TEST BANK FOR Lilleys Pharmacology for Canadian Health Care Practice 4th by Sealock ISBN:9780323694810 COMPLETE GUIDE All CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

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Complete Test Bank LILLEYS Pharmacology for Canadian Health
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Care Practice 4th Edition SEALOCK Chapter 1-58 xv xv xv xv xv xv




Chapter 01: Nursing Practice in Canada andDrug Therapy
xv xv xv xv xv xv xv xv




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
xv xv xv xv xv xv xv xv xv




MULTIPLE CHOICE xv




1. Which is a judgement about a particular patient’s potential need or problem?
xv xv xv xv xv xv xv xv xv xv xv




a. A goal xv




b. An assessment xv




c. Subjective data xv




d. A nursing diagnosis xv xv




ANS: D xv




Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to heath co
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




nditions and life processes or vulnerability for that response.
xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Knowledge xv xv




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take medi
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




cation orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




a. A “right time” problem xv xv xv




b. A “right dose” problem xv xv xv




c. A “right route” problem xv xv xv




d. A “right medication” problem xv xv xv




ANS: C xv




This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “right time”
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not related to an inabilit
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




y to swallow. This is not a “right medication” problem because the medication ordered will not change, just the route.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Application xv xv




3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been documenting signs of po
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




ssible adverse effects. What nursing process phase is the nurse practising?
xv xv xv xv xv xv xv xv xv xv




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




ANS: B xv




Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




this example. xv




DIF: Cognitive Level: Application xv xv




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an outco
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




me criterion for this patient?
xv xv xv xv




a. The patient will follow instructions. xv xv xv xv




b. The patient will not experience complications. xv xv xv xv xv




c. The patient adheres to the new insulin treatment regimen.
xv xv xv xv xv xv xv xv




d. The patient demonstrates safe insulin self-administration technique.
xv xv xv xv xv xv




ANS: D xv




Having the patient demonstrate safe insulin self- xv xv xv xv xv xv




administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are not spe
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Application xv xv




5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1 diab
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




etes mellitus? xv




a. Providing education regarding self-injection technique xv xv xv xv




b. Setting goals and outcome criteria with the patient’s input xv xv xv xv xv xv xv xv




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




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




atment regimen xv




ANS: A xv




Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning phase
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analy
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




sis of data as part of the planning phase.
xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Analysis xv xv




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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order over the tel
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




ephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




a. Recopy the order neatly on the order sheet, with the most common route indicated xv xv xv xv xv xv xv xv xv xv xv xv xv




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




c. Call the health care provider to clarify the route of administration
xv xv xv xv xv xv xv xv xv xv




d. Withhold the drug until the health care provider visits the patient xv xv xv xv xv xv xv xv xv xv




ANS: C xv




If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route of administration.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Application | Cognitive Level: Analysis xv xv xv xv xv xv




7. Which constitutes the traditional Five Rights of medication administration?
xv xv xv xv xv xv xv xv




a. Right drug, right route, right dose, right time, and right patient xv xv xv xv xv xv xv xv xv xv




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




c. Right patient, right strength, right diagnosis, right drug, and right route
xv xv xv xv xv xv xv xv xv xv




d. Right patient, right diagnosis, right drug, right route, and right time xv xv xv xv xv xv xv xv xv xv




ANS: A xv




The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and Right
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Comprehension xv xv




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




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




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




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




nning, and finally implementing xv xv xv




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




nning, implementing, and evaluating xv xv xv




ANS: D xv




The nursing process is an ongoing, flexible, adaptable, and adjustable five-
xv xv xv xv xv xv xv xv xv xv




step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which may
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




then lead back to any of the other phases.
xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Application xv xv




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




a. The patient’s identification xv xv




b. The patient’s weight xv xv




c. The patient’s last meal xv xv xv




d. Any drug or food allergies xv xv xv xv




ANS: C xv




The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s timing.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Application xv xv




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




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




c. Anxietyrelated to anxious feelings about drug therapy, as evidenced by sta v
x xv xv xv xv xv xv xv xv xv xv




tements such as “I’m upset about having to give myself shots” xv xv xv xv xv xv xv xv xv xv




d. Anxietyrelated to new drug therapy, as evidenced bystatements such as “I’m ups
xv xv xv xv xv xv xv xv xv xv xv xv xv




et about having to give myself shots”
xv xv xv xv xv xv




ANS: D xv




Formulation of nursing diagnoses is usually a three- xv xv xv xv xv xv xv




step process. The only complete answer is “Anxiety related to new drug therapy, as evidenced by statements such as ‘I’m upset about h
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




aving to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The answer “Anxiety re
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




lated to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The “related to” section in “Anxiety relat
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




ed to anxious feelings about drug therapy, as evidenced by statements such as ‘I’m upset about having to give myself shots’” is simply a
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




restatement of the problem “anxiety,” not a separate factor related to the response. xv xv xv xv xv xv xv xv xv xv xv xv




