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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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a. Right drug, right route, right dose, right time, and right patient
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, lOMoAR cPSD| 61157369
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE mp mp
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
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ical amounts. Which term best denotes that the drugs have the same absorption rates? a. Equivalent / drugs t
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c” is incorrect because this term refers to two drugs given together whose resulting effect is greater than
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h drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that tw
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hemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension
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2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly (fast/ quick) into the tissues over time.
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c. The medication’s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C mp mp
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the numb
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avenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of
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DIF: Cognitive Level: Comprehension
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b. They decrease blood flow to the stomach. mp mp mp mp mp mp mp
c. They are altered by the presence of food in the stomach.
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enter
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b. The time it takes one-half of the original amount of a drug to reach the target cells.
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c. The time it takes one-half of the original amount of a drug to be removed from the body.
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d. The time it takes one-half of the original amount of a drug to be absorbed into the circulation.
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A drug’s half-life is the time it takes for one-
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half of the original amount of a drug to be removed from the body. It is a measure of the rate at which dru
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dy. Answers A, B, and D are not correct definitions of a drug’s half-life.
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Chapter 01: Nursing Practice in Canada and Drug Therapy
mp mp mp mp mp mp mp mp mp
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE mp mp
1. Which is a judgement about a particular patient’s potential need or problem? a. A goal
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Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about h
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th conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge
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2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallo
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
on orally, as ordered. The nurse needs to contact the physician. What type of problem is this? a. A “right tim
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b. A “right dose” problem mp mp mp mp
c. A “right route” problem mp mp mp mp
d. A “right medication” problem mp mp mp mp
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me” problem because the ordered frequency has not changed. This is not a “right dose” problem because
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inability to swallow. This is not a “right medication” problem because the medication ordered will not ch
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DIF: Cognitive Level: Application
mp mp mp mp
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has b
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
ossible adverse effects. What nursing process phase is the nurse practising? a. Planning
mp mp mp mp mp mp mp mp mp mp mp mp mp
b. Evaluation mp
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Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing
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DIF: Cognitive Level: Application
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me criterion for this patient?
mp mp mp mp mp
a. The patient will follow instructions. mp mp mp mp mp
b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
mp mp mp mp mp mp mp mp mp
d. The patient demonstrates safe insulin self-administration technique.
mp mp mp mp mp mp mp
ANS: D mp mp
Having the patient demonstrate safe insulin self-
mp mp mp mp mp mp
administration technique is a specific and measurable outcome criterion. Following instructions and avo
mp mp mp mp mp mp mp mp mp mp mp mp
pecific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult t
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DIF: Cognitive Level: Application
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s mellitus?
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a. Providing education regarding self-injection technique mp mp mp mp mp
b. Setting goals and outcome criteria with the patient’s input mp mp mp mp mp mp mp mp mp
, lOMoAR cPSD| 61157369
c. Call the health care provider to clarify the route of administration
mp mp mp mp mp mp mp mp mp mp mp
d. Withhold the drug until the health care provider visits the patient mp mp mp mp mp mp mp mp mp mp mp
ANS: C mp mp
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
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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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d. Right patient, right diagnosis, right drug, right route, and right time
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a. Diagnosing, planning, assessing, implementing, and finally evaluating mp mp mp mp mp mp mp
b. Assessing, then diagnosing, implementing, and ending with evaluating mp mp mp mp mp mp mp mp
c. A linear direction that begins with assessing and continues through diagnosing, planning, and finally
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nting mp
d. An ongoing process that begins with assessing and continues with diagnosing, planning, implementin
mp mp mp mp mp mp mp mp mp mp mpmp mp
valuating mp
ANS: D mp mp
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
mp mp mp mp mp mp mp mp mp mp
step process that begins with assessing and continues through diagnosing, planning, implementing, and
mp mp mp mp mp mp mp mp mp mp mp mp mp
y then lead back to any of the other phases.
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b. The patient’s weight mp mp mp
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mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies
mp mp mp mp mp mp mp mp mp mp mp mp mp m
timing.
