Test Bank For Lilleys Pharmacology For Canadian Health Care Practice 5Th Edition By Sealock Isbn:9780323811408 Complete Guide All Chapters Covered 100% Verified A+ Grade Assured!!!!! New Latest Update!!!!!

, CompleteTestBankLILLEYSPharmacologyforCanadianHealth xv d *




CarePractice5thEditionSEALOCKChapter1-58 *d




Chapter01:NursingPracticeinCanadaandDrugTherapy Sealock:Lilley’s Pharmaco v
x d* xv




logy forCanadianHealthCarePractice, 5th Edition
d* *d *d *d *d xv d*




MULTIPLE CHOICE xv




1. Whichis a judgement about a particular patient‘s potential need or problem?
xv d* xv d* d* d* d* d* d* d* d*



a. A goal d*



b. Anassessment d*



c. Subjective data d*



d. A nursing diagnosis d* d*




ANS: D d *



Nursingdiagnosisisthe phase ofthenursingprocessduringwhich aclinical judgement is made about howapatient responds to h eath co ndition
d* xv d* d* d* xv xv xv xv d* d* xv d* d* d*



s and life processes or vulnerability for that response.
d* xv d* d* d* d* d* d*




DIF: Cognitive Level: Knowledge xv d*




2. The patientistoreceive oral furosemide(Lasix)everyday; however,becausethepatient isunableto swallow,hecannot take medi cat
xv d* d* d* d* d* d* d* d* xv d* d* d* d* d* d* d*



ion orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



a. A—right time‖ problem xv d*



b. A—right dose‖ problem xv d*



c. A—right route‖ problem d* xv




d. A—right medication‖ problem d* d*




ANS: C d *



This isa —right route‖ problem: thenursecannot assumetherouteand must clarifythe route withtheprescriber. This is not a—
xv d* xv d* d* d* d* xv xv d* d* d* d*



righ t time‖ problem because the ordered frequencyhas not changed. This is not a —
d* d* d* d* d* d* d* d* d* d* d* d* xv d*



right dose‖ problem because the dose is not related to an inabilit y to swallow. This is not a —
xv d* d* d* d* d* xv d* xv d* d* d* d* xv d* d* d* d* xv




right medication‖ problem because the medication ordered will not change, just the route
d* d* d* d* d* d* xv d* xv d* d* d*



.

DIF: d * d * Cognitive Level: Application d* d*




3. Thenursehas been monitoringthepatient‘s progress onhis newdrug regimensincethefirst doseand hasbeen documentingsigns of pos si
xv d* d* xv d* d* xv d* xv d* d* d* xv d* d* d* d* d*



ble adverse effects. What nursing process phase is the nurse practising?
d* d* d* d* d* d* d* d* d* d*



a. Planning
b. Evaluation
c. Implementation
d. Nursingdiagnosis
ANS: B d *



Monitoringthepatient‘s progress ispart of theevaluation phase.Planning, implementation, andnursing diagnosis arenot illustrate d by t hi
xv d* d* xv xv xv d* d* d* d* xv d* d* d* xv d* d*



s example.
d*




DIF: d * d * Cognitive Level: Application xv d*




4. The nurseiscaringfora patient whohas beennewlydiagnosed with type 1 diabetes mellitus.Whichstatementbestillustrates an outco
xv d* d* d* d* d* d* d* d* xv d* d*



me criterion for this patient?
d* d* d* d*



a. Thepatient will follow instructions. d* d* d*



b. Thepatient will not experience complications. d* d* d* d*



c. Thepatient adheres to thenew insulin treatment regimen. d* d* xv d* d* d*



d. Thepatient demonstrates safeinsulinself-administration technique. d* d* d*




ANS: D d *



Havingthepatient demonstrate safeinsulinself- d* d* xv




administration techniqueisa specificand measurableoutcomecriterion. Following instructions and avoiding complications are not specific cr iter
xv d* xv d* xv d* d* d* d* d* d* d* xv xv d*



