, CompleteTestBankLILLEYSPharmacologyforCanadianHealt hCa 1a fk fk
rePractice 5th EditionSEALOCKChapter1-58 fk fk
Chapter01:Nursing Practicein Canadaand Drug Therapy f k 1a 1a 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fk fk f k fk 1a fk fk 1a fk
MULTIPLE CHOICE fk
1. Whichis a judgement about a particular patient‘s potential need or problem?
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 f k
Nursingdiagnosis is the phase ofthenursingprocess duringwhich a clinical judgement is madeabout howapatient responds to h eat h con
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ditions and life processes or vulnerability for that response.
fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Knowledge fk fk
2. The patient is to receive oral furosemide (Lasix)everyday; however, because thepatient is unable to swallow,he cannot take m edic
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ation orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. A―right time‖ problem fk 1a fk
b. A―right dose‖ problem fk fk
c. A―right route‖problem fk fk fk
d. A―right medication‖ problem
fk fk fk
ANS: C f k
Thisisa ―right route‖ problem: the nurse cannot assumethe route and must clarifythe route withtheprescriber. This is not a―righ t ti me‖ pr
fk fk fk fk fk fk fk 1a fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk
oblem because the ordered frequencyhas not changed. This is not a ―right dose‖ problem because the dose is not related to a n inabilit
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
y to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the route
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
.
DIF: Cognitive Level: Application fk fk
3. Thenursehas been monitoring the patient‘s progress on his new drugregimen sincethe first doseand has been documentingsigns of possi
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ble adverse effects. What nursing process phase is the nurse practising?
fk fk fk fk fk fk fk fk fk fk
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fk
ANS: B f k
Monitoringthe patient‘s progress ispartofthe evaluation phase. Planning, implementation, andnursingdiagnosis arenot illustrate d by
1a fk fk fk fk 1a 1a fk fk fk fk fk fk fk fk fk fk fk
this example.
fk
DIF: CognitiveLevel: Application fk fk
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an ou tco
1a fk fk 1a fk fk fk fk 1a 1a 1a fk fk fk fk fk fk 1a fk fk fk fk
me criterion for this patient?
fk fk fk fk
a. The patient will follow instructions. fk fk fk fk
b. Thepatient will not experience complications.
fk fk fk fk fk
c. Thepatient adheres to the new insulin treatment regimen. fk fk fk fk fk fk fk
d. Thepatient demonstrates safeinsulinself-administration technique. fk fk fk fk fk
ANS: D f k
Having thepatient demonstrate safeinsulinself-
1a fk fk fk fk
administrationtechnique isaspecific andmeasurableoutcomecriterion. Following instructions and avoiding complications are not specifi c c
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
riteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
5. Whichactivitybest reflects the implementation phase ofthe nursing process forthe patient whois newlydiagnosed with type 1 d iab
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
etes mellitus? fk
a. Providingeducation regarding self-injection technique fk 1a fk
b. Settinggoals and outcome criteria with thepatient‘s input fk fk fk fk fk fk fk fk
c. Recording a historyof over-the-counter medications used at home 1a fk fk fk fk fk fk
d. Formulatingnursing diagnosesregardingknowledge deficits related tothenew t re fk 1a fk fk fk fk fk fk fk fk
atment regimen fk
ANS: A f k
Educationisan interventionthat occursduringthe implementation phase. Settinggoals and outcome criteria reflects theplanning p ha se.
fk fk fk fk 1a fk fk fk fk fk fk 1a 1a fk 1a fk fk fk fk fk fk
Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts anal
fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk
ysis of data as part of the planning phase.
fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Analysis fk fk
1
, 6. The nurse is workingduringaverybusynight shift, and the health care provider has just given the nurse amedication order over th e tele
1a fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
phone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Recopythe order neatly on the order sheet, with the most common route indicated fk fk fk fk fk fk fk fk fk fk fk fk
b. Consultwith thepharmacist forclarification about the most common route fk fk fk fk fk fk fk fk fk fk
c. Callthe health care provider to clarifythe route of administration fk fk fk fk fk fk fk fk fk
d. Withholdthe drug until the health care provider visits the patient fk fk 1a fk fk fk fk fk fk fk
ANS: C f k
If a medication order does not include theroute, thenursemust ask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Application |Cognitive Level: Analysis fk fk fk fk fk fk
7. Whichconstitutes the traditional Five Rights ofmedication administration? fk fk fk fk fk fk fk
a. Rightdrug, right route, right dose, right time, and right patient fk fk fk fk fk fk fk fk fk
b. Rightdrug, 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
c. Right patient, right strength, right diagnosis, right drug, and right route
fk fk fk fk fk fk fk fk 1a fk
d. Rightpatient, right diagnosis, right drug, right route, and right time
fk fk fk fk fk fk fk fk fk fk
ANS: A f k
ThetraditionalFiveRightsofmedication administration wereconsidered to beRight drug,Right route,Right dose,Right time,and Ri ght pat
fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Comprehension fk fk
8. What correctlydescribes the nursing process?
fk f k fk fk
a. Diagnosing,planning, assessing, implementing, and finallyevaluating fk fk fk fk
b. Assessing,then diagnosing, implementing, and ending with evaluating fk fk fk fk 1a fk
c. Alineardirectionthatbeginswith assessing and continues throughdiagnosing, pl fk 1a 1a 1a 1a fk fk
anning, and finally implementing fk fk fk
d. Anongoing process that begins with assessingand continues with diagnosing, p l fk fk 1a fk 1a fk 1a fk fk
anning, implementing, and evaluating fk fk fk
ANS: D f k
Thenursingprocessisan ongoing, flexible, adaptable,and adjustable five- fk fk fk fk fk fk fk fk
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m ay t
1a fk 1a fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk
hen lead back to any of the other phases.
fk fk 1a fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
9. When the nurse is considering the timingof a drug dose, which is most important to assess?
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Thepatient‘s identification fk
b. Thepatient‘s weight fk
c. Thepatient‘s last meal fk fk
d. Anydrug or food allergies fk fk fk
ANS: C f k
Thepharmacokinetic and pharmacodynamic properties ofthe drugneed to beassessed with regard to anydrug– fk 1a fk fk fk 1a fk fk fk fk fk 1a fk
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi n g.
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
10. The nurse is writing nursingdiagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Anxiety
b. Anxietyrelated to new drug therapy fk fk fk fk
c. Anxietyrelated to anxious feelings about drugtherapy,asevidenced by s t 1a 1a 1a 1a fk fk fk 1a fk fk
atements such as ―I‘m upset about having to give myself shots‖ fk fk fk fk fk fk fk fk fk fk
d. Anxietyrelated tonewdrug therapy, as evidenced bystatementssuch as ―I‘m 1a fk fk fk fk 1a fk fk fk fk
upset about having to give myself shots‖
fk fk fk fk fk fk
ANS: D f k
Formulation of nursing diagnoses is usually a three- fk fk fk fk fk fk fk
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bou
fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk
t having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answer
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk
―Anxiety related to new drug therapy‖ ismissing the―as evidenced by‖ portion of defining characteristics. The―relatedto‖ sectio ni n 1a fk fk fk fk fk fk fk 1a fk fk fk fk fk fk
―Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m yself shots fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: f k f k CognitiveLevel: Analysis fk fk
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
fk fk fk fk fk fk fk fk fk fk fk fk 1a fk
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
fk fk fk fk
DIF: f k f k CognitiveLevel: Analysis fk fk
2
, Chapter02:Pharmacological Principles fk
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fk fk f k fk 1a fk fk 1a fk
MULTIPLE CHOICE fk
1. A patient isreceivingtwo different drugs, which, at their current dose forms and dosages, arebothabsorbed into thecirculation in i dent
fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk f k fk
ical amounts. Which term best denotes that the drugs have the same absorption rates?
fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D f k
Two drugs absorbed into the circulation at thesameamount (in specific dosage forms) have thesame bioavailability; thus, theyare b ioequi
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
valent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e e
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ffects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc e s do not
fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk
have a chemical reaction when mixed (or given, in the case of drugs) together.
fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level:Comprehension fk fk
2. Apatient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Themedication will cause fewer adverse effects when given intravenously. fk fk fk fk fk fk fk fk
b. Themedication will be absorbed slowlyinto the tissues over time. fk fk fk fk fk fk fk fk
c. Themedication‘s action will begin faster when given intravenously. fk fk fk fk fk fk fk
d. Mostofthe drugis inactivated bythe liver before it reaches the target area.
fk fk fk fk fk fk fk fk f k fk fk fk fk
ANS: C f k
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the i ntra
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liv e r befor
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk f k f k fk fk
e it reaches the target area.
fk fk fk fk fk
DIF: Cognitive Level:Comprehension fk fk
3. Whichis trueregarding parenteral drugs? fk fk fk fk fk
a. Theybypass the first-pass effect. fk fk f k
b. Theydecrease blood flow to the stomach. fk fk fk fk fk
c. Theyare altered bythe presence of food in the stomach. fk fk fk fk fk fk fk fk fk
d. Theyexert their effects while circulating in the bloodstream. fk fk fk fk fk fk fk
ANS: A f k
Drugs givenbytheparenteral routebypass thefirst-
fk fk fk fk fk fk fk
pass effect, but theystill mustbeabsorbed intocells and tissues beforetheycan exert their effects. Enteral drugs (drugs taken orall y
fk fk fk fk fk fk fk fk fk 1a fk fk fk 1a fk fk fk fk fk fk fk
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr ug s m
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ust be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects whi le circ
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ulating in the bloodstream. fk fk fk
DIF: f k f k Cognitive Level: Analysis fk fk
4. Adrug‘s half-life is best defined as
fk fk fk fk fk fk
a. Thetimeit takes for the drug to elicit half its therapeutic response. fk fk fk fk fk fk fk fk fk fk fk
b. Thetimeit takesone- 1a fk
halfoftheoriginal amount ofa drugto reachthetarget cells.
fk fk fk fk fk fk fk fk fk
c. Thetimeit takes one- fk fk
half oftheoriginal amount of adrugto be removed from the body.
fk fk fk fk fk fk fk 1a fk fk fk fk
d. Thetimeit takes one- fk fk
halfofthe original amount ofadrug tobeabsorbed into the circulation.
fk fk 1a fk 1a fk fk fk fk fk fk fk
ANS: C f k
Adrug‘s half-life is thetimeit takes for one-
fk fk fk fk fk fk fk fk fk
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 th e body.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk f
Answers A, B, and D are not correct definitions of a drug‘s half-life.
k fk fk fk fk fk fk 1a 1a fk fk fk fk
DIF: f k f k Cognitive Level: Comprehension fk fk
5. The term ―durationofaction‖is best definedas
1a fk fk fk fk 1a fk
a. Thetimeit takes for the drug to elicit a therapeutic response. fk fk fk fk fk fk fk fk fk fk
b. Thetimeit takes a drugto reach its maximum therapeutic response. fk fk fk fk fk fk fk fk fk
c. The length of time it takes to remove a drug from circulation.fk fk fk fk fk fk fk fk fk 1a f k
d. Thetimeduring which drug concentration is sufficient to elicit atherapeutic r e 1a fk fk fk 1a fk 1a fk fk fk fk
sponse.
