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!!!!!

, CompleteTestBankLILLEYSPharmacologyforCanadianHealth vx s&




CarePractice5thEditionSEALOCKChapter1-58
Chapter01:NursingPracticeinCanadaandDrugTherapy Sealock:Lilley’s Pharmaco lo xv s& &
s s&




gy forCanadianHealthCarePractice, 5th Edition
s& d
* d
* x s& s&




MULTIPLE CHOICE s&




1. Which isa judgement about aparticularpatient‘s potentialneed or problem?
xv x s& s& s& s& s& s&



a. A goal &
s



b. Anassessment
c. Subjective data s&



d. Anursing diagnosis d*




ANS: s & D
Nursingdiagnosisisthe phase ofthenursingprocessduringwhich aclinical judgement is madeabout howapatient responds to h eath co ndit
s& d* s & s& s& s& s & d* s & s& s & s & s &



ion s and life processes or vulnerability for that response.
s & s& s& s& s& s& s& s& s&




DIF: Cognitive Level: Knowledge s& s&




2. Thepatientistoreceive oralfurosemide(Lasix)everyday; however,becausethepatient isunabletoswallow,hecannottakemedi cat i s& s& d* d* xv d* d* s& s&



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



a. A—right time‖ problem xv s&



b. A—right dose‖ problem xs & s&



c. A—right route‖ problem d* s&



d. A—rightmedication‖ problem s&




ANS: s & C
Thisisa —right route‖ problem: thenursecannot assumetherouteand must clarifytheroutewiththeprescriber. This is not a—
s& s& s& s& s& s& s& &
s &
s s& s& s& s&



righ t time‖ problem because the ordered frequencyhas not changed. This is not a —
s& s& s& s& s& s& s& s& s& s& s& s& xs & s&



right dose‖ problem because the dose is not related to an inabilit y to swallow. This is not
xs & s & s & s & s & s& s& s & s& s & s & s& &
s s& s& s& s& s&



a— xv




right medication‖ problem because the medication ordered will not change, just the route
s& s& d* s& s& s& s& s& xs & s& s& s&



.

DIF: Cognitive Level: Application d* s&




3. Thenursehas been monitoring the patient‘sprogress onhis newdrugregimen sincethefirst doseand has been documentingsigns of pos si
s& d* d* s& s& s& d* d* s& d* d* s& s& s& s&



ble adverse effects. What nursing process phase is the nurse practising?
s& s& s& s& s& s& s& s& s& s&



a. Planning
b. Evaluation
c. Implementation
d. Nursingdiagnosis
ANS: s & B
Monitoringthepatient‘s progress ispart oftheevaluation phase.Planning, implementation,andnursingdiagnosis arenot illustrate d by t hi se
s& s& x s& s & d* s & s & s& s & s & s&



xample.

DIF: Cognitive Level: Application xv s&




4. The nurseiscaringfora patientwhohas beennewlydiagnosed with type 1diabetes mellitus.Whichstatementbestillustrates an outco
xv s & s& d* s & s& s& xs& s &



s & me criterion for this patient?
s& s& s& s&



a. Thepatient will follow instructions. s& &
s &
s



b. Thepatient willnot experience complications. d* d* s&



c. Thepatient adheres to the newinsulin treatment regimen. s & s & x s& s & s &



d. Thepatientdemonstrates safeinsulinself-administration technique. s & s &




ANS: s & D
Havingthepatient demonstrate safeinsulinself- s& s&



administrationtechniqueis aspecificandmeasurableoutcomecriterion. Following instructions and avoiding complications are not specific cr iter s& s& &
s s& s& s& d* s& s& s& s& s&



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




DIF: Cognitive Level: Application xv s&




5. Whichactivitybestreflects theimplementation phaseofthenursing process forthepatient whoisnewlydiagnosed with type 1 diab e xv d* d* s & s& s& s& s & &
s &
s s&



tes mellitus?
s& &
s



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



b. Settinggoals and outcome criteriawith thepatient‘s input s& s& d* s& s&



c. Recordinga historyof over-the-counter medications used at home s& &
s s& s& s& s&



d. Formulatingnursingdiagnoses regardingknowledge deficits related tothenew tre xv s& s& s& s& s&



atment regimen &
s




ANS: s & A
Educationisan interventionthatoccursduringthe implementationphase. Settinggoalsandoutcome criteriareflects theplanning p hase.
s& s& s& s& s& s& s& s



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



i s of data as part of the planning phase.
s& s& s& s& s& s& s& s& s &




DIF: Cognitive Level: Analysis xv s&




1

, 6. Thenurseis workingduringaverybusynight shift,andthehealth careprovider has just given thenurse amedication order over the t
s& xs & s & s& xs & s & xv s & s & s & s &



