TESTBANK n
LILLEY'SnPHARMACOLOGYnFORnCANADIANnHEALTHnCAREnPRACTICE
KARAn SEALOCK
4th Edition
n
TESTBANK n
, lOM oA R
301 380 4
n n cP S D|
lOM oA R n n
cP S D| 3 013 80 4
Chapter 01: Nursing Practice in Canada and Drug Therapy
n n n n n n n n
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. nWhichnisnanjudgementnaboutnanparticularnpatient’snpotentialnneednornproblem?
a. Angoal
b. Annassessment
c. Subjectivendata
d. Annursingndiagnosis
ANS:n D
Nursingndiagnosisnisnthenphasenofnthennursingnprocessnduringnwhichnanclinicalnjudgementnisnmadenaboutnhownanpatientnrespondsntonhe
athnconditionsnandnlifenprocessesnornvulnerabilitynfornthatnresponse.
DIF: CognitivenLevel:nKnowledge
2. Thenpatientnisntonreceivenoralnfurosemiden(Lasix)neverynday;nhowever,nbecausenthenpatientnisnunablentonswallow,nhencannotntakenm
edicationnorally,nasnordered.nThennursenneedsntoncontactnthenphysician.nWhatntypenofnproblemnisnthis?
a. An“rightntime”nproblem
b. An“rightndose”nproblem
c. An“rightnroute”nproblem
d. An“rightnmedication”nproblem
ANS:n C
Thisnisnan“rightnroute”nproblem:nthennursencannotnassumenthenroutenandnmustnclarifynthenroutenwithnthenprescriber.nThisnisnnotnan“rightnti
me”nproblemnbecausenthenorderednfrequencynhasnnotnchanged.nThisnisnnotnan“rightndose”nproblemnbecausenthendosenisnnotnrelatedntonanni
nabilityntonswallow.nThisnisnnotnan“rightnmedication”nproblemnbecausenthenmedicationnorderednwillnnotnchange,njustnthenroute.
DIF: CognitivenLevel:nApplication
3. Thennursenhasnbeennmonitoringnthenpatient’snprogressnonnhisnnewndrugnregimennsincenthenfirstndosenandnhasnbeenndocumentingnsignsnof
npossiblenadverseneffects.nWhatnnursingnprocessnphasenisnthennursenpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingndiagnosis
ANS:n B
Monitoringnthenpatient’snprogressnisnpartnofnthenevaluationnphase.nPlanning,nimplementation,nandnnursingndiagnosisnarennotnil
lustratednbynthisnexample.
DIF: CognitivenLevel:nApplication
4. Thennursenisncaringnfornanpatientnwhonhasnbeennnewlyndiagnosednwithntypen1ndiabetesnmellitus.nWhichnstatementn bestnillustratesnanno
utcomencriterionnfornthisnpatient?
a. Thenpatientnwillnfollowninstructions.
b. Thenpatientnwillnnotnexperiencencomplications.
c. Thenpatientnadheresntonthennewninsulinntreatmentnregimen.
d. Thenpatientndemonstratesnsafeninsulinnself-administrationntechnique.
ANS:n D
Havingnthenpatientndemonstratensafeninsulinnself-
administrationntechniquenisnanspecificnandnmeasurablenoutcomencriterion.nFollowingninstructionsnandnavoidingncomplicationsnarennotns
pecificncriteria.nAdherencentonthennewninsulinntreatmentnregimennisnnotnobjectivenandnwouldnbendifficultntonmeasure.