DIF: Cognitive Level: Analysis xv xv




OTHER

1. Place the phases of the nursing process in the correct order, starting with the first phase.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E, A, D, B
xv xv xv xv




DIF: Cognitive Level: Analysis xv xv




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Chapter 02: Pharmacological Principles
xv xv xv




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
xv xv xv xv xv xv xv xv xv




MULTIPLE CHOICE xv




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in identi
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




cal amounts. Which term best denotes that the drugs have the same absorption rates?
xv xv xv xv xv xv xv xv xv xv xv xv xv




a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D xv




Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are bioe
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




quivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the effe
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




cts of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two substances do not ha
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




ve a chemical reaction when mixed (or given, in the case of drugs) together.
xv xv xv xv xv xv xv xv xv xv xv xv xv




DIF: x v x v Cognitive Level: Comprehension xv xv




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




a. The medication will cause fewer adverse effects when given intravenously.
xv xv xv xv xv xv xv xv xv




b. The medication will be absorbed slowly into the tissues over time.xv xv xv xv xv xv xv xv xv xv




c. The medication’s action will begin faster when given intravenously.
xv xv xv xv xv xv xv xv




d. Most of the drug is inactivated by the liver before it reaches the target area. xv xv xv xv xv xv xv xv xv xv xv xv xv xv




ANS: C xv




Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the intra
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liver before it r
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




eaches the target area. xv xv xv




DIF: x v x v Cognitive Level: Comprehension xv xv




3. Which is true regarding parenteral drugs? xv xv xv xv xv




a. They bypass the first-pass effect. xv xv xv xv




b. They decrease blood flow to the stomach. xv xv xv xv xv xv




c. They are altered by the presence of food in the stomach. xv xv xv xv xv xv xv xv xv xv




d. They exert their effects while circulating in the bloodstream. xv xv xv xv xv xv xv xv




ANS: A xv




Drugs given by the parenteral route bypass the first-
xv xv xv xv xv xv xv xv




pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken orally), not
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral drugs must be a
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




bsorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects while circulating in t
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




he bloodstream.
xv




DIF: x v x v Cognitive Level: Analysis xv xv




4. A drug’s half-life is best defined as
xv xv xv xv xv xv




a. The time it takes for the drug to elicit half its therapeutic response.
xv xv xv xv xv xv xv xv xv xv xv xv




b. The time it takes one- xv xv xv xv




half of the original amount of a drug to reach the target cells.
xv xv xv xv xv xv xv xv xv xv xv xv




c. The time it takes one- xv xv xv xv




half of the original amount of a drug to be removed from the body.
xv xv xv xv xv xv xv xv xv xv xv xv xv




d. The time it takes one- xv xv xv xv




half of the original amount of a drug to be absorbed into the circulation.
xv xv xv xv xv xv xv xv xv xv xv xv xv




ANS: C xv




A drug’s half-life is the time it takes for one-
xv xv xv xv xv xv xv xv xv




half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from the body.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




Answers A, B, and D are not correct definitions of a drug’s half-life. xv xv xv xv xv xv xv xv xv xv xv xv




DIF: x v x v Cognitive Level: Comprehension xv xv




5. The term “duration of action” is best defined as
xv xv xv xv xv xv xv xv




a. The time it takes for the drug to elicit a therapeutic response. xv xv xv xv xv xv xv xv xv xv xv




b. The time it takes a drug to reach its maximum therapeutic response.
xv xv xv xv xv xv xv xv xv xv xv




c. The length of time it takes to remove a drug from circulation. xv xv xv xv xv xv xv xv xv xv xv




d. The time during which drug concentration is sufficient to elicit a therapeutic res
xv xv xv xv xv xv xv xv xv xv xv xv




ponse.
ANS: D xv




Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a drug
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv x




to elicit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therapeutic response is a d
v xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




rug’s “peak effect.” “The length of time it takes to remove a drug from circulation” defines a drug’s elimination and does not correctly d
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv




efine a drug’s duration of action. xv xv xv xv xv




DIF: x v x v Cognitive Level: Comprehension xv xv




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