lOMoARcPSD| 13728229
Lilleys Pharmacology for Canadian Health Care P
TEST BANK by Sealock Chapter 1-58 Updated Q
Answers with Rationale
, lOMoARcPSD| 13728229
d. Axnursingxdiagnosis
ANS xD
Nursingxdiagnosisxisxthexphasexofxthexnursingxprocessxduringxwhichxaxclinicalxjud
wxaxpatientxrespondsxtoxheat hxconditionsxandxlifexprocessesxorxvulnerabilityxforxt
DIF: CognitivexLevel:xKnowledge
2. Thexpatientxisxtoxreceivexoralxfurosemidex(Lasix)xeveryxday;xhowever,xbecausexth
swallow,xhexcannotxtakexm
edicationxorally,xasxordered.xThexnursexneedsxtoxcontactxthexphysician.xWhatxtype
Ax“rightxtime”xproblem
b. Ax“rightxdose”xproblem
c. Ax“rightxroute”xproblem
d. Ax“rightxmedication”xproblem
ANS xC
Thisxisxax“rightxroute”xproblem:xthexnursexcannotxassumexthexroutexandxmustxclar
escriber.xThisxisxnotxax“rightxti
me”xproblemxbecausexthexorderedxfrequencyxhasxnotxchanged.xThisxisxnotxax“righ
thexdosexisxnotxrelatedxtoxanxi
nabilityxtoxswallow.xThisxisxnotxax“rightxmedication”xproblemxbecausexthexmedica
nge,xjustxthexroute.
DIF: CognitivexLevel:xApplication
3. Thexnursexhasxbeenxmonitoringxthexpatient’sxprogressxonxhisxnewxdrugxregimenxs
dxhasxbeenxdocumentingxsignsxof
xpossiblexadversexeffects.xWhatxnursingxprocessxphasexisxthexnursexpractising? a. P
b. Evaluation
c. Implementation
d. Nursingxdiagnosis
ANS xB
Monitoringxthexpatient’sxprogressxisxpartxofxthexevaluationxphase.xPlanning,ximplem
gnosisxarexnotxillustratedx byxthisxexample.
DIF: CognitivexLevel:xApplication
4. Thexnursexisxcaringxforxaxpatientxwhoxhasxbeenxnewlyxdiagnosedxwithxtypex1xdia
xstatementxbestxillustratesxanxo utcomexcriterionxforxthisxpatient?
a. Thexpatientxwillxfollowxinstructions.
b. Thexpatientxwillxnotxexperiencexcomplications.
c. Thexpatientxadheresxtoxthexnewxinsulinxtreatmentxregimen.
d. Thexpatientxdemonstratesxsafexinsulinxself-administrationxtechnique.
ANS xD
Havingxthexpatientxdemonstratexsafexinsulinxselfadministrationxtechniquexisxaxspeci
mexcriterion.xFollowingxinstructionsxandxavoidingxcomplicationsxarexnotxs
pecificxcriteria.xAdherencextoxthexnewxinsulinxtreatmentxregimenxisxnotxobjectivex
, lOMoARcPSD| 13728229
6.
Thexnursexisxworkingxduringxaxveryxbusyxnightxshift,xandxthexhealthxcarexprovide
xnursexaxmedicationxorderxoverxth
extelephone,xbutxthexnursexdoesxnotxrecallxthexroute.xWhatxisxthexbestxwayxforxth
edicationxerrors? a.
Recopyxthexorderxneatlyxonxthexorderxsheet,xwithxthexmostxcommonxroutexindica
b. Consultxwithxthexpharmacistxforxclarificationxaboutxthexmostxcommonxroute
c. Callxthexhealthxcarexproviderxtoxclarifyxthexroutexofxadministration
d. Withholdxthexdrugxuntilxthexhealthxcarexproviderxvisitsxthexpatient
ANS xC
Ifxaxmedicationxorderxdoesxnotxincludexthexroute,xthexnursexmustxaskxthexhealthxc
xNeverxassumexthexroutexofxadmini stration.
DIF: CognitivexLevel:xApplicationx|xCognitivexLevel:xAnalysis
7. WhichxconstitutesxthextraditionalxFivexRightsxofxmedicationxadministration?
a. Rightxdrug,xrightxroute,xrightxdose,xrightxtime,xandxrightxpatient
b. Rightxdrug,xthexrightxeffect,xthexrightxroute,xthexrightxtime,xandxthexrightxpatie
c. Rightxpatient,xrightxstrength,xrightxdiagnosis,xrightxdrug,xandxrightxroute
d. Rightxpatient,xrightxdiagnosis,xrightxdrug,xrightxroute,xandxrightxtime
ANS xA
ThextraditionalxFivexRightsxofxmedicationxadministrationxwerexconsideredxtoxbexR
ghtxdose,xRightxtime,xandxRightx
patient.xRightxeffect,xrightxstrength,xandxrightxdiagnosisxarexnotxpartxofxthextraditi