DIF: CognitivenLevel:nApplication
5. Whichnactivitynbestnreflectsnthenimplementationnphasenofnthennursingnprocessnfornthenpatientnwhonisnnewlyndiagnosednwithntypen1ndi
abetesnmellitus?
a. Providingneducationnregardingnself-injectionntechnique
b. Settingngoalsnandnoutcomencriterianwithnthenpatient’sninput
c. Recordingnanhistorynofnover-the-counternmedicationsnusednatnhome
d. Formulatingnnursingndiagnosesnregardingnknowledgendeficitsnrelatedntonthennewnt
reatmentnregimen
ANS:n A
Educationnisnanninterventionnthatnoccursnduringnthenimplementationnphase.nSettingngoalsnandnoutcomencriterianreflectsnthenplanningnp
hase.nRecordingnandrugnhistorynreflectsnthenassessmentnphase.nFormulatingnnursingndiagnosesnregardingnanknowledgendeficitnreflects
nanalysisnofndatanasnpartnofnthenplanningnphase.
DIF: CognitivenLevel:nAnalysis
Copyrightn©n2021,nElseviernInc.nAllnrightsnreserved. 1
, lOM oA R
301 380 4
n n
cP S D|
6. Thennursenisnworkingnduringnanverynbusynnightnshift,nandnthenhealthncarenprovidernhasnjustngivennthennursenanmedicationnordernovernth
entelephone,nbutnthennursendoesnnotnrecallnthenroute.nWhatnisnthenbestnwaynfornthennursentonavoidnmedicationn errors?
a. Recopynthenordernneatlynonnthenordernsheet,nwithnthenmostncommonnroutenindicated
b. Consultnwithnthenpharmacistnfornclarificationnaboutnthenmostncommonnroute
c. Callnthenhealthncarenproviderntonclarifynthenroutenofnadministration
d. Withholdnthendrugnuntilnthenhealthncarenprovidernvisitsnthenpatient
ANS:nC
Ifnanmedicationnorderndoesnnotnincludenthenroute,nthennursenmustnasknthenhealthncarenproviderntonclarifynit.nNevernassumenthenroutenofnad
ministration.
DIF: CognitivenLevel:nApplicationn|nCognitivenLevel:nAnalysis
7. WhichnconstitutesnthentraditionalnFivenRightsnofnmedicationnadministration?
a. Rightndrug,nrightnroute,nrightndose,nrightntime,nandnrightnpatient
b. Rightndrug,nthenrightneffect,nthenrightnroute,nthenrightntime,nandnthenrightnpatient
c. Rightnpatient,nrightnstrength,nrightndiagnosis,nrightndrug,nandnrightnroute
d. Rightnpatient,nrightndiagnosis,nrightndrug,nrightnroute,nandnrightntime
ANS:nA
ThentraditionalnFivenRightsnofnmedicationnadministrationnwerenconsideredntonbenRightndrug,nRightnroute,nRightndose,nRightntime,nandnR
ightnpatient.nRightneffect,nrightnstrength,nandnrightndiagnosisnarennotnpartnofnthentraditionalnFivenRights.
DIF: CognitivenLevel:nComprehension
8. Whatncorrectlyndescribesnthennursingnprocess?
a. Diagnosing,nplanning,nassessing,nimplementing,nandnfinallynevaluating
b. Assessing,nthenndiagnosing,nimplementing,nandnendingnwithnevaluating
c. Anlinearndirectionnthatnbeginsnwithnassessingnandncontinuesnthroughndiagnosing,n
planning,nandnfinallynimplementing
d. Annongoingnprocessnthatnbeginsnwithnassessingnandncontinuesnwithndiagnosing,n
planning,nimplementing,nandnevaluating
ANS:nD
Thennursingnprocessnisnannongoing,nflexible,nadaptable,nandnadjustablenfive-
stepnprocessnthatnbeginsnwithnassessingnandncontinuesnthroughndiagnosing,nplanning,nimplementing,nandnfinallynevaluating,nwhichn
maynthennleadnbackntonanynofnthenothernphases.
