Test Bank for Pharmacology for Canadian Health Care Practice – 4th Canadian Edition – Lilley

PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH E
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DITION LILLEY’S TEST BANK/ALL CHS1-58
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,CH 01: Nursing Practice in Canada and Drug Therapy
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Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
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MULTIPLEkCHOICE

1. Whichkiskakjudgmentkaboutkakparticularkhospitalkclient‘skpotentialkneedkorkproblem?
a. Akgoal
b. Ankassessment
c. Subjectivekdata
d. Aknursingkdiagnosis
ACCURATEkANS:-k D
Reasoning:-
>>>kNursingkdiagnosiskiskthekphasekofktheknursingkprocesskduringkwhichkakclinicalkjudgementkiskma
dekaboutkhowkakhospitalkclientkrespondsktokheathkconditionskandklifekprocesseskorkvulnerabilitykfo
rkthatkresponse.

DIFFICULT:kCognitivekLevel:kKnowledge REF:kp.k11

2. Thekhospitalkclientkisktokreceivekoralkfurosemidek(Lasix)keverykday;khowever,kbecausekthekhospit
alkclientkiskunablektokswallow,khekcannotktakekmedicationkorally,kaskordered.kTheknursingkattend
antkneedsktokcontactkthekphysician.kWhatktypekofkproblemkiskthis?
a. Ak―rightktime‖kproblem
b. Ak―rightkdose‖kproblem
c. Ak―rightkroute‖kproblem
d. Ak―rightkmedication‖kproblem
ACCURATEkANS:-k C
Reasoning:-
>>>Thisk iskak ―rightk route‖k problem:k thek nursingkattendantk cannotk assumek thek routekandkmustkclarifykthekrout
e
withk thek prescriber.k Thisk isk notkak ―rightk time‖k problemk becausek thek orderedk frequencykhask notkcha
nged.kThiskisknotkak―rightkdose‖kproblemkbecausekthekdosekisknotkrelatedktokankinabilityktokswallo
w.kThiskisknotkak―rightkmedication‖kproblemkbecausekthekmedicationkorderedkwillknotkchange,kjus
tkthekroute.

DIFFICULT:kCognitivekLevel:kApplication REF:kp.k14

3. Theknursingkattendantkhaskbeenkmonitoringkthekhospitalkclient‘skprogresskonkhisknewkdrugkregimen
ksincekthekfirstkdosekandkhaskbeenkdocumentingksignskofkpossiblekadversekeffects.kWhatknursingkproce

sskphasekisktheknursingkattendantkpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingkdiagnosis
ACCURATEkANS:-kB
Reasoning:-
>>>Monitoringkthekhospitalkclient‘skprogresskiskpartkofkthekevaluationkphase.kPlanning,kimplementation, kandknu
rsingkdiagnosiskareknotkillustratedkbykthiskexample.

DIFFICULT:kCognitivekLevel:kApplication REF:kp.k19

,4. Theknursingkattendantkiskcaringkforkakhospitalkclientkwhokhaskbeenknewlykdiagnosedkwithkty
pek1kdiabetesk mellitus.k Whichk statementk bestk illustratesk ank outcomek criterionk fork thisk hospita
lkclient?
a. Thek hospitalkclientk willk followk instructions.
b. Thekhospitalkclientkwillknotkexperiencekcomplications.
c. Thekhospitalkclientkadheresktoktheknewkinsulinktreatmentkregimen.
d. Thek hospitalkclientk demonstratesk safek insulink self-administrationk technique.
ACCURATEkANS:-k D
Reasoning:->>>Havingk thek hospitalkclientk demonstratek safek insulink self-
administrationk techniquek isk akspecifickandkmeasurablekoutcomekcriterion.kFollowingkinstructionskan
dkavoidingkcomplicationsk arek notk specifick criteria.k Adherencek tok thek newk insulink treatmentk regimen
k isk notkobjective kandk wouldkbekDifficult ktok measure.



DIFFICULT:kCognitivekLevel:kApplication REF:kp.k13

5. Whichkactivitykbestkreflectskthekimplementationkphasekofktheknursingkprocesskforkthekhospitalkclientk
whokisknewlykdiagnosedk withktypek1kdiabeteskmellitus?
a. Providingk educationk regardingk self-injectionk technique
b. Settingkgoalskandkoutcomekcriteriakwithkthekhospitalkclient‘skinput
c. Recordingkak historyk ofk over-the-counterk medicationsk usedk atk home
d. Formulatingk nursingk diagnosesk regardingk knowledgek deficitsk relatedk tok thek newktr
eatmentkregimen
ACCURATEkANS:-k A
Reasoning:-
>>>Educationkiskankinterventionkthatkoccurskduringkthekimplementationkphase.kSettingkgoalskandkout
comekcriteriakreflectskthekplanningkphase.kRecordingkakdrugkhistorykreflectskthekassessmentkphase.k
Formulatingknursingkdiagnoseskregardingkakknowledgekdeficitkreflectskanalysiskofkdata
askpartkofkthekplanningkphase.
DIFFICULT:kCognitivekLevel:kAnalysis REF:kp.k8k|kp.k13

6. Theknursingkattendantkiskworkingkduringkakverykbusyknightkshift,kandkthekprimarykcarekproviderk
haskjustkgivenktheknursingkattendantkakmedicationkorderkoverkthektelephone,kbutktheknursingkatten
dantkdoesknotkrecallkthekroute.kWhatkiskthekbestkwaykforktheknursingkattendantktokavoidk medicati
onkerrors?
a. Recopykthek orderk neatlyk onk thek orderk sheet,k withk thek mostk commonk routek indicated
b. Consultkwithkthekpharmacistkforkclarificationkaboutkthekmostkcommonkroute
c. Callkthekprimarykcarekproviderktokclarifykthekroutekofkadministration
d. Withholdkthekdrugkuntilkthekprimarykcarekproviderkvisitskthekhospitalkclient
ACCURATEkANS:-kC
Reasoning:-
>>>Ifk ak medicationk orderk doesk notk includek thek route,k thek nursingkattendantk mustkaskkthekprimarykc
arekproviderktokclarifykit.kNeverkassumekthekroutekofkadministration.

DIFFICULT:kCognitivekLevel:kApplicationk|kCognitivekLevel:kAnalysisk REF:k p.k17

7. Whichk constitutesk thek traditionalk Fivek Rightsk ofk medicationk administration?
a. Rightkdrug,krightkroute,krightkdose,krightktime,kandkrightkhospitalkclient
b. Rightkdrug,kthekrightkeffect,kthekrightkroute,kthekrightktime,kandkthekrightkhospitalkclient
c. Rightkhospitalkclient,krightkstrength,krightkdiagnosis,krightkdrug,kandkrightkroute
d. Rightkhospitalkclient,krightkdiagnosis,krightkdrug,krightkroute,kandkrightktime
ACCURATEkANS:-k A

, ThektraditionalkFivekRightskofkmedication kadministrationkwerekconsideredktokbekRightkdrug,kRigh
tkroute,kRightkdose,kRightktime,kandkRightkhospitalkclient.kRightkeffect,krightkstrength,kandkrightkdi
agnosiskareknotkpartkofkthektraditionalkFivekRights.

DIFFICULT:kCognitivekLevel:kComprehension REF:kkkp.k13

8. Whatk correctlyk describesk thek nursingk process?
a. Diagnosing,k planning,k assessing,k implementing,k andk finallyk evaluating
b. Assessing,kthenkdiagnosing,kimplementing,kandkendingkwithkevaluating
c. Aklinearkdirectionkthatkbeginskwithkassessingkandkcontinueskthroughkdiagnosing,kplanni
ng,kandk finallykimplementing
d. Ank ongoingk processk thatk beginsk withk assessingk andk continuesk withk diagnosing,kplan
ning,kimplementing,kandkevaluating
ACCURATEkANS:-k D
Reasoning:->>>Thek nursingk processk isk ank ongoing,k flexible,k adaptable,k andk adjustablek five-
kstepk processk thatk beginsk withkassessingk andk continueskthroughk diagnosing,k planning,kimplementing,k

andk finallyk evaluating,k whichk mayk thenk leadk backk tok anyk ofkthek otherk phases.

DIFFICULT:kCognitivekLevel:kApplication REF:kp.k8

9. Whenktheknursingkattendantkiskconsideringkthektimingkofkakdrugkdose,kwhichkiskmostkimportantktokassess
?
a. Thek hospitalkclient‘sk identification
b. Thekhospitalkclient‘skweight
c. Thekhospitalkclient‘sklastk meal
d. Anykdrugkorkfoodkallergies
ACCURATEkANS:-k C
Reasoning:-
>>>Thekpharmacokinetickandkpharmacodynamickpropertieskofkthekdrugkneedktokbekassessedkwith
regardk tok anyk drug–
foodk interactionsk ork compatibilityk issues.k Thek hospitalkclient‘sk identification,kweight,kandkdrugkorkfo
odkallergieskareknotkaffectedkbykthekdrug‘sktiming.

DIFFICULT:kCognitivekLevel:kApplication REF:kp.k17

10. Theknursingkattendantkiskwritingknursingkdiagnoseskforkakplankofkcare.kWhichkreflectskthekcorrectk
formatk forkherknursingkdiagnosis?
a. Anxiety
b. Anxietykrelatedktoknewkdrugktherapy
c. Anxietyk relatedk tok anxiousk feelingskaboutk drugk therapy,k ask evidencedk byk statementsks
uchkask―I‘mkupsetkaboutkhavingktokgivekmyselfkshots‖
d. Anxietyk relatedk tok newkdrugktherapy,kask evidencedk byk statementsk suchk ask―I‘mkup
setkaboutkhavingktokgivekmyselfkshots‖
ACCURATEkANS:-k D