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TABLE OF CONTENTS v v
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Chapter 01: Nursing Practice in Canada and Drug Therapy
v v v v v v v v
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
v v v v v v v v v
MULTIPLEvCHOICE
1. Whichvisvavjudgementvaboutvavparticularvpatient’svpotentialvneedvorvproblem?
a. Avgoal
b. Anvassessment
c. Subjectivevdata
d. Avnursingvdiagnosis
ANSWER:v D
Nursingvdiagnosisvisvthevphasevofvthevnursingvprocessvduringvwhichvavclinicalvjudgementvisvmadevaboutvhowvavpatientvrespondsvtovheat
hvconditionsvandvlifevprocessesvorvvulnerabilityvforvthatvresponse.
DIF: CognitivevLevel:vKnowledge
2. Thevpatientvisvtovreceivevoralvfurosemidev(Lasix)veveryvday;vhowever,vbecausevthevpatientvisvunablevtovswallow,vhevcannotvtakevm
edicationvorally,vasvordered.vThevnursevneedsvtovcontactvthevphysician.vWhatvtypevofvproblemvisvthis?
a. Av“rightvtime”vproblem
b. Av“rightvdose”vproblem
c. Av“rightvroute”vproblem
d. Av“rightvmedication”vproblem
ANSWER:v C
Thisvisvav“rightvroute”vproblem:vthevnursevcannotvassumevthevroutevandvmustvclarifyvthevroutevwithvthevprescriber.vThisvisvnotvav“rightvti
me”vproblemvbecausevthevorderedvfrequencyvhasvnotvchanged.vThisvisvnotvav“rightvdose”vproblemvbecausevthevdosevisvnotvrelatedvtovanvi
nabilityvtovswallow.vThisvisvnotvav“rightvmedication”vproblemvbecausevthevmedicationvorderedvwillvnotvchange,vjustvthevroute.
DIF: CognitivevLevel:vApplication
3. Thevnursevhasvbeenvmonitoringvthevpatient’svprogressvonvhisvnewvdrugvregimenvsincevthevfirstvdosevandvhasvbeenvdocumentingvsignsvof
vpossiblevadverseveffects.vWhatvnursingvprocessvphasevisvthevnursevpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingvdiagnosis
ANSWER:v B
Monitoringvthevpatient’svprogressvisvpartvofvthevevaluationvphase.vPlanning,vimplementation,vandvnursingvdiagnosisvarevnotvillustratedv
byvthisvexample.
DIF: CognitivevLevel:vApplication
4. Thevnursevisvcaringvforvavpatientvwhovhasvbeenvnewlyvdiagnosedvwithvtypev1vdiabetesvmellitus.vWhichvstatementvbestvillustratesvanvo
utcomevcriterionvforvthisvpatient?
a. Thevpatientvwillvfollowvinstructions.
b. Thevpatientvwillvnotvexperiencevcomplications.
c. Thevpatientvadheresvtovthevnewvinsulinvtreatmentvregimen.
d. Thevpatientvdemonstratesvsafevinsulinvself-administrationvtechnique.
ANSWER:v D
Havingvthevpatientvdemonstratevsafevinsulinvself-
administrationvtechniquevisvavspecificvandvmeasurablevoutcomevcriterion.vFollowingvinstructionsvandvavoidingvcomplicationsvarevnotvs
pecificvcriteria.vAdherencevtovthevnewvinsulinvtreatmentvregimenvisvnotvobjectivevandvwouldvbevdifficultvtovmeasure.
DIF: CognitivevLevel:vApplication
5. Whichvactivityvbestvreflectsvthevimplementationvphasevofvthevnursingvprocessvforvthevpatientvwhovisvnewlyvdiagnosedvwithvtypev1vdi
abetesvmellitus?
a. Providingveducationvregardingvself-injectionvtechnique
b. Settingvgoalsvandvoutcomevcriteriavwithvthevpatient’svinput
c. Recordingvavhistoryvofvover-the-countervmedicationsvusedvatv home
d. Formulatingvnursingvdiagnosesvregardingvknowledgevdeficitsvrelatedvtovthevnewvt
reatmentvregimen
ANSWER:v A
Educationvisvanvinterventionvthatvoccursvduringvthevimplementationvphase.vSettingvgoalsvandvoutcomevcriteriavreflectsvthevplanningvph
ase.vRecordingvavdrugvhistoryvreflectsvthevassessmentvphase.vFormulatingvnursingvdiagnosesvregardingvavknowledgevdeficitvreflectsva
nalysisvofvdatavasvpartvofvthevplanningvphase.
DIF: CognitivevLevel:vAnalysis
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