DIF: CognitivenLevel:nApplication
9. Whennthennursenisnconsideringnthentimingnofnandrugndose,nwhichnisnmostnimportantntonassess?
a. Thenpatient’snidentification
b. Thenpatient’snweight
c. Thenpatient’snlastnmeal
d. Anyndrugnornfoodnallergies
ANS:nC
Thenpharmacokineticnandnpharmacodynamicnpropertiesnofnthendrugnneedntonbenassessednwithnregardntonanyndrug–
foodninteractionsnorncompatibilitynissues.nThenpatient’snidentification,nweight,nandndrugnornfoodnallergiesnarennotnaffectednbynthendrug’sn
timing.
DIF: CognitivenLevel:nApplication
10. Thennursenisnwritingnnursingndiagnosesnfornanplannofncare.nWhichnreflectsnthencorrectnformatnfornhernnursingndiagnosis?
a. Anxiety
b. Anxietynrelatedntonnewndrugntherapy
c. Anxietynrelatedntonanxiousnfeelingsnaboutndrugntherapy,nasnevidencednbyns
tatementsnsuchnasn“I’mnupsetnaboutnhavingntongivenmyselfnshots”
d. Anxietynrelatedntonnewndrugntherapy,nasnevidencednbynstatementsnsuchnasn“I’mnu
psetnaboutnhavingntongivenmyselfnshots”
ANS:nD
Formulationnofnnursingndiagnosesnisnusuallynanthree-stepnprocess.nThenonlyncompletenanswernisn“Anxietynrelatedntonnewndrug
therapy,nasnevidencednbynstatementsnsuchnasn‘I’mnupsetnaboutnhavingntongivenmyselfnshots.’”nThenanswern“Anxiety”nisnmissingnthen“rel
atednto”nandn“asnevidencednby”nportions.nThenanswern“Anxietynrelatedntonnewndrugntherapy”nisnmissingnthen“asnevidencednby”nportionn
ofndefiningncharacteristics.nThen“relatednto”nsectionninn“Anxietynrelatedntonanxiousnfeelingsnaboutndrugntherapy,nasnevidencednbynstatem
entsnsuchnasn‘I’mnupsetnaboutnhavingntongivenmyselfnshots’”nisnsimplynanrestatementnofnthenproblemn“anxiety,”nnotnanseparatenfactornrela
tedntonthenresponse.
DIF: CognitivenLevel:nAnalysis
OTHER
1. Placenthenphasesnofnthennursingnprocessninnthencorrectnorder,nstartingnwithnthenfirstnphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,nE,nA,nD,nB
DIF: CognitivenLevel:nAnalysis
Copyrightn©n2021,nElseviernInc.nAllnrightsnreserved. 2
, lOM oA R
301 380 4
n n
cP S D|
Chapter 02: Pharmacological Principles
n n n
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Anpatientnisnreceivingntwondifferentndrugs,nwhich,natntheirncurrentndosenformsnandndosages,narenbothnabsorbednintonthencirculationninnid
enticalnamounts.nWhichntermnbestndenotesnthatnthendrugsnhaventhensamenabsorptionnrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:n D
Twondrugsnabsorbednintonthencirculationnatnthensamenamountn(innspecificndosagenforms)nhaventhensamenbioavailability;nthus,ntheynarenbi
oequivalent.n“Equivalent”nisnincorrectnbecausenthentermn“bioavailability”nisnusedntonexpressnthenextentnofndrugnabsorption.n“Synergisti
c”nisnincorrectnbecausenthisntermnrefersntontwondrugsngivenntogethernwhosenresultingneffectnisngreaternthannthensumnofntheneffectsnofneac
hndrugngivennalone.n“Compatible”nisnincorrectnbecausenthisntermnisnangeneralntermnusedntonindicatenthatntwonsubstancesndonnotnhavenanc
hemicalnreactionnwhennmixedn(orngiven,ninnthencasenofndrugs)ntogether.