DIF: CognitivexLevel:xComprehension
8. Whatxcorrectlyxdescribesxthexnursingxprocess?
a. Diagnosing,xplanning,xassessing,ximplementing,xandxfinallyxevaluating
b. Assessing,xthenxdiagnosing,ximplementing,xandxendingxwithxevaluating
c. Axlinearxdirectionxthatxbeginsxwithxassessingxandxcontinuesxthroughxdiagnosing
planning,xandxfinallyximplementing
d. Anxongoingxprocessxthatxbeginsxwithxassessingxandxcontinuesxwithxdiagnosing,
planning,ximplementing,xandxevaluating
ANS xD
Thexnursingxprocessxisxanxongoing,xflexible,xadaptable,xandxadjustablexfivestepxpro
essingxandxcontinuesxthroughxdiagnosing,xplanning,ximplementing,xandxfinallyxeval
yxthenxleadxbackxtoxanyxofxthexotherxphases.
DIF: CognitivexLevel:xApplication
9. Whenxthexnursexisxconsideringxthextimingxofxaxdrugxdose,xwhichxisxmostximport
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ANS xD
Formulationxofxnursingxdiagnosesxisxusuallyxaxthree-
stepxprocess.xThexonlyxcompletexanswerxisx“Anxietyxrelatedxtoxnewxdrugxtherapy,
ntsxsuchxasx‘I’mxupsetxabout
xhavingxtoxgivexmyselfxshots.’”xThexanswerx“Anxiety”xisxmissingxthex“relatedxto”
portions.xThexanswerx“Anxiet
yxrelatedxtoxnewxdrugxtherapy”xisxmissingxthex“asxevidencedxby”xportionxofxdefin
relatedxto”xsectionxinx“Anxiet
yxrelatedxtoxanxiousxfeelingsxaboutxdrugxtherapy,xasxevidencedxbyxstatementsxsuch
ingxtoxgivexmyselfxshots’”xisx
simplyxaxrestatementxofxthexproblemx“anxiety,”xnotxaxseparatexfactorxrelatedxtoxth
DIF: CognitivexLevel:xAnalysis
OTHER
1.
Placexthexphasesxofxthexnursingxprocessxinxthexcorrectxorder,xstartingx
withxthexfirstxphase. a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS
C,xE,xA,xD,xB
DIF: CognitivexLevel:xAnalysis
Lilleys Pharmacology for Canadian Health Care P
TEST BANK by Sealock Chapter 1-58 Updated Q
Answers with Rationale
, lOMoARcPSD| 13728229
d. Axnursingxdiagnosis
ANS xD
Nursingxdiagnosisxisxthexphasexofxthexnursingxprocessxduringxwhichxaxclinicalxjud
wxaxpatientxrespondsxtoxheat hxconditionsxandxlifexprocessesxorxvulnerabilityxforxt
DIF: CognitivexLevel:xKnowledge
2. Thexpatientxisxtoxreceivexoralxfurosemidex(Lasix)xeveryxday;xhowever,xbecausexth
swallow,xhexcannotxtakexm
edicationxorally,xasxordered.xThexnursexneedsxtoxcontactxthexphysician.xWhatxtype
Ax“rightxtime”xproblem
b. Ax“rightxdose”xproblem
c. Ax“rightxroute”xproblem
d. Ax“rightxmedication”xproblem
ANS xC
Thisxisxax“rightxroute”xproblem:xthexnursexcannotxassumexthexroutexandxmustxclar
escriber.xThisxisxnotxax“rightxti
me”xproblemxbecausexthexorderedxfrequencyxhasxnotxchanged.xThisxisxnotxax“righ
thexdosexisxnotxrelatedxtoxanxi
nabilityxtoxswallow.xThisxisxnotxax“rightxmedication”xproblemxbecausexthexmedica
nge,xjustxthexroute.
DIF: CognitivexLevel:xApplication
3. Thexnursexhasxbeenxmonitoringxthexpatient’sxprogressxonxhisxnewxdrugxregimenxs
dxhasxbeenxdocumentingxsignsxof
xpossiblexadversexeffects.xWhatxnursingxprocessxphasexisxthexnursexpractising? a. P
b. Evaluation
c. Implementation
d. Nursingxdiagnosis
ANS xB
Monitoringxthexpatient’sxprogressxisxpartxofxthexevaluationxphase.xPlanning,ximplem
gnosisxarexnotxillustratedx byxthisxexample.
DIF: CognitivexLevel:xApplication
4. Thexnursexisxcaringxforxaxpatientxwhoxhasxbeenxnewlyxdiagnosedxwithxtypex1xdia
xstatementxbestxillustratesxanxo utcomexcriterionxforxthisxpatient?
a. Thexpatientxwillxfollowxinstructions.
b. Thexpatientxwillxnotxexperiencexcomplications.
c. Thexpatientxadheresxtoxthexnewxinsulinxtreatmentxregimen.
d. Thexpatientxdemonstratesxsafexinsulinxself-administrationxtechnique.