ia. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*




DIF: d * d * Cognitive Level: Application xv d*




5. Whichactivitybest reflects theimplementation phaseofthenursing process forthepatient who isnewlydiagnosed with type 1 diab e d* xv d* d* d* d* d* d* d* xv d* xv d* d* d* d*



tes mellitus? d*



a. Providingeducation regarding self-injection technique d* d* d *



b. Settinggoals and outcome criteria with thepatient‘s input d* d* d* d* d* d*



c. Recordinga historyof over-the-counter medications used at home xv d* d* d* d* d*



d. Formulatingnursingdiagnoses regardingknowledge deficits related to thenew tre xv d* d* xv d* d* d*



atment regimen d*




ANS: A d *



Educationis an intervention thatoccursduring the implementationphase. Settinggoalsand outcome criteria reflects theplanning p hase.
xv d* xv xv d* d* xv d* xv d* d* d* d*



Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle cts analys i
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



s of data as part of the planning phase.
d* d* d* d* d* d* d* d *




DIF: d * d * Cognitive Level: Analysis xv d*




1

, 6. The nurse is workingduringaverybusynight shift, andthehealth care provider has just given thenurse amedication order over the tel
xv d* xv xv d* d* xv d* xv d* xv d* d* d* d* d*



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



a. Recopytheorder neatlyon the order sheet, with themost common route indicated d* d* d* d* d* d* d* d* d* d* d*



b. Consultwith thepharmacist forclarification about the most common route d* d* d* d* xv d* d*



c. Callthe health care provider to clarifythe routeof administration d* d* d* d* xv d* d* d*



d. Withholdthe druguntil the health care provider visits the patient d* d* d* d* d* d* d* d*




ANS: C d *



If a medication order does not include the route,thenursemust ask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
d* xv xv d* xv d* d* xv d* d* d* xv d* d* d* d* d*




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




7. Which constitutes thetraditional FiveRights ofmedication administration?
xv d* d* d* d* d*



a. Rightdrug, right route, right dose, righttime,and right patient d* xv d* d* d* d* d* d*



b. Rightdrug, the right effect, the right route, the right time,and theright patient d* d* xv d* d* d* d* d* d* d* d*



c. Rightpatient,rightstrength, right diagnosis,right drug, and right route d* d* d* xv d* d* d* d* d*



d. Rightpatient, right diagnosis, right drug,right route, and right time d* xv d* xv d* d* d* xv d*




ANS: A d *



ThetraditionalFive Rights ofmedication administrationwereconsidered to be Right drug, Rightroute,Right dose,Right time,and Right patien xv xv d* d* xv d* d* xv d* d* xvd *



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




DIF: Cognitive Level: Comprehension d* d*




8. What correctlydescribes the nursingprocess?
d* d* d* d*



a. Diagnosing,planning, assessing,implementing, andfinallyevaluating d* d* d*



b. Assessing,thendiagnosing, implementing, and endingwith evaluating d* d* d* d* d*



c. Alineardirectionthatbegins withassessingandcontinues throughdiagnosing, pla xv xv d* d*



nning, and finally implementing d* d* d*



d. Anongoing processthatbegins withassessingand continues withdiagnosing, pla d* d* d* xv xv d* d*



nning, implementing, and evaluating d* d* d*




ANS: D d *



Thenursingprocessisan ongoing, flexible, adaptable,and adjustablefive-
xv d* d* xv xv d*



step processthat begins withassessing andcontinues through diagnosing, planning, implementing, and finally evaluating, which may th
xv xv xv d* d* d* d* d* d* d* d* d* d* d* d*



en lead back to any of the other phases.
d* d* d* d* d* d* d* d*




DIF: Cognitive Level: Application xv d*




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



a. Thepatient‘s identification d*



b. Thepatient‘s weight d*



c. Thepatient‘slast meal d*



d. Anydrug or food allergies d* d* d*




ANS: C d *



Thepharmacokinetic and pharmacodynamic properties ofthedrugneed to beassessed with regard to anydrug–
xv d* d* d* xv xv xv d* d* d* xv d*



food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi ng.
d* xv d* d* d* d* d* d* d* xv d* d* xv d* d* d* d* d* d* d* d*