DIF: CognitivenLevel:nComprehension
2. Anpatientnisnreceivingnmedicationnvianintravenousninjection.nWhichninformationnshouldnthennursenprovidenfornpatientn education?
a. Thenmedicationnwillncausenfewernadverseneffectsnwhenngivennintravenously.
b. Thenmedicationnwillnbenabsorbednslowlynintonthentissuesnoverntime.
c. Thenmedication’snactionnwillnbeginnfasternwhenngivennintravenously.
d. Mostnofnthendrugnisninactivatednbynthenlivernbeforenitnreachesnthentargetnarea.
ANS:n C
Intravenousninjectionsnarenthenfastestnroutenofnabsorption.nThenintravenousnroutendoesnnotnaffectnthennumbernofnadverseneffects,nthenin
travenousnroutenisnnotnanslownroutenofnabsorption,nandnthenintravenousnroutendoesnnotncauseninactivationnofnthendrugnbynthenlivernbefo
renitnreachesnthentargetnarea.
DIF: CognitivenLevel:nComprehension
3. Whichnisntruenregardingnparenteralndrugs?
a. Theynbypassnthenfirst-passneffect.
b. Theyndecreasenbloodnflowntonthenstomach.
c. Theynarenalterednbynthenpresencenofnfoodninnthenstomach.
d. Theynexertntheirneffectsnwhilencirculatingninnthenbloodstream.
ANS:n A
Drugsngivennbynthenparenteralnroutenbypassnthenfirst-
passneffect,nbutntheynstillnmustnbenabsorbednintoncellsnandntissuesnbeforentheyncannexertntheirneffects.nEnteralndrugsn(drugsntakennorally),n
notnparenteralndrugs,ndecreasenbloodnflowntonthenstomachnandn aren alterednbynthenpresencenofnfoodninnthenstomach.nParenteralndrugsnmus
tnbenabsorbednintoncellsnandntissuesnfromnthencirculationnbeforentheyncannexertntheirneffects;ntheyndonnotnexertntheirneffectsnwhilencircula
tingninnthenbloodstream.
DIF: CognitivenLevel:nAnalysis
4. Andrug’snhalf-lifenisnbestndefinednas
a. Thentimenitntakesnfornthendrugntonelicitnhalfnitsntherapeuticnresponse.
b. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonreachnthentargetncells.
c. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonbenremovednfromnthenbody.
d. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonbenabsorbednintonthencirculation.
ANS:n C
Andrug’snhalf-lifenisnthentimenitntakesnfornone-
halfnofnthenoriginalnamountnofnandrugntonbenremovednfromnthenbody.nItnisnanmeasurenofnthenratenatnwhichndrugsnarenremovednfromnthenb
ody.nAnswersnA,nB,nandnDnarennotncorrectndefinitionsnofnandrug’snhalf-life.
DIF: CognitivenLevel:nComprehension
5. Thentermn“durationnofnaction”nisnbestndefinednas
a. Thentimenitntakesnfornthendrugntonelicitnantherapeuticnresponse.
b. Thentimenitntakesnandrugntonreachnitsnmaximumntherapeuticnresponse.
c. Thenlengthnofntimenitntakesntonremovenandrugnfromncirculation.
d. Thentimenduringnwhichndrugnconcentrationnisnsufficientntonelicitnantherapeuticnr
esponse.
ANS:n D
Durationnofnactionnisnthentimenduringnwhichndrugnconcentrationnisnsufficientntonelicitnantherapeuticnresponse.nThentimenitntakesnfornandru
gntonelicitnantherapeuticnresponsenisnthendrug’sn“onsetnofnaction.”nThentimenitntakesnandrugntonreachnitsnmaximumntherapeuticnresponseni
snandrug’sn“peakneffect.”n“Thenlengthnofntimenitntakesntonremovenandrugnfromncirculation”ndefinesnandrug’sneliminationnandndoesnnotncor
rectlyndefinenandrug’sndurationnofnaction.