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



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



b. Consultwiththepharmacist forclarification about themost common route s & s& s& &
s s&



c. Callthe health care provider to clarifythe routeof administration
s& s& s& s & xs & s& s &



d. Withholdthe druguntilthe health care provider visits the patient d* &
s s& s& &
s s& d* s&




ANS: s & C
If a medication order does not includethe route,thenursemustask thehealth careprovider toclarifyit.Never assumethe routeof administr ation.
s & s& xv s& d* s& s& xv s& s& d* s & s &




DIF: Cognitive Level:Application |Cognitive Level:Analysis s & xs & s&




7. Which constitutesthetraditional FiveRights ofmedication administration?
xv s& s& s&



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



b. Rightdrug, the right effect, theright route,theright time,and theright patient s& &
s xs & s& s& s& s& s&



c. Rightpatient,right strength, right diagnosis,right drug, andright route d* s & xs & s& s& s &



d. Rightpatient, right diagnosis, right drug,right route,andright time s& &
s s& s& s& s &




ANS: s & A
ThetraditionalFiveRightsofmedication administrationwereconsidered tobeRight drug,Rightroute,Right dose,Righttime,and Right patien s& s& s& &
s &
s s& s &



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




DIF: CognitiveLevel: Comprehension s&




8. Whatcorrectlydescribes thenursingprocess?
d* s&



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



b. Assessing,thendiagnosing, implementing, and endingwithevaluating s& &
s &
s



c. Alineardirectionthatbegins withassessingandcontinuesthroughdiagnosing, pla x s& s &



nning, and finally implementing s& s& s&



d. Anongoing process thatbegins withassessingand continues withdiagnosing, pla
s& d* s& xv s& s& s&



nning, implementing, and evaluating s& s& s&




ANS: s & D
Thenursingprocess isan ongoing, flexible, adaptable,andadjustablefive-
vx s& s & s & &
s



step process that begins withassessing and continues through diagnosing, planning, implementing, and finallyevaluating, which may th
x s& x s& s& d* d* s& d* s& s& s& s& d* s & s



& en lead back to any of the other phases.
s& s& s& s& s& s& s& s&




DIF: Cognitive Level: Application x s &




9. Whenthe nurse is considering the timing of a drug dose, which is most important to assess?
xs & d* s& s& d* s& s& s& s& s& s& s& d* s& s&



a. Thepatient‘s identification s&



b. Thepatient‘s weight s&



c. Thepatient‘slast meal s&



d. Anydrug or food allergies s& s& s&




ANS: s & C
Thepharmacokinetic and pharmacodynamic properties ofthedrugneed tobeassessed with regardto anydrug–
vx s & s & s& s& s& s & s & s &



food interactions or compatibilityissues. The patient‘s identification, weight, and drug orfood allergies arenotaffected by the drug‘s timi ng.
d* xv s& s& d* s& s& s& s& s& s& s& s& s& d* s& s&




DIF: Cognitive Level: Application x s &




10. Thenurseis writingnursingdiagnoses for a plan of care. Which reflects the correct format forher nursingdiagnosis?
s& d* s& &
s s& s& &
s s& s& s& &
s s& s& s&



a. Anxiety
b. Anxietyrelated to new drug therapy s& s& s& &
s



c. Anxietyrelatedtoanxiousfeelingsabout drugtherapy,as evidenced by sta t xv s& x x s& s& s &



ements such as —I‘m upset about having to give myself shots‖
s& s& s& s& s& s& s& s& s& s&



d. Anxietyrelated tonewdrug therapy,asevidencedbystatementssuch as — xv s & s& x




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




ANS: s & D
Formulation of nursing diagnoses is usuallya three- &
s s& d* s& s& s&



step process. The only complete answer is —
&
s s& s& s& s& s& s&



Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a bout having to give myselfshots.‘‖ Theanswer —
s& d* s& s& s& s& s& s& s& s& s& s& s& s& s& s & &
s s& &
s &
s s&



Anxiety‖ ismissingthe —related to‖ and —as evidenced by‖portions. Theanswer
s& s& xv s& s& s& s& s& s&



—Anxietyrelatedtonewdrugtherapy‖ismissing the—asevidenced by‖portionofdefiningcharacteristics. The—relatedto‖sectio nin— s & s& s& s&



Anxietyrelatedtoanxiousfeelingsaboutdrugtherapy,asevidenced by statements such as ‗I‘m upset about having to givem yself shot xv s& s& s& s& s& s& s& s& s& s& s& s&



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




DIF: Cognitive Level: Analysis x s &




OTHER

1. Placethephases ofthenursingprocess inthe correct order, startingwith the first phase. s& s& s& s& s& s& d* s&



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

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




DIF: Cognitive Level: Analysis x s &




2

, Chapter02:Pharmacological Principles xv




Sealock: Lilley’s Pharmacology for CanadianHealthCare Practice, 5th Edition
s& xv s & s & s& s& s& s &




