lOMoARcPSD| 301 380 4
TEST BANK FOR LILLEYS PHARMACOLOGY FOR CANADIAN
HEALTH CARE PRACTICE, 4TH EDITION BY SEALOCK,
ISBN-13, 978-0323694803 CHAPTERS 1 - 58 , ALL CHAPTERS
,TABLEOFCONTENTS
,Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition il il
MULTIPLE CHOICE
1. Which is a judgement about a particular patient‘s potentialneed or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANSWER: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds tohea
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th conditions and life processes or vulnerability for that response.
DIF: Cognitive Level: Knowledge
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot takeme
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dication 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
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANSWER: 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 ―right tim
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e‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not related to an inab il
ility to swallow. This is not a ―right medication‖ problem because the medicationordered will not change, just the route.
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DIF: Cognitive Level: Application
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3. The nurse has been monitoring the patient‘s progress onhis new drug regimen since the first dose and has beendocumenting signsofp
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ossible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANSWER: B
Monitoring the patient‘s progress is part of the evaluationphase. Planning, implementation, and nursing diagnosis are not illustrated
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bythis example.
DIF: Cognitive Level: Application
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4. The nurse is caring for a patient who has been newlydiagnosed withtype 1 diabetes mellitus. Whichstatement best illustrates an out
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come criterion for this patient?
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 tothe new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration technique. il
ANSWER: D
Having the patient demonstrate safe insulin self-
administrationtechnique is a specific and measurable outcome criterion. Following instructions and avoiding complications are not spe
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cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
DIF: Cognitive Level: Application
5. Which activity best reflects the implementation phase ofthe nursing process for the patient who is newlydiagnosed with type 1dia
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betes mellitus?
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 historyofover-the-counter medications used at home
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d. Formulating nursing diagnoses regarding knowledge deficits related to the newtr il il
eatment regimen
ANSWER: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planningpha
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se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit reflects an
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alysis of data as part of the planning phase.
DIF: Cognitive Level: Analysis
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