DIF: CognitivenLevel:nComprehension
Copyrightn©n2021,nElseviernInc.nAllnrightsnreserved. 1
LILLEY'SnPHARMACOLOGYnFORnCANADIANnHEALTHnCAREnPRACTICE
KARAn SEALOCK
4th Edition
n
TESTBANK n
, lOM oA R
301 380 4
n n cP S D|
lOM oA R n n
cP S D| 3 013 80 4
Chapter 01: Nursing Practice in Canada and Drug Therapy
n n n n n n n n
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. nWhichnisnanjudgementnaboutnanparticularnpatient’snpotentialnneednornproblem?
a. Angoal
b. Annassessment
c. Subjectivendata
d. Annursingndiagnosis
ANS:n D
Nursingndiagnosisnisnthenphasenofnthennursingnprocessnduringnwhichnanclinicalnjudgementnisnmadenaboutnhownanpatientnrespondsntonhe
athnconditionsnandnlifenprocessesnornvulnerabilitynfornthatnresponse.
DIF: CognitivenLevel:nKnowledge
2. Thenpatientnisntonreceivenoralnfurosemiden(Lasix)neverynday;nhowever,nbecausenthenpatientnisnunablentonswallow,nhencannotntakenm
edicationnorally,nasnordered.nThennursenneedsntoncontactnthenphysician.nWhatntypenofnproblemnisnthis?
a. An“rightntime”nproblem
b. An“rightndose”nproblem
c. An“rightnroute”nproblem
d. An“rightnmedication”nproblem
ANS:n C
Thisnisnan“rightnroute”nproblem:nthennursencannotnassumenthenroutenandnmustnclarifynthenroutenwithnthenprescriber.nThisnisnnotnan“rightnti
me”nproblemnbecausenthenorderednfrequencynhasnnotnchanged.nThisnisnnotnan“rightndose”nproblemnbecausenthendosenisnnotnrelatedntonanni
nabilityntonswallow.nThisnisnnotnan“rightnmedication”nproblemnbecausenthenmedicationnorderednwillnnotnchange,njustnthenroute.
DIF: CognitivenLevel:nApplication
3. Thennursenhasnbeennmonitoringnthenpatient’snprogressnonnhisnnewndrugnregimennsincenthenfirstndosenandnhasnbeenndocumentingnsignsnof
npossiblenadverseneffects.nWhatnnursingnprocessnphasenisnthennursenpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingndiagnosis
ANS:n B
Monitoringnthenpatient’snprogressnisnpartnofnthenevaluationnphase.nPlanning,nimplementation,nandnnursingndiagnosisnarennotnil
lustratednbynthisnexample.
DIF: CognitivenLevel:nApplication
4. Thennursenisncaringnfornanpatientnwhonhasnbeennnewlyndiagnosednwithntypen1ndiabetesnmellitus.nWhichnstatementn bestnillustratesnanno
utcomencriterionnfornthisnpatient?
a. Thenpatientnwillnfollowninstructions.
b. Thenpatientnwillnnotnexperiencencomplications.
c. Thenpatientnadheresntonthennewninsulinntreatmentnregimen.
d. Thenpatientndemonstratesnsafeninsulinnself-administrationntechnique.
ANS:n D
Havingnthenpatientndemonstratensafeninsulinnself-
administrationntechniquenisnanspecificnandnmeasurablenoutcomencriterion.nFollowingninstructionsnandnavoidingncomplicationsnarennotns
pecificncriteria.nAdherencentonthennewninsulinntreatmentnregimennisnnotnobjectivenandnwouldnbendifficultntonmeasure.
