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For Lilleys Pharmacology for Canadian Health Care Practice 5th E
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Chapters 1-58|| CompleteA+ Guide
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Nursestar1 Stuvia
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Complete Test Bank LILLEYS Pharmacology for Canadian Health Care Practice 4th Edition SEALOCK Cha
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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE K0
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal K0
b. An assessment
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c. Subjective data K0
d. A nursing diagnosis
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ANSWER: D K0
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about ho
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K0 heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge K0 K0
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swa
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K0 medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this
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a. A “right time” problem
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b. A “right dose” problem
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c. A “right route” problem
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d. A “right medication” problem
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ANSWER: C K0
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with
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“right time” problem because the ordered frequency has not changed. This is not a “right dose” prob
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K0 related to an inability to swallow. This is not a “right medication” problem because the medication
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DIF: Cognitive Level: Application K0 K0
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and h
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K0 of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
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ANSWER: B K0
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing d
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5. Which activity best reflects the implementation phase of the nursing process for the patient who is newl
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K0 diabetes mellitus? K0
a. Providing education regarding self-injection technique
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b. Setting goals and outcome criteria with the patient’s input
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c. Recording a history of over-the-counter medications used at home
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d. Formulating nursing diagnoses regarding knowledge deficits related to the new
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ANSWER: A K0
Education is an intervention that occurs during the implementation phase. Setting goals and outcome crite
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K0 phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regardin
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K0 reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis K0 K0
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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
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K0 the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANSWER: C K0
If a medication order does not include the route, the nurse must ask the health care provider to clarify i
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K0 administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANSWER: A K0
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
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K0 Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Right
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DIF: Cognitive Level: Comprehension K0 K0
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnosing,
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d. An ongoing process that begins with assessing and continues with diagnosing,
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ANSWER: D K0
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with as
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K0 through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any
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DIF: Cognitive Level: Application K0 K0
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient’s identification
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b. The patient’s weight
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