Updated Latest Test Bank For Pharmacology For Canadian Health Care Practice 3rd Edition By Linda Lilley Shelly Collins And Julie Snyder Complete Questions And Answers Comprehensive Canadian Nursing Pharmacology Drug Therapy Medication Safety Cli

Chapter 01: Nursing Practice in Canada and Drug Therapy
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition


MULTIPLE CHOICE

1. Which is a judgemen about a particular patient‘s potential need or J J J J J J J J




problem?
a. A goal J




b. An assessment J




c. Subjective data J




d. A nursing diagnosis
J J




ANS: D J




Nursing diagnosis is the phase of the nursing process during which
J J J J J J J J J J




a clinical judgement is made about how a patient responds to heath conditions and life processes or
J J J J J J J J J J J J J J J J J




vulnerability forthat response. J J




DIF: CognitiveLevel:Knowledge J J REF: p. 11 J J




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
J J J J J J J J J J J J J J J




unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the
J J J J J J J J J J J J J J J J




physician. What type of problem is this? J J J J J J




a. A―right time‖problem
J J J




b. A ―right dose‖ problem
J J J




c. A ―right route‖ problem
J J J




d. A―right medication‖ problem
J J J




ANS: C J




This is a ―right route‖problem: the nursecannot assume the routeand must clarifythe route
J J J J J J J J J J J J J J J J




withtheprescriber. This is not a―right time‖problembecausethe ordered frequencyhas not
J J J J J J J J J J J J J J J J




changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
J J J J J J J J J J J J J J J J J J




swallow. This is not a ―right medication‖ problem because the medication ordered will not
J J J J J J J J J J J J J J




change, just the route. J J J




DIF: CognitiveLevel: Application J J REF: p. 14 J J




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose
J J J J J J J J J J J J J J J J J




and has been documenting signs ofpossible adverse effects. What nursing process phase is the
J J J J J J J J J J J J J J J




nurse practising? J




a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis J




ANS: B J




Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
J J J J J J J J J J J J J




nursing diagnosis are not illustrated by this example.
J J J J J J J




DIF: CognitiveLevel: Application J J REF: p. 19 J J

,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
J J J J J J J J J J J J J J J J J




Which statement best illustrates an outcome criterion for this patient?
J J J J J J J J J




a. The patient will follow instructions. J J J J




b. Thepatient will not experience complications.
J J J J J




c. Thepatient adheres to the new insulin treatment regimen.
J J J J J J J J




d. Thepatient demonstrates safe insulin self-administration technique.
J J J J J J




ANS: D J




Having the patient demonstrate safe insulin self-administration technique is a specific and
J J J J J J J J J J J J




measurable outcome criterion. Following instructions and avoiding complications are not
J J J J J J J J J J




specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
J J J J J J J J J J J J J J J




difficult to measure. J J




DIF: CognitiveLevel: Application J J REF: p. 13 J J




5. Which activitybest reflects the implementation phase of the nursing process for the patient who
J J J J J J J J J J J J J J J




is newly diagnosed with type 1 diabetes mellitus?
J J J J J J J




a. Providingeducation regarding self-injection technique J J J J




b. Setting goals and outcome criteria with the patient‘s input J J J J J J J J




c. Recording a historyof over-the-counter medications used at home J J J J J J J J




d. Formulating nursing diagnoses regarding knowledge deficits related to the new J J J J J J J J J J




treatment regimen J




ANS: A J




Education is an intervention that occurs during the implementation phase. Setting goals and
J J J J J J J J J J J J J




outcome criteria reflects the planning phase. Recording a drug historyreflects theassessment
J J J J J J J J J J J J J




phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
J J J J J J J J J J J J J




part of the planning phase.N
J J J J




DIF: Cognitive Level: Analysis J J REF: p. 8 |p. 13 J J J J J




6. The nurse is working during a very busy night shift, and the health care provider has just given the
J J J J J J J J J J J J J J J J J J J




nurse a medication order over the telephone, but the nursedoes not recall the route. What is the best
J J J J J J J J J J J J J J J J J J J




way for the nurse to avoid medication errors?
J J J J J J J




a. Recopythe order neatly on the order sheet, with the most common route indicated
J J J J J J J J J J J J J




b. Consult with the pharmacist for clarification about the most common route J J J J J J J J J J




c. Call the health care provider to clarifythe route of administration
J J J J J J J J J J




d. Withhold the drug until the health care provider visits the patient J J J J J J J J J J