DIF: CognitivenLevel:nApplication
5. Whichnactivitynbestnreflectsnthenimplementationnphasenofnthennursingnprocessnfornthenpatientnwhonisnnewlyndiagnosednwithntypen1ndi
abetesnmellitus?
a. Providingneducationnregardingnself-injectionntechnique
b. Settingngoalsnandnoutcomencriterianwithnthenpatient’sninput
c. Recordingnanhistorynofnover-the-counternmedicationsnusednatnhome
d. Formulatingnnursingndiagnosesnregardingnknowledgendeficitsnrelatedntonthennewnt
reatmentnregimen
ANS:n A
Educationnisnanninterventionnthatnoccursnduringnthenimplementationnphase.nSettingngoalsnandnoutcomencriterianreflectsnthenplanningnp
hase.nRecordingnandrugnhistorynreflectsnthenassessmentnphase.nFormulatingnnursingndiagnosesnregardingnanknowledgendeficitnreflects
nanalysisnofndatanasnpartnofnthenplanningnphase.
DIF: CognitivenLevel:nAnalysis
Copyrightn©n2021,nElseviernInc.nAllnrightsnreserved. 1
, lOM oA R
301 380 4
n n
cP S D|
6. Thennursenisnworkingnduringnanverynbusynnightnshift,nandnthenhealthncarenprovidernhasnjustngivennthennursenanmedicationnordernovernth
entelephone,nbutnthennursendoesnnotnrecallnthenroute.nWhatnisnthenbestnwaynfornthennursentonavoidnmedicationn errors?
a. Recopynthenordernneatlynonnthenordernsheet,nwithnthenmostncommonnroutenindicated
b. Consultnwithnthenpharmacistnfornclarificationnaboutnthenmostncommonnroute
c. Callnthenhealthncarenproviderntonclarifynthenroutenofnadministration
d. Withholdnthendrugnuntilnthenhealthncarenprovidernvisitsnthenpatient
ANS:nC
Ifnanmedicationnorderndoesnnotnincludenthenroute,nthennursenmustnasknthenhealthncarenproviderntonclarifynit.nNevernassumenthenroutenofnad
ministration.
DIF: CognitivenLevel:nApplicationn|nCognitivenLevel:nAnalysis
7. WhichnconstitutesnthentraditionalnFivenRightsnofnmedicationnadministration?
a. Rightndrug,nrightnroute,nrightndose,nrightntime,nandnrightnpatient
b. Rightndrug,nthenrightneffect,nthenrightnroute,nthenrightntime,nandnthenrightnpatient
c. Rightnpatient,nrightnstrength,nrightndiagnosis,nrightndrug,nandnrightnroute
d. Rightnpatient,nrightndiagnosis,nrightndrug,nrightnroute,nandnrightntime
ANS:nA
ThentraditionalnFivenRightsnofnmedicationnadministrationnwerenconsideredntonbenRightndrug,nRightnroute,nRightndose,nRightntime,nandnR
ightnpatient.nRightneffect,nrightnstrength,nandnrightndiagnosisnarennotnpartnofnthentraditionalnFivenRights.
DIF: CognitivenLevel:nComprehension
8. Whatncorrectlyndescribesnthennursingnprocess?
a. Diagnosing,nplanning,nassessing,nimplementing,nandnfinallynevaluating
b. Assessing,nthenndiagnosing,nimplementing,nandnendingnwithnevaluating
c. Anlinearndirectionnthatnbeginsnwithnassessingnandncontinuesnthroughndiagnosing,n
planning,nandnfinallynimplementing
d. Annongoingnprocessnthatnbeginsnwithnassessingnandncontinuesnwithndiagnosing,n
planning,nimplementing,nandnevaluating
ANS:nD
Thennursingnprocessnisnannongoing,nflexible,nadaptable,nandnadjustablenfive-
stepnprocessnthatnbeginsnwithnassessingnandncontinuesnthroughndiagnosing,nplanning,nimplementing,nandnfinallynevaluating,nwhichn
maynthennleadnbackntonanynofnthenothernphases.