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DIF: Cognitive Level: Application
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10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing d
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
b. Anxiety related to new drug therapy mp mp mp mp mp mp
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as “I’m upse
mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp
shots” p mp
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about having to g
mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp
ANS: D mp mp
Formulation of nursing diagnoses is usually a three- mp mp mp mp mp mp mp
step process. The only complete answer is “Anxiety related to new drug therapy, as evidenced by statem
mp mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp
t having to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by”
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
ty related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
mp mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp
ety related to anxious feelings about drug therapy, as evidenced by statements such as ‘I’m upset about h
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
, lOMoAR cPSD| 61157369
Chapter 02: Pharmacological Principles
mp mp mp mp
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
mp mp mp mp mp mp mp mp mp mp
MULTIPLE CHOICE mp mp
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
ical amounts. Which term best denotes that the drugs have the same absorption rates? a. Equivalent / drugs t
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
fects mp
b. Synergistic / when 2 drugs are taken together to give a greater effects mp mp mp mp mp mp mp mp mp mp mp mp mp
c. Compatible /2 drugs can be safely mixed and given to the Pt mp mp mp mp mp mp mp mp mp mp mp
d. Bioequivalent /drugs contain the same ingredients, same dosage and strength/ get absorbed at same ra mp mp mp mp mp mp mp mp mp mp mp mp mp mp
ANS: D mp mp
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bio
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
oequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of
mp mp mp mp mp mp mp mp mp mp mp mp mp mp
c” is incorrect because this term refers to two drugs given together whose resulting effect is greater than
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp m
h drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that tw
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
hemical reaction when mixed (or given, in the case of drugs) together.
mp mp mp mp mp mp mp mp mp mp mp mp
DIF: Cognitive Level: Comprehension
mp mp mp mp
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for
mp mp mp mp mp mp mp mp mp mp mp mp mp mp
a. The medication will cause fewer adverse effects when given intravenously.
mp mp mp mp mp mp mp mp mp mp
b. The medication will be absorbed slowly (fast/ quick) into the tissues over time.
mp mp mp mp mp mp mp mp mp mp mp mp mp
c. The medication’s action will begin faster when given intravenously.
mp mp mp mp mp mp mp mp mp
d. Most of the drug is inactivated by the liver before it reaches the target area.
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
ANS: C mp mp
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the numb
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
avenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp m
t reaches the target area.
mp mp mp mp mp
DIF: Cognitive Level: Comprehension
mp mp mp mp
3. Which is true regarding parenteral drugs? IV route/ no bypass / straight into bloodstream a. They bypass the
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
b. They decrease blood flow to the stomach. mp mp mp mp mp mp mp
c. They are altered by the presence of food in the stomach.
mp mp mp mp mp mp mp mp mp mp mp
d. They exert their effects while circulating in the bloodstream.
mp mp mp mp mp mp mp mp mp
ANS: A mp mp
Drugs given by the parenteral route bypass the first-
mp mp mp mp mp mp mp mp
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enter
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the s
p mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp mp mp
st be absorbed into cells and tissues from the circulation before they can exert their effects; they do not e
mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp mp mp mp mp mp
ating in the bloodstream. mp mp mp mp
DIF: Cognitive Level: Analysis
mp mp mp mp
4. A drug’s half-life is best defined as
mp mp mp mp mp mp mp
a. The time it takes for the drug to elicit half its therapeutic response.
mp mp mp mp mp mp mp mp mp mp mp mp mp
b. The time it takes one-half of the original amount of a drug to reach the target cells.
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp
c. The time it takes one-half of the original amount of a drug to be removed from the body.
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp
d. The time it takes one-half of the original amount of a drug to be absorbed into the circulation.
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mpmp mp
ANS: C mp mp
A drug’s half-life is the time it takes for one-
mp mp mp mp mp mp mp mp mp
half of the original amount of a drug to be removed from the body. It is a measure of the rate at which dru
mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp mp
dy. Answers A, B, and D are not correct definitions of a drug’s half-life.
mp mp mp mp mp mp mp mp mp mp mp mp mp mp
