er over the telephone, but the nurse does not recall the route. What is the best way for the nurs
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
errors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
FK FK FK FK FK FK FK FK FK FK FK FK FK
b. Consult with the pharmacist for clarification about the most common route
FK FK FK FK FK FK FK FK FK FK
c. Call the health care provider to clarify the route of administration
FK FK FK FK FK FK FK FK FK FK
d. Withhold the drug until the health care provider visits the patient
FK FK FK FK FK FK FK FK FK FK
ANS: C FK
If a medication order does not include the route, the nurse must ask the health care provider to cla
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
inistr ation. FK
DIF: F K F K Cognitive Level: Application | Cognitive Level: Analysis
f6 FK FK FK FK FK
7. Which constitutes the traditional Five Rights of medication administration?
FK FK FK FK FK FK FK FK
a. Right drug, right route, right dose, right time, and right patient
FK FK FK FK FK FK FK FK FK FK
b. Right drug, the right effect, the right route, the right time, and the right patient
FK FK FK FK FK FK FK FK FK FK FK FK FK FK
c. Right patient, right strength, right diagnosis, right drug, and right route
FK FK FK FK FK FK FK FK FK FK
d. Right patient, right diagnosis, right drug, right route, and right time
FK FK FK FK FK FK FK FK FK FK
ANS: A FK
The traditional Five Rights of medication administration were considered to be Right drug, Right ro
FK FK FK FK FK FK FK FK FK FK FK FK FK FK
e, and Right patient. Right effect, right strength, and right diagnosis are not part of the traditiona
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
DIF: F K F K Cognitive Level: Comprehension FK FK
8. What correctly describes the nursing process?
FK FK FK FK FK
a. Diagnosing, planning, assessing, implementing, and finally evaluating
FK FK FK FK FK FK
b. Assessing, then diagnosing, implementing, and ending with evaluating
FK FK FK FK FK FK FK
c. A linear direction that begins with assessing and continues through diagnosi
FK FK FK FK FK FK FK FK FK FK
ng, planning, and finally implementing
FK FK FK FK
d. An ongoing process that begins with assessing and continues with diagnosi
FK f6 FK FK FK FK FK FK FK FK
ng, planning, implementing, and evaluating
FK FK FK FK
ANS: D FK
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
FK FK FK FK FK FK FK FK FK FK
step process that begins with assessing and continues through diagnosing, planning, implementing,
FK FK FK FK FK f6 FK FK FK FK FK FK
hich may then lead back to any of the other phases.
FK FK FK FK FK FK FK FK FK FK
DIF: F K F K Cognitive Level: Application FK FK
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
a. The patient‘s identification
FK FK
b. The patient‘s weight FK FK
c. The patient‘s last meal FK FK FK
d. Any drug or food allergies FK f6 FK FK
ANS: C FK
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard
FK FK FK FK FK FK FK FK FK FK FK FK FK F
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food all
f6 FK FK FK FK FK FK FK FK FK FK FK FK
‘s timi ng.
FK FK
DIF: F K F K Cognitive Level: Application FK FK
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for
FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK FK
a. Anxiety
b. Anxiety related to new drug therapy FK FK FK FK FK
c. Anxietyrelated to anxious feelings about drug therapy, as evidenced FK FK FK FK f6 FK FK FK FK
by statements such as ―I‘m upset about having to give myself s
FK FK FK FK FK FK FK FK FK FK FK
hots‖
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I
FK FK FK f6 FK FK FK FK FK FK
, C, E, A, D, B
FK FK FK FK
DIF: F K F K Cognitive Level: Analysis
FK FK