DIF: CognitivenLevel:nApplication
9. Whennthennursenisnconsideringnthentimingnofnandrugndose,nwhichnisnmostnimportantntonassess?
a. Thenpatient’snidentification
b. Thenpatient’snweight
c. Thenpatient’snlastnmeal
d. Anyndrugnornfoodnallergies
ANS:nC
Thenpharmacokineticnandnpharmacodynamicnpropertiesnofnthendrugnneedntonbenassessednwithnregardntonanyndrug–
foodninteractionsnorncompatibilitynissues.nThenpatient’snidentification,nweight,nandndrugnornfoodnallergiesnarennotnaffectednbynthendrug’sn
timing.
DIF: CognitivenLevel:nApplication
10. Thennursenisnwritingnnursingndiagnosesnfornanplannofncare.nWhichnreflectsnthencorrectnformatnfornhernnursingndiagnosis?
a. Anxiety
b. Anxietynrelatedntonnewndrugntherapy
c. Anxietynrelatedntonanxiousnfeelingsnaboutndrugntherapy,nasnevidencednbyns
tatementsnsuchnasn“I’mnupsetnaboutnhavingntongivenmyselfnshots”
d. Anxietynrelatedntonnewndrugntherapy,nasnevidencednbynstatementsnsuchnasn“I’mnu
psetnaboutnhavingntongivenmyselfnshots”
ANS:nD
Formulationnofnnursingndiagnosesnisnusuallynanthree-stepnprocess.nThenonlyncompletenanswernisn“Anxietynrelatedntonnewndrug
therapy,nasnevidencednbynstatementsnsuchnasn‘I’mnupsetnaboutnhavingntongivenmyselfnshots.’”nThenanswern“Anxiety”nisnmissingnthen“rel
atednto”nandn“asnevidencednby”nportions.nThenanswern“Anxietynrelatedntonnewndrugntherapy”nisnmissingnthen“asnevidencednby”nportionn
ofndefiningncharacteristics.nThen“relatednto”nsectionninn“Anxietynrelatedntonanxiousnfeelingsnaboutndrugntherapy,nasnevidencednbynstatem
entsnsuchnasn‘I’mnupsetnaboutnhavingntongivenmyselfnshots’”nisnsimplynanrestatementnofnthenproblemn“anxiety,”nnotnanseparatenfactornrela
tedntonthenresponse.
DIF: CognitivenLevel:nAnalysis
OTHER
1. Placenthenphasesnofnthennursingnprocessninnthencorrectnorder,nstartingnwithnthenfirstnphase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C,nE,nA,nD,nB
DIF: CognitivenLevel:nAnalysis
Copyrightn©n2021,nElseviernInc.nAllnrightsnreserved. 2
, lOM oA R
301 380 4
n n
cP S D|
Chapter 02: Pharmacological Principles
n n n
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
n n n n n n n n n
MULTIPLEnCHOICE
1. Anpatientnisnreceivingntwondifferentndrugs,nwhich,natntheirncurrentndosenformsnandndosages,narenbothnabsorbednintonthencirculationninnid
enticalnamounts.nWhichntermnbestndenotesnthatnthendrugsnhaventhensamenabsorptionnrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:n D
Twondrugsnabsorbednintonthencirculationnatnthensamenamountn(innspecificndosagenforms)nhaventhensamenbioavailability;nthus,ntheynarenbi
oequivalent.n“Equivalent”nisnincorrectnbecausenthentermn“bioavailability”nisnusedntonexpressnthenextentnofndrugnabsorption.n“Synergisti
c”nisnincorrectnbecausenthisntermnrefersntontwondrugsngivenntogethernwhosenresultingneffectnisngreaternthannthensumnofntheneffectsnofneac
hndrugngivennalone.n“Compatible”nisnincorrectnbecausenthisntermnisnangeneralntermnusedntonindicatenthatntwonsubstancesndonnotnhavenanc
hemicalnreactionnwhennmixedn(orngiven,ninnthencasenofndrugs)ntogether.
