Lilleys Pharmacology for Canadian Health Care Practice 5th Edition SealockTest Bank TEST BANK | All Chapters 1-58| Complete Guide With Solutions| Revised Edition

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Lilleys Pharmacology for Canadian Heal
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Practice 4thEditionSealock Test Ba
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Professionhood and the Knowledge of Nursing I
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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4
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MULTIPLE
CHOICE
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1. Which is a judgement about a particular patient‘s potential need or pro
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a. A goal k



b. An assessment k



c. Subjective data k



d. A nursing diagnosis
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ANS: D k



Nursing diagnosis is the phase of the nursing process during which a c
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judgement is made about how a patient responds toheath conditions a
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or vulnerability for that response.
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DIF: Cognitive Level: Knowledge k k




2. The patient is to receive oral furosemide (Lasix) every day; however,
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kpatient is unable to swallow, he cannot takemedication orally, as orde
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kneeds to contact the physician. What type of problem is this?
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a. A ―right time‖ problem
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b. A ―right dose‖ problem
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c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C k



This is a ―right route‖ problem: the nurse cannot assume the route a
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route with the prescriber. This is not a ―right time‖ problem be
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frequency has not changed. This is not a ―right dose‖ problem beca
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related to an inability to swallow. This is not a ―right medication‖ p
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medication ordered will not change, just the route.
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DIF: Cognitive Level: Application k k




3. The nurse has been monitoring the patient‘s progress on his new drug
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first dose and has been documenting signsof possible adverse effects.
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process phase is the nurse practising?
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ANS: D k



Having the patient demonstrate safe insulin self-administration techni
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and measurable outcome criterion. Followinginstructions and avoidin
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are not specific criteria. Adherence to the new insulin treatment regim
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and would be difficult to measure.
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DIF: Cognitive Level: Application k k




5. Which activity best reflects the implementation phase of the nursing p
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kpatient who is newly diagnosed with type 1diabetes mellitus?
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a. Providing education regarding self-injection technique
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b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a history of over-the-counter medications used at home
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d. Formulating nursing diagnoses regarding knowledge k k k k



deficits related to the newtreatment regimen
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ANS: A k



Education is an intervention that occurs during the implementation ph
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and outcome criteria reflects the planningphase. Recording a drug his
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assessment phase. Formulating nursing diagnoses regarding a knowle
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reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis k k

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6. The nurse is working during a very busy night shift, and the health car
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kjust given the nurse a medication order overthe telephone, but the nur
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kthe route. What is the best way for the nurse to avoid medication error
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a. Recopy the order neatly on the order sheet, with the most common
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b. Consult with the pharmacist for clarification about the most commo
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANS: C k



If a medication order does not include the route, the nurse must ask th
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provider to clarify it. Never assume the route ofadministration.
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DIF: Cognitive Level: Application | Cognitive Level: Analysis k k k k k k




7. Which constitutes the traditional Five Rights of medication administra
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the ri
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c. Right patient, right strength, right diagnosis, right drug, and right ro
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A k



The traditional Five Rights of medication administration were conside
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Right route, Right dose, Right time, andRight patient. Right effect, rig
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diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension k k




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evalua k k k k k k



b. Assessing, then diagnosing, implementing, and ending with evalua k k k k k k k



c. A linear direction that begins with assessing and
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continues through diagnosing,planning, and finally
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implementing
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d. An ongoing process that begins with assessing and
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continues with diagnosing,planning, implementing,
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and evaluating
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ANS: D k



The nursing process is an ongoing, flexible, adaptable, and adjustable
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process that begins with assessing and continuesthrough diagnosing,
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implementing, and finally evaluating, which may then lead back to an
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