ANS xD
Havingxthexpatientxdemonstratexsafexinsulinxselfadministrationxtechniquexisxaxspeci
mexcriterion.xFollowingxinstructionsxandxavoidingxcomplicationsxarexnotxs
pecificxcriteria.xAdherencextoxthexnewxinsulinxtreatmentxregimenxisxnotxobjectivex
, lOMoARcPSD| 13728229
6.
Thexnursexisxworkingxduringxaxveryxbusyxnightxshift,xandxthexhealthxcarexprovide
xnursexaxmedicationxorderxoverxth
extelephone,xbutxthexnursexdoesxnotxrecallxthexroute.xWhatxisxthexbestxwayxforxth
edicationxerrors? a.
Recopyxthexorderxneatlyxonxthexorderxsheet,xwithxthexmostxcommonxroutexindica
b. Consultxwithxthexpharmacistxforxclarificationxaboutxthexmostxcommonxroute
c. Callxthexhealthxcarexproviderxtoxclarifyxthexroutexofxadministration
d. Withholdxthexdrugxuntilxthexhealthxcarexproviderxvisitsxthexpatient
ANS xC
Ifxaxmedicationxorderxdoesxnotxincludexthexroute,xthexnursexmustxaskxthexhealthxc
xNeverxassumexthexroutexofxadmini stration.
DIF: CognitivexLevel:xApplicationx|xCognitivexLevel:xAnalysis
7. WhichxconstitutesxthextraditionalxFivexRightsxofxmedicationxadministration?
a. Rightxdrug,xrightxroute,xrightxdose,xrightxtime,xandxrightxpatient
b. Rightxdrug,xthexrightxeffect,xthexrightxroute,xthexrightxtime,xandxthexrightxpatie
c. Rightxpatient,xrightxstrength,xrightxdiagnosis,xrightxdrug,xandxrightxroute
d. Rightxpatient,xrightxdiagnosis,xrightxdrug,xrightxroute,xandxrightxtime
ANS xA
ThextraditionalxFivexRightsxofxmedicationxadministrationxwerexconsideredxtoxbexR
ghtxdose,xRightxtime,xandxRightx
patient.xRightxeffect,xrightxstrength,xandxrightxdiagnosisxarexnotxpartxofxthextraditi
DIF: CognitivexLevel:xComprehension
8. Whatxcorrectlyxdescribesxthexnursingxprocess?
a. Diagnosing,xplanning,xassessing,ximplementing,xandxfinallyxevaluating
b. Assessing,xthenxdiagnosing,ximplementing,xandxendingxwithxevaluating
c. Axlinearxdirectionxthatxbeginsxwithxassessingxandxcontinuesxthroughxdiagnosing
planning,xandxfinallyximplementing
d. Anxongoingxprocessxthatxbeginsxwithxassessingxandxcontinuesxwithxdiagnosing,
planning,ximplementing,xandxevaluating
ANS xD
Thexnursingxprocessxisxanxongoing,xflexible,xadaptable,xandxadjustablexfivestepxpro
essingxandxcontinuesxthroughxdiagnosing,xplanning,ximplementing,xandxfinallyxeval
yxthenxleadxbackxtoxanyxofxthexotherxphases.
DIF: CognitivexLevel:xApplication
9. Whenxthexnursexisxconsideringxthextimingxofxaxdrugxdose,xwhichxisxmostximport
, lOMoARcPSD| 13728229
ANS xD
Formulationxofxnursingxdiagnosesxisxusuallyxaxthree-
stepxprocess.xThexonlyxcompletexanswerxisx“Anxietyxrelatedxtoxnewxdrugxtherapy,
ntsxsuchxasx‘I’mxupsetxabout
xhavingxtoxgivexmyselfxshots.’”xThexanswerx“Anxiety”xisxmissingxthex“relatedxto”
portions.xThexanswerx“Anxiet
yxrelatedxtoxnewxdrugxtherapy”xisxmissingxthex“asxevidencedxby”xportionxofxdefin
relatedxto”xsectionxinx“Anxiet
yxrelatedxtoxanxiousxfeelingsxaboutxdrugxtherapy,xasxevidencedxbyxstatementsxsuch
ingxtoxgivexmyselfxshots’”xisx
simplyxaxrestatementxofxthexproblemx“anxiety,”xnotxaxseparatexfactorxrelatedxtoxth
DIF: CognitivexLevel:xAnalysis
OTHER
1.
Placexthexphasesxofxthexnursingxprocessxinxthexcorrectxorder,xstartingx
withxthexfirstxphase. a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS
C,xE,xA,xD,xB
DIF: CognitivexLevel:xAnalysis