MULTIPLE CHOICE s&




1. Apatient isreceivingtwo different drugs, which, attheircurrent dose forms and dosages,arebothabsorbed into thecirculationin
xv s& s& &
s s& d* s& &
s d* d* s&



ident i s& s



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



a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: s & D
Two drugs absorbed into thecirculation at thesameamount (in specific dosage forms) havethesame bioavailability; thus, theyare bioeq uiv al
s& s& s& s& s& s& xs & s& s& s& s& s& s& s& s& s& s&



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



—
Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th e eff ec
s& s& s& s& s& s& s& s& s& xs & s& s& s& s& s& s& &
s s& s& s& s& s& s& s&



ts of each drug given alone. —
s& s& s& s& d* s&



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



n mixed (or given, in the case of drugs) together.
s& s& s& s& s& s& s& s& s&




DIF: Cognitive Level:Comprehension s &




2. Apatient is receivingmedication via intravenous injection. Whichinformation should the nurse provide forpatient
s& s& d* s& s & s& s& s & d* s& s& s & education?
a. Themedication willcausefewer adverseeffects when given intravenously. d* d* s& s& s& s&



b. Themedication will beabsorbed slowlyinto the tissues overtime. d* s& s& &
s &
s s&



c. Themedication‘s action will begin fasterwhen given intravenously. d* &
s &
s s& s& s&



d. Mostofthe drugis inactivated bytheliverbefore it reaches the target area. &
s s& s& s & d* s& s& s&




ANS: s & C
Intravenous injections arethefastest routeof absorption. Theintravenous routedoes notaffect thenumberof adverseeffects, the intra ve
s& s& s& s& s& s& s& s& s& s& s& s&



n 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
s& &
s &
s d* d* d* &
s &
s &
s &
s s& &
s s& &
s s& s& &
s d* &
s s& s& &
s s & &
s s& s& s



&hes the target area.s& s& s&




DIF: Cognitive Level:Comprehension s &




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



a. Theybypass thefirst-pass effect. &
s s&



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



c. Theyarealtered bythe presence of food in the stomach. s& s& s& s& s& s& s&



d. Theyexerttheir effects whilecirculating in thebloodstream. &
s s& &
s s&




ANS: s & A
Drugs givenbytheparenteral routebypass thefirst-
d* s& d*



pass effect, but theystill mustbeabsorbedintocells and tissues before theycan exert their effects. Enteral drugs (drugs taken orall
s& s& s& s& &
s &
s s& s& s& s & s& s & s & s& s& s & s&



y), no t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr ugs mus
s& s& s& s& s& s& s& s& s& s& d* d* s& s& s& d* d* s& s& d* s& s& s& s& s&



t b e absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects while circula
s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& s& xv s&



tin g in the bloodstream.
s& s& s& s&




DIF: Cognitive Level: Analysis s& s&




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



a. Thetimeit takes forthe drug to elicit halfits therapeutic response. s& s& s& d* xs & s& s& s&



b. Thetime ittakes one- xv s&



halfofthe originalamountofa drugto reachthe target cells. x s & x xv s&



c. Thetime it takes one- xv xv s&



halfoftheoriginal amount ofa drugtoberemoved from the body. s& d* xv s& d* s &



d. Thetime it takes one- xv xv s&



halfoftheoriginal amount ofadrug tobeabsorbed into the circulation. d* &
s xv s & s & xv s & s & s &




ANS: s & C
Adrug‘s half-life isthetimeit takes forone- s& s& d* s&



halfofthe original amount of a drug to beremoved from thebody. It is a measure of the rate at which drugsare removed from th ebody
d* s& d* d* s& d* d* d* s & d* d* s& s& s& s& d* s& s& s& s& s&



. Answers A, B, and Darenot correct definitions ofa drug‘s half-life.
&
s d* &
s s& s& s& s& d* s& s&




DIF: Cognitive Level: Comprehension s& s&




5. Theterm—durationofaction‖isbestdefinedas x




a. Thetimeit takes forthe drug to elicit a therapeutic response. xs & s& s& d* s& s& s& s&



b. Thetime it takes a drugto reach its maximum therapeutic response. xv s& d* d* s& s & s& d* s&



c. Thelength oftimeit takes to removea drug from circulation. s& s& s& s& s& d* s&



d. The timeduringwhich drug concentration issufficient toelicit a therapeutic re
xv d* s& s& d* xv x s& s&



s ponse.
s&




ANS: s & 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 to
&
s s& &
s s& s& &
s s& d* s& d* &
s s& s& d* &
s &
s &
s d* &
s &
s s& &
s s& s& s& s



elicit a therapeutic response is the drug‘s —
& s& s& s& s& s& s& s&



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



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



of action.
& s&




DIF: Cognitive Level: Comprehension s& s&




1