Test Bank For Lilleys Pharmacology for Canadian Health Care Practice 5th Edition Sealock | All Chapters 1-58| Complete Guide With Solutions| Revised Edition

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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, 5th Edition
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MULTIPLE CHOICE QY




1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal QY


b. An assessment QY


c. Subjective data QY


d. A nursing diagnosis
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ANS: D QY


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is mad
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ponds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge QY QY




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is una
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annot take medication orally, as ordered. The nurse needs to contact the physician. What type
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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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ANS: C QY


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route w
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not a ―right time‖ problem because the ordered frequency has not changed. This is not a ―righ
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he dose is not related to an inability to swallow. This is not a ―right medication‖ problem bec
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d will not change, just the route.
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DIF: Cognitive Level: Application QY QY




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first d
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nting signs of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis QY




ANS: B QY


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
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illustrated by this example.
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DIF: Cognitive Level: Application QY QY




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
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lustrates QY an outcome criterion for this patient?
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a. The QY patient will follow instructions.
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b. The QY patient will not experience complications.
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c. The QY patient adheres to the new insulin treatment regimen.
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d. The QY patient demonstrates safe insulin self-administration technique.
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ANS: D QY


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions a
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6. The nurse is working during a very busy night shift, and the health care provider has just give
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n order over the telephone, but the nurse does not recall the route. What is the best way for t
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ation errors?
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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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ANS: C QY


If a medication order does not include the route, the nurse must ask the health care provider to
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route of administration.
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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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ANS: A QY


The traditional Five Rights of medication administration were considered to be Right drug, Righ
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e, and Right patient. Right effect, right strength, and right diagnosis are not part of the traditio
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DIF: Cognitive Level: Comprehension QY QY




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 diagno
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sing, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagno
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sing, planning, implementing, and evaluating
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ANS: D QY


The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementin
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which may then lead back to any of the other phases.
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DIF: Cognitive Level: Application QY QY




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 QY QY


c. The patient‘s last meal
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d. Any drug or food allergies
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ANS: C QY


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with rega
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food
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e drug‘s timing.
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DIF: Cognitive Level: Application QY QY




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for
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a. Anxiety
b. Anxiety related to new drug therapy QY QY QY QY QY


c. Anxiety related to anxious feelings about drug therapy, as evidence
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d by statements such as ―I‘m upset about having to give myself s
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hots‖

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C, E, A, D, B
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DIF: Cognitive Level: Analysis
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