ANS: C J




If a medication order does not include the route, the nurse must ask the health care provider to clarify
J J J J J J J J J J J J J J J J J J J




it. Never assume the route of administration.
J J J J J J




DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: p. 17 J J J J J J J J J




7. Whichconstitutes the traditional Five Rights of medication administration?
J J J J J J J J




a. Right drug, right route, right dose, right time, and right patient
J J J J J J J J J J




b. Right drug, the right effect, the right route, the right time, and the right patient
J J J J J J J J J J J J J J




c. Right patient, right strength, right diagnosis, right drug, and right route
J J J J J J J J J J




d. Right patient, right diagnosis, right drug, right route, and right time
J J J J J J J J J J




ANS: A J

, The traditional Five Rights of medication administration were considered to be Right drug,
J J J J J J J J J J J J J




Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
J J J J J J J J J J J J J J J




diagnosis are not part of the traditional Five Rights. J J J J J J J J




DIF: J J Cognitive Level: Comprehension J J J J J REF: p. 13 J J




8. What correctlydescribes the nursing process?
J J J J J




a. Diagnosing, planning, assessing, implementing, and finallyevaluating J J J J J J




b. Assessing, then diagnosing, implementing, and endingwith evaluating J J J J J J J




c. A linear direction that begins with assessing and continues through diagnosing,
J J J J J J J J J J J




planning, and finally implementing J J J




d. An ongoing process that begins with assessing and continues with diagnosing,
J J J J J J J J J J J




planning, implementing, and evaluating J J J




ANS: D J




The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
J J J J J J J J J J J J J




begins with assessing and continues through diagnosing, planning, implementing, and finally
J J J J J J J J J J J




evaluating, which may then lead back to any of the other phases.
J J J J J J J J J J J




DIF: CognitiveLevel: Application J J REF: p. 8 J J




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
J J J J J J J J J J J J J J J J




a. Thepatient‘s identification J J




b. Thepatient‘s weight J J




c. Thepatient‘s last meal J J J




d. Anydrug or food allergies J J J J




ANS: C J




Thepharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
J J J J J J J J J J J J




regard to anydrug–food interactions or compatibility issues. The patient‘s identification, weight,
J J J J J J J J J J J J




and drug or food allergies are not affected by the drug‘s timing.
J J J J J J J J J J J




DIF: CognitiveLevel: Application J J REF: p. 17 J J




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
J J J J J J J J J J J J J J J J J J




nursing diagnosis? J




a. Anxiety
b. Anxietyrelated to new drug therapy J J J J J




c. Anxietyrelated to anxious feelings about drugtherapy, as evidenced bystatements such
J J J J J J J J J J J J J




as ―I‘m upset about having to give myself shots‖
J J J J J J J J




d. Anxietyrelatedtonewdrugtherapy,asevidencedbystatementssuchas―I‘m upset
J J J J J J J J J J J J J J




about having to give myself shots‖ J J J J J




ANS: D J

, Formulation of nursing diagnoses is usually a three-step process. The only complete answer is
J J J J J J J J J J J J J




―Anxietyrelated to new drug therapy, as evidenced bystatements such as ‗I‘m upset about having
J J J J J J J J J J J J J J J J




togivemyselfshots.‘‖Theanswer―Anxiety‖is missingthe―relatedto‖and―as evidencedby‖
J J J J J J J J J J J J J J J J




portions.Theanswer―Anxietyrelatedtonewdrugtherapy‖is missingthe―as evidenced by‖
J J J J J J J J J J J J J J J




portionof definingcharacteristics. The ―related to‖ section in ―Anxietyrelated to anxious feelings
J J J J J J J J J J J J J J




about drug therapy, as evidenced by statements such as ‗I‘m upset about havingto give myself
J J J J J J J J J J J J J J J J




shots‘‖ is simplya restatement ofthe problem ―anxiety,‖ not a separate factor related to the
J J J J J J J J J J J J J J J J




response.

DIF: Cognitive Level: Analysis J J REF: p. 9 J J




OTHER

1. Place the phases of the nursing process in the correct order, starting with the first phase.
J J J J J J J J J J J J J J J




a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E, A, D, B
J J J J




DIF: Cognitive Level: Analysis J J REF: p. 9 J J