DIF: Cognitive Level: Application xv d*




10. Thenurseis writingnursingdiagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
d* d* d* d* d* xv d* d* d* d* d* d* d* d* d* d* d*



a. Anxiety
b. Anxietyrelated to new drug therapy d* d* d* d*



c. Anxietyrelatedtoanxiousfeelings about drugtherapy,as evidenced by sta t v
x xv d* xv xv d* d*



ements such as —I‘m upset about having to give myself shots‖
d* d* d* d* d* xv d* d* d* d*



d. Anxietyrelated tonewdrug therapy, asevidenced bystatementssuch as — xv d* d* d* xv xv




I‘m up set about having to give myself shots‖
d* d* d* d* d* d* d* d*




ANS: D d *



Formulation of nursing diagnoses is usually a three- d* d* d* d* d* d* d*



step process. The only complete answer is —
xv d* d* d* d* d* d*



Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myself shots.‘‖ Theanswer —
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* xvd * d* xv xv d* d* d*



Anxiety‖ ismissing the —related to‖ and —as evidenced by‖ portions. Theanswer
d* d* xv xv d* xv d* d* d* d*



—Anxietyrelatedtonewdrugtherapy‖ismissing the—as evidenced by‖portionofdefiningcharacteristics. The—relatedto‖sectio nin — d * xv d* d* d* xv




Anxietyrelatedtoanxiousfeelingsabout drugtherapy,asevidenced by statements such as ‗I‘m upset about having to givem yself shot xv xv d * d* d * d* d * d* d * d * d* d* d * d *



s‘‖ is simply a restatement of the problem —anxiety,‖ not a separate factor related to the response.
d* d* d* d* d* d* d* d* d* xv d* d* d* d* d* d*




DIF: Cognitive Level: Analysis xv d*




OTHER

1. Placethe phases ofthenursing process inthe correct order, startingwith thefirst phase.
d* d* d* d* d* d* d* d* d* d* d* d* d*



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

ANS:
C, E,A,D, B
d* d* d* d*




DIF: Cognitive Level: Analysis xv d*




2

, Chapter02:Pharmacological Principles xv




Sealock:Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition xv d * d* d* d* d* xv d*




MULTIPLE CHOICE xv




1. Apatient is receivingtwodifferent drugs, which, attheir current doseforms anddosages, arebothabsorbed into the circulationin
xv xv d* d* d* d* d* xv d* d* d* xv d* d * ident i d*



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



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



Two drugs absorbed into thecirculation at thesame amount (in specific dosage forms) havethesame bioavailability; thus, theyare bioeq uiv
d* d* d* d* d* d* xv xv d* xv d* d* d* d* d* d* d*



alent. —Equivalent‖ is incorrect because the term —bioavailability‖ is used to express the extent of drug absorption.
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



—
Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e eff ects
d* d* d* d* d* d* xv d* d* xv d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



of each drug given alone. —
d* d* d* d* d*



Compatible‖ is incorrect because this term is a general term used toindicate that two substanc es do not have a chemical reaction when
d* d* d* d* d* d* xv d* d* d* d* d* d* d* d* d* d* xv d * d* d* d* d* d*



mixed (or given, in the case of drugs) together.
xv d* d* d* d* d* d* d*




DIF: d * d * d * Cognitive Level:Comprehension d*




2. Apatient is receivingmedication via intravenous injection. Whichinformation should the nurse provide forpatient education?
d* xv d* d* xv d* d* d* d* d* d* xv d* d* d*



a. Themedication willcausefewer adverseeffects when given intravenously. d* d* d* d* d* d* d*



b. Themedication will be absorbed slowlyinto the tissues over time. d* d* d* d* d* d* d* d*



c. Themedication‘saction will begin faster when given intravenously. d* d* d* d* d* d* d*



d. Mostofthe drugis inactivated bytheliver before it reaches the target area. d* d* d* d* d* d * d* d* d* d*




