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 xx




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


b. An assessment xx


c. Subjective data xx


d. A nursing diagnosis xx xx




ANS: x x D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds
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to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge xx xx




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot
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take 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 xx xx xx


b. A ―right dose‖ problem xx xx xx


c. A ―right route‖ problemxx xx xx


d. A ―right medication‖ problem
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ANS: x x C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―r
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ight time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not r
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elated to an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just
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xthe route. xx




DIF: Cognitive Level: Application xx xx




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting si
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gns 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 xx




ANS: x x B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustr
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ated by this example.
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DIF: Cognitive Level: Application xx xx




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrate
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s an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: x x D
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are
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not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: Cognitive Level: Application xx xx




5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with ty
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pe 1 diabetes mellitus?
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a. Providing education regarding self-injection technique xx xx xx xx


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 xx xx xx xx xx xx xx xx


d. Formulating nursing diagnoses regarding knowledge deficits related to the nexx xx xx xx xx xx xx xx xx


w treatment regimen xx xx




ANS: x x A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planni
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ng phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit
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reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis xx xx




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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 a medication order
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over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication 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: x x C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route o
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f 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: x x A
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, an
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d Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension xx xx




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating xx xx xx xx xx xx


b. Assessing, then diagnosing, implementing, and ending with evaluating xx xx xx xx xx xx xx


c. A linear direction that begins with assessing and continues through diagnosin
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g, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosin
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g, planning, implementing, and evaluating
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ANS: x x D
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, implementing, and finally evaluating, which m
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ay then lead back to any of the other phases.
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DIF: Cognitive Level: Application xx xx




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 xx xx


b. The patient‘s weight xx xx


c. The patient‘s last meal xx xx xx


d. Any drug or food allergies xx xx xx xx




ANS: x x C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the dru
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g‘s timing. xx




DIF: Cognitive Level: Application xx xx




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


c. Anxiety related to anxious feelings about drug therapy, as evidenced b
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y statements such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
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m upset about having to give myself shots‖
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ANS: x x D
Formulation of nursing diagnoses is usually a three- xx xx xx xx xx xx xx


step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset
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xabout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The ans
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wer ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to‖
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xsection in ―Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having
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to give myself shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
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DIF: Cognitive Level: Analysis xx xx




OTHER

1. Place the phases of the nursing process in the correct order, starting with the first phase.
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

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




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