ANS: D f k
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic r espo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
nse isadrug‘s―peak effect.‖ ―Thelength of timeittakes to remove a drugfrom circulation‖ defines adrug‘s eliminationand do es not corr
1a fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk 1a fk fk fk fk fk fk fk fk fk
ectly define a drug‘s duration of action.
fk fk fk fk fk fk
DIF: f k f k Cognitive Level: Comprehension fk fk
1
rePractice 5th EditionSEALOCKChapter1-58 fk fk
Chapter01:Nursing Practicein Canadaand Drug Therapy f k 1a 1a 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fk fk f k fk 1a fk fk 1a fk
MULTIPLE CHOICE fk
1. Whichis a judgement about a particular patient‘s potential need or problem?
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 f k
Nursingdiagnosis is the phase ofthenursingprocess duringwhich a clinical judgement is madeabout howapatient responds to h eat h con
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ditions and life processes or vulnerability for that response.
fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Knowledge fk fk
2. The patient is to receive oral furosemide (Lasix)everyday; however, because thepatient is unable to swallow,he cannot take m edic
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ation orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. A―right time‖ problem fk 1a fk
b. A―right dose‖ problem fk fk
c. A―right route‖problem fk fk fk
d. A―right medication‖ problem
fk fk fk
ANS: C f k
Thisisa ―right route‖ problem: the nurse cannot assumethe route and must clarifythe route withtheprescriber. This is not a―righ t ti me‖ pr
fk fk fk fk fk fk fk 1a fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk
oblem because the ordered frequencyhas not changed. This is not a ―right dose‖ problem because the dose is not related to a n inabilit
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
y to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the route
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
.
DIF: Cognitive Level: Application fk fk
3. Thenursehas been monitoring the patient‘s progress on his new drugregimen sincethe first doseand has been documentingsigns of possi
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ble adverse effects. What nursing process phase is the nurse practising?
fk fk fk fk fk fk fk fk fk fk
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fk
ANS: B f k
Monitoringthe patient‘s progress ispartofthe evaluation phase. Planning, implementation, andnursingdiagnosis arenot illustrate d by
1a fk fk fk fk 1a 1a fk fk fk fk fk fk fk fk fk fk fk
this example.
fk
DIF: CognitiveLevel: Application fk fk
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an ou tco
1a fk fk 1a fk fk fk fk 1a 1a 1a fk fk fk fk fk fk 1a fk fk fk fk
me criterion for this patient?
fk fk fk fk
a. The patient will follow instructions. fk fk fk fk
b. Thepatient will not experience complications.
fk fk fk fk fk
c. Thepatient adheres to the new insulin treatment regimen. fk fk fk fk fk fk fk
d. Thepatient demonstrates safeinsulinself-administration technique. fk fk fk fk fk
ANS: D f k
Having thepatient demonstrate safeinsulinself-
1a fk fk fk fk
administrationtechnique isaspecific andmeasurableoutcomecriterion. Following instructions and avoiding complications are not specifi c c
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
riteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
5. Whichactivitybest reflects the implementation phase ofthe nursing process forthe patient whois newlydiagnosed with type 1 d iab
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
etes mellitus? fk
a. Providingeducation regarding self-injection technique fk 1a fk
b. Settinggoals and outcome criteria with thepatient‘s input fk fk fk fk fk fk fk fk
c. Recording a historyof over-the-counter medications used at home 1a fk fk fk fk fk fk
d. Formulatingnursing diagnosesregardingknowledge deficits related tothenew t re fk 1a fk fk fk fk fk fk fk fk
atment regimen fk
ANS: A f k
Educationisan interventionthat occursduringthe implementation phase. Settinggoals and outcome criteria reflects theplanning p ha se.
fk fk fk fk 1a fk fk fk fk fk fk 1a 1a fk 1a fk fk fk fk fk fk
Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts anal
fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk
ysis of data as part of the planning phase.
fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Analysis fk fk
1
, 6. The nurse is workingduringaverybusynight shift, and the health care provider has just given the nurse amedication order over th e tele
1a fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
phone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Recopythe order neatly on the order sheet, with the most common route indicated fk fk fk fk fk fk fk fk fk fk fk fk
b. Consultwith thepharmacist forclarification about the most common route fk fk fk fk fk fk fk fk fk fk
c. Callthe health care provider to clarifythe route of administration fk fk fk fk fk fk fk fk fk
d. Withholdthe drug until the health care provider visits the patient fk fk 1a fk fk fk fk fk fk fk
ANS: C f k
If a medication order does not include theroute, thenursemust ask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Application |Cognitive Level: Analysis fk fk fk fk fk fk
7. Whichconstitutes the traditional Five Rights ofmedication administration? fk fk fk fk fk fk fk
a. Rightdrug, right route, right dose, right time, and right patient fk fk fk fk fk fk fk fk fk
b. Rightdrug, 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
c. Right patient, right strength, right diagnosis, right drug, and right route
fk fk fk fk fk fk fk fk 1a fk
d. Rightpatient, right diagnosis, right drug, right route, and right time
fk fk fk fk fk fk fk fk fk fk
ANS: A f k
ThetraditionalFiveRightsofmedication administration wereconsidered to beRight drug,Right route,Right dose,Right time,and Ri ght pat
fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Comprehension fk fk
8. What correctlydescribes the nursing process?
fk f k fk fk
a. Diagnosing,planning, assessing, implementing, and finallyevaluating fk fk fk fk
b. Assessing,then diagnosing, implementing, and ending with evaluating fk fk fk fk 1a fk
c. Alineardirectionthatbeginswith assessing and continues throughdiagnosing, pl fk 1a 1a 1a 1a fk fk
anning, and finally implementing fk fk fk
d. Anongoing process that begins with assessingand continues with diagnosing, p l fk fk 1a fk 1a fk 1a fk fk
anning, implementing, and evaluating fk fk fk
ANS: D f k
Thenursingprocessisan ongoing, flexible, adaptable,and adjustable five- fk fk fk fk fk fk fk fk
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m ay t
1a fk 1a fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk
hen lead back to any of the other phases.
fk fk 1a fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
9. When the nurse is considering the timingof a drug dose, which is most important to assess?
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Thepatient‘s identification fk
b. Thepatient‘s weight fk
c. Thepatient‘s last meal fk fk
d. Anydrug or food allergies fk fk fk
ANS: C f k
Thepharmacokinetic and pharmacodynamic properties ofthe drugneed to beassessed with regard to anydrug– fk 1a fk fk fk 1a fk fk fk fk fk 1a fk
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi n g.
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: CognitiveLevel: Application fk fk
10. The nurse is writing nursingdiagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Anxiety
b. Anxietyrelated to new drug therapy fk fk fk fk
c. Anxietyrelated to anxious feelings about drugtherapy,asevidenced by s t 1a 1a 1a 1a fk fk fk 1a fk fk
atements such as ―I‘m upset about having to give myself shots‖ fk fk fk fk fk fk fk fk fk fk
d. Anxietyrelated tonewdrug therapy, as evidenced bystatementssuch as ―I‘m 1a fk fk fk fk 1a fk fk fk fk
upset about having to give myself shots‖
fk fk fk fk fk fk
ANS: D f k
Formulation of nursing diagnoses is usually a three- fk fk fk fk fk fk fk
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bou
fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk
t having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answer
fk 1a fk fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk
―Anxiety related to new drug therapy‖ ismissing the―as evidenced by‖ portion of defining characteristics. The―relatedto‖ sectio ni n 1a fk fk fk fk fk fk fk 1a fk fk fk fk fk fk
―Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m yself shots fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: f k f k CognitiveLevel: Analysis fk fk
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
fk fk fk fk fk fk fk fk fk fk fk fk 1a fk
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
fk fk fk fk
DIF: f k f k CognitiveLevel: Analysis fk fk
2
, Chapter02:Pharmacological Principles fk
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fk fk f k fk 1a fk fk 1a fk
MULTIPLE CHOICE fk
1. A patient isreceivingtwo different drugs, which, at their current dose forms and dosages, arebothabsorbed into thecirculation in i dent
fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk f k fk
ical amounts. Which term best denotes that the drugs have the same absorption rates?
fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D f k
Two drugs absorbed into the circulation at thesameamount (in specific dosage forms) have thesame bioavailability; thus, theyare b ioequi
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
valent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e e
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ffects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc e s do not
fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk fk
have a chemical reaction when mixed (or given, in the case of drugs) together.
fk fk fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level:Comprehension fk fk
2. Apatient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
a. Themedication will cause fewer adverse effects when given intravenously. fk fk fk fk fk fk fk fk
b. Themedication will be absorbed slowlyinto the tissues over time. fk fk fk fk fk fk fk fk
c. Themedication‘s action will begin faster when given intravenously. fk fk fk fk fk fk fk
d. Mostofthe drugis inactivated bythe liver before it reaches the target area.
fk fk fk fk fk fk fk fk f k fk fk fk fk
ANS: C f k
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the i ntra
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liv e r befor
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk f k f k fk fk
e it reaches the target area.
fk fk fk fk fk
DIF: Cognitive Level:Comprehension fk fk
3. Whichis trueregarding parenteral drugs? fk fk fk fk fk
a. Theybypass the first-pass effect. fk fk f k
b. Theydecrease blood flow to the stomach. fk fk fk fk fk
c. Theyare altered bythe presence of food in the stomach. fk fk fk fk fk fk fk fk fk
d. Theyexert their effects while circulating in the bloodstream. fk fk fk fk fk fk fk
ANS: A f k
Drugs givenbytheparenteral routebypass thefirst-
fk fk fk fk fk fk fk
pass effect, but theystill mustbeabsorbed intocells and tissues beforetheycan exert their effects. Enteral drugs (drugs taken orall y
fk fk fk fk fk fk fk fk fk 1a fk fk fk 1a fk fk fk fk fk fk fk
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr ug s m
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ust be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects whi le circ
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ulating in the bloodstream. fk fk fk
DIF: f k f k Cognitive Level: Analysis fk fk
4. Adrug‘s half-life is best defined as
fk fk fk fk fk fk
a. Thetimeit takes for the drug to elicit half its therapeutic response. fk fk fk fk fk fk fk fk fk fk fk
b. Thetimeit takesone- 1a fk
halfoftheoriginal amount ofa drugto reachthetarget cells.
fk fk fk fk fk fk fk fk fk
c. Thetimeit takes one- fk fk
half oftheoriginal amount of adrugto be removed from the body.
fk fk fk fk fk fk fk 1a fk fk fk fk
d. Thetimeit takes one- fk fk
halfofthe original amount ofadrug tobeabsorbed into the circulation.
fk fk 1a fk 1a fk fk fk fk fk fk fk
ANS: C f k
Adrug‘s half-life is thetimeit takes for one-
fk fk fk fk fk fk fk fk fk
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 th e body.
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk fk fk fk fk fk fk fk fk fk f
Answers A, B, and D are not correct definitions of a drug‘s half-life.
k fk fk fk fk fk fk 1a 1a fk fk fk fk
DIF: f k f k Cognitive Level: Comprehension fk fk
5. The term ―durationofaction‖is best definedas
1a fk fk fk fk 1a fk
a. Thetimeit takes for the drug to elicit a therapeutic response. fk fk fk fk fk fk fk fk fk fk
b. Thetimeit takes a drugto reach its maximum therapeutic response. fk fk fk fk fk fk fk fk fk
c. The length of time it takes to remove a drug from circulation.fk fk fk fk fk fk fk fk fk 1a f k
d. Thetimeduring which drug concentration is sufficient to elicit atherapeutic r e 1a fk fk fk 1a fk 1a fk fk fk fk
sponse.
ANS: D f k
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic r espo
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
nse isadrug‘s―peak effect.‖ ―Thelength of timeittakes to remove a drugfrom circulation‖ defines adrug‘s eliminationand do es not corr
1a fk fk fk fk fk fk fk fk fk fk 1a fk fk fk fk 1a fk fk fk fk fk fk fk fk fk
ectly define a drug‘s duration of action.
fk fk fk fk fk fk
DIF: f k f k Cognitive Level: Comprehension fk fk
1