ANS: C d *



Intravenous injections arethefastest route of absorption. Theintravenous route does notaffect thenumberof adverseeffects, the intra ven
d* d* d* xv d* d* d* xv d* d* d* d* d* d*



ous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug bythe liv er before it reac
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d * d* d* d*



hes the target area. d* d* d*




DIF: d * d * d * Cognitive Level:Comprehension d*




3. Whichistrueregarding parenteral drugs? d* d* d*



a. Theybypass thefirst-pass effect. d* d* d*



b. Theydecrease blood flow to the stomach. d* d* d* d* d*



c. Theyare altered bythe presence of food in the stomach. d* d* d* d* d* d* d* d*



d. Theyexert their effects while circulating in the bloodstream. d* d* d* d* d* d* d*




ANS: A d *



Drugs givenbytheparenteral routebypass thefirst-
d* d* d* d*



pass effect, but theystill mustbeabsorbedinto cells and tissues before theycan exert their effects. Enteral drugs (drugs taken orall y),
d* d * d* d* xv xv d* d* d* d* d* d* d * d * d* d* d * d* d*



no t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr ugs must b
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



e absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects while circulatin
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* xv d* d*



g in the bloodstream.
d* d* d*




DIF: d * d * Cognitive Level: Analysis d* d*




4. Adrug‘shalf-life isbest defined as d* d* d* d*



a. Thetimeit takes forthe drugto elicit halfits therapeutic response. d* d* d* d* d* x vd* d* d* d* d*



b. Thetimeittakes one- xv xv




halfof the original amount ofa drugto reach the target cells.
xv xv xv xv d* xv xv xv d*



c. Thetimeit takes one- xv xv d*



half oftheoriginal amountofa drugtoberemoved fromthe body.
d* d* d* d* xv d* xv d* d*



d. Thetimeit takes one- xv xv d*



halfofthe original amountofadrug tobeabsorbed into the circulation. xv d* xv d * xv d * d*




ANS: C d *



Adrug‘s half-life isthetimeit takes forone- xv d* d* d* d*



half ofthe original amount ofa drug to be removed from thebody. It is a measure of the rate at which drugs are removed from th e body
d* d* xv d* d* d* xv xv d* d* d* d* d* d* d* xv d* d* d* d* d* d* d* d* d* d* d* d*



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




DIF: d * d * Cognitive Level: Comprehension d* d*




5. Theterm—durationofaction‖is best definedas
xv xv xv




a. Thetimeit takes forthe drugto elicit a therapeutic response. xvd* d* d* d* d* d* d* d* d*



b. Thetime it takes adrugto reach its maximum therapeutic response. xv d* d* d* d* d* d* d* d*



c. Thelength oftimeit takes to remove a drug from circulation.
d* d* d* d* d* d* d* xv d* d*



d. The timeduringwhich drug concentration issufficient to elicit a therapeutic res
xv d* d* xv d* d* xv xv xv xv d*



ponse.
ANS: D d *



Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a dr ug
d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d* d*



to elicit a therapeutic response is the drug‘s —
d* d* d* d* d* d* d* d*



onset of action.‖ The time it takes a drug to reach its maximum therapeutic response isa drug‘s —peak effect.‖ —
d* d* d* d* d* xv d* d* d* d* d* d* d* d* d* d* xv d* d*



Thelength of timeit takes to remove a drugfromcirculation‖ defines adrug‘s eliminationand does not correc tly define a drug‘s duration
d* d* xv d* xv d* d* d* d* d* d* d* d* d* d* d* xv d* d*



of action. d*




DIF: d * d * Cognitive Level: Comprehension d* d*




1