Practice Lilley 5th Edition Author: Linda Lane Lilley All
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,Chapter 01: Nursing Practice In Canada And Drug Therapy
Lilley: Pharmacology For Canadian Health Care Practice, 5th Canadian Edition
MULTIPLE CHOICE
1. Which Is A Judgement About A Particular Patient‘S Potential
Need Or Problem?
a. A Goal
b. An Assessment
c. Subjective Data
d. A Nursing Diagnosis
ANS: D
Nursing Diagnosis Is The Phase Of The Nursing Process During Which
A Clinical Judgement Is Made About How A Patient Responds To Heath Conditions And
Life Processes Or Vulnerability Forthat Response.
DIF: Cognitive Level: Knowledge REF: P. 11
2. The Patient Is To Receive Oral Furosemide (Lasix) Every Day; However, Because
The Patient Is Unable To Swallow, He Cannot Take Medication Orally, As Ordered.
The Nurse Needs To Contact The Physician. What Type Of Problem Is This?
a. A ―Right Time‖ Problem
b. A ―Right Dose‖ Problem
c. A ―Right Route‖ Problem
d. A ―Right Medication‖ Problem
ANS: C
This Is A ―Right Route‖ Problem: The Nurse Cannot Assume The Route And Must Clarify The
Route
With The Prescriber. This Is Not A ―Right Time‖ Problem Because The Ordered
Frequency Has Not Changed. This Is Not A ―Right Dose‖ Problem Because The Dose
Is Not Related To An Inability To Swallow. This Is Not A ―Right Medication‖ Problem
Because The Medication Ordered Will Not Change, Just The Route.
DIF: Cognitive Level: Application REF: P. 14
3. The Nurse Has Been Monitoring The Patient‘S Progress On His New Drug Regimen
Since The First Dose And Has Been Documenting Signs Of Possible Adverse Effects.
What Nursing Process Phase Is The Nurse Practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing Diagnosis
ANS: B
Monitoring The Patient‘S Progress Is Part Of The Evaluation Phase. Planning,
Implementation, And Nursing Diagnosis Are Not Illustrated By This Example.
DIF: Cognitive Level: Application REF: P. 19
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, 4. The Nurse Is Caring For A Patient Who Has Been Newly Diagnosed With Type 1
Diabetes Mellitus. Which Statement Best Illustrates An Outcome Criterion For This
Patient?
a. The Patient Will Follow Instructions.
b. The Patient Will Not Experience Complications.
c. The Patient Adheres To The New Insulin Treatment Regimen.
d. The Patient Demonstrates Safe Insulin Self-Administration Technique.
ANS: D
Having The Patient Demonstrate Safe Insulin Self-Administration Technique Is A
Specific And Measurable Outcome Criterion. Following Instructions And Avoiding
Complications Are Not Specific Criteria. Adherence To The New Insulin Treatment
Regimen Is Not Objective And Would Be Difficult To Measure.
DIF: Cognitive Level: Application REF: P. 13
5. Which Activity Best Reflects The Implementation Phase Of The Nursing Process For
The Patient Who Is Newly Diagnosed With Type 1 Diabetes Mellitus?
a. Providing Education Regarding Self-Injection Technique
b. Setting Goals And Outcome Criteria With The Patient‘S Input
c. Recording A History Of Over-The-Counter Medications Used At Home
d. Formulating Nursing Diagnoses Regarding Knowledge Deficits Related
To The New Treatment Regimen
ANS: A
Education Is An Intervention That Occurs During The Implementation Phase. Setting
Goals And Outcome Criteria Reflects The Planning Phase. Recording A Drug History
Reflects The Assessment Phase. Formulating Nursing Diagnoses Regarding A
Knowledge Deficit Reflects Analysis Of Data As Part Of The Planning Phase.N
DIF: Cognitive Level: Analysis REF: P. 8 | P. 13
6. The Nurse Is Working During A Very Busy Night Shift, And The Health Care Provider
Has Just Given The Nurse A Medication Order Over The Telephone, But The Nurse
Does Not Recall The Route. What Is The Best Way For The Nurse To Avoid
Medication Errors?
a. Recopy The Order Neatly On The Order Sheet, With The Most Common Route Indicated
b. Consult With The Pharmacist For Clarification About The Most Common Route
c. Call The Health Care Provider To Clarify The Route Of Administration
d. Withhold The Drug Until The Health Care Provider Visits The Patient
ANS: C
If A Medication Order Does Not Include The Route, The Nurse Must Ask The Health
Care Provider To Clarify It. Never Assume The Route Of Administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis REF: P. 17
7. Which Constitutes The Traditional Five Rights Of Medication Administration?
a. Right Drug, Right Route, Right Dose, Right Time, And Right Patient
b. Right Drug, The Right Effect, The Right Route, The Right Time, And The Right Patient
c. Right Patient, Right Strength