4TH EDITION LILLEY’S TEST BANKPHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS 1-58

PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH
EDITION LILLEY’S TEST BANK/ALL CHS 1-58

,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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MULTIPLE CHOICE BR




1. Which is a judgment about a particular hospital client‘s potential need or problem?
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a. A goal BR



b. An assessment BR



c. Subjective data BR



d. A nursing diagnosis BR BR




ACCURATE ANS:- D BR BR




Reasoning:-
>>> Nursing diagnosis is the phase of the nursing process during which a clinicaljudg
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ement is made about how a hospital client responds to heath conditions and life pro
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cesses or vulnerability for that response.
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DIFFICULT: Cognitive Level: Knowledge REF: p. 11 BR BR BR BR BR




2. The hospital client is to receive oral furosemide (Lasix) every day; however, becaus
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e the hospital client is unable to swallow, he cannot take medication orally, as orde
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red. The nursing attendant needs to contact the physician. What type of problem is
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this?
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a. A ―right time‖ problem BR BR BR



b. A ―right dose‖ problem BR BR BR



c. A ―right route‖ problemBR BR BR




d. A ―right medication‖ problem
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ACCURATE ANS:- C BR BR



Reasoning:-
>>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and mu
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st clarify the route
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with the prescriber. This is not a ―right time‖ problem because the ordered freque
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ncy has notchanged. This is not a ―right dose‖ problem because the dose is not rela
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ted to an inability toswallow. This is not a ―right medication‖ problem because the
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medication ordered will notchange, just the route. BR BR BR R
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DIFFICULT: Cognitive Level: Application REF: p. 14 BR BR BR BR BR




3. The nursing attendant has been monitoring the hospital client‘s progress on his new
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BR drug regimen since the first dose and has been documenting signs of possible adverse
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effects. What nursingprocess phase is the nursing attendant practising?
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a. Planning
b. Evaluation

,c. Implementation
d. Nursing diagnosis
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ACCURATE ANS:- B
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Reasoning:-
>>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning,implemen
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tation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: Cognitive Level: Application REF: p. 19
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, 4. The nursing attendant is caring for a hospital client who has been newly diagno
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sed with type 1diabetes mellitus. Which statement best illustrates an outcome
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criterion for this hospital client? B R B R BR BR




a. The hospital client will follow instructions.
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b. The hospital client will not experience complications.
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c. The hospital client adheres to the new insulin treatment regimen.
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d. The hospital client demonstrates safe insulin self-administration technique.
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ACCURATE ANS:- D BR BR




Reasoning:->>>Having the hospital client demonstrate safe insulin self- B R B R BR B R B R BR B R




administration technique is a specific and measurable outcome criterion. Following i
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nstructions and avoiding complications are not specific criteria. Adherence to the n
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ew insulin treatment regimen is not objective and would be Difficult to measure.
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DIFFICULT: Cognitive Level: Application REF: p. 13BR BR BR BR BR




5. Which activity best reflects the implementation phase of the nursing process for the
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hospital clientwho is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique BR BR B R B R



b. Setting goals and outcome criteria with the hospital client‘s input
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c. Recording a history of over-the-counter medications used at home BR B R BR BR B R BR BR B R




d. Formulating nursing diagnoses regarding knowledge deficits related to BR B R BR BR BR BR BR B




R the new treatment regimen
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ACCURATE ANS:- A BR BR




Reasoning:-
>>>Education is an intervention that occurs during the implementation phase. Setting
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goals and outcome criteria reflects the planning phase. Recording a drug history refl
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ects the assessment phase. Formulating nursing diagnoses regarding a knowledge defici
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treflects analysis of data
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as part of the planning phase.
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DIFFICULT: Cognitive Level: Analysis BR BR BR REF: p. 8 | p. 13 BR BR BR BR BR




6. The nursing attendant is working during a very busy night shift, and the primary ca
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re provider has just given the nursing attendant a medication order over the telepho
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ne, but thenursing attendant does not recall the route. What is the best way for the
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nursing attendantto avoid medication errors?
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the primary care provider to clarify the route of administration
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d. Withhold the drug until the primary care provider visits the hospital client
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ACCURATE ANS:- C BR BR