DIF: CognitivenLevel:nComprehension
2. Anpatientnisnreceivingnmedicationnvianintravenousninjection.nWhichninformationnshouldnthennursenprovidenfornpatientn education?
a. Thenmedicationnwillncausenfewernadverseneffectsnwhenngivennintravenously.
b. Thenmedicationnwillnbenabsorbednslowlynintonthentissuesnoverntime.
c. Thenmedication’snactionnwillnbeginnfasternwhenngivennintravenously.
d. Mostnofnthendrugnisninactivatednbynthenlivernbeforenitnreachesnthentargetnarea.
ANS:n C
Intravenousninjectionsnarenthenfastestnroutenofnabsorption.nThenintravenousnroutendoesnnotnaffectnthennumbernofnadverseneffects,nthenin
travenousnroutenisnnotnanslownroutenofnabsorption,nandnthenintravenousnroutendoesnnotncauseninactivationnofnthendrugnbynthenlivernbefo
renitnreachesnthentargetnarea.
DIF: CognitivenLevel:nComprehension
3. Whichnisntruenregardingnparenteralndrugs?
a. Theynbypassnthenfirst-passneffect.
b. Theyndecreasenbloodnflowntonthenstomach.
c. Theynarenalterednbynthenpresencenofnfoodninnthenstomach.
d. Theynexertntheirneffectsnwhilencirculatingninnthenbloodstream.
ANS:n A
Drugsngivennbynthenparenteralnroutenbypassnthenfirst-
passneffect,nbutntheynstillnmustnbenabsorbednintoncellsnandntissuesnbeforentheyncannexertntheirneffects.nEnteralndrugsn(drugsntakennorally),n
notnparenteralndrugs,ndecreasenbloodnflowntonthenstomachnandn aren alterednbynthenpresencenofnfoodninnthenstomach.nParenteralndrugsnmus
tnbenabsorbednintoncellsnandntissuesnfromnthencirculationnbeforentheyncannexertntheirneffects;ntheyndonnotnexertntheirneffectsnwhilencircula
tingninnthenbloodstream.
DIF: CognitivenLevel:nAnalysis
4. Andrug’snhalf-lifenisnbestndefinednas
a. Thentimenitntakesnfornthendrugntonelicitnhalfnitsntherapeuticnresponse.
b. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonreachnthentargetncells.
c. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonbenremovednfromnthenbody.
d. Thentimenitntakesnone-
halfnofnthenoriginalnamountnofnandrugntonbenabsorbednintonthencirculation.
ANS:n C
Andrug’snhalf-lifenisnthentimenitntakesnfornone-
halfnofnthenoriginalnamountnofnandrugntonbenremovednfromnthenbody.nItnisnanmeasurenofnthenratenatnwhichndrugsnarenremovednfromnthenb
ody.nAnswersnA,nB,nandnDnarennotncorrectndefinitionsnofnandrug’snhalf-life.
DIF: CognitivenLevel:nComprehension
5. Thentermn“durationnofnaction”nisnbestndefinednas
a. Thentimenitntakesnfornthendrugntonelicitnantherapeuticnresponse.
b. Thentimenitntakesnandrugntonreachnitsnmaximumntherapeuticnresponse.
c. Thenlengthnofntimenitntakesntonremovenandrugnfromncirculation.
d. Thentimenduringnwhichndrugnconcentrationnisnsufficientntonelicitnantherapeuticnr
esponse.
ANS:n D
Durationnofnactionnisnthentimenduringnwhichndrugnconcentrationnisnsufficientntonelicitnantherapeuticnresponse.nThentimenitntakesnfornandru
gntonelicitnantherapeuticnresponsenisnthendrug’sn“onsetnofnaction.”nThentimenitntakesnandrugntonreachnitsnmaximumntherapeuticnresponseni
snandrug’sn“peakneffect.”n“Thenlengthnofntimenitntakesntonremovenandrugnfromncirculation”ndefinesnandrug’sneliminationnandndoesnnotncor
rectlyndefinenandrug’sndurationnofnaction.
DIF: CognitivenLevel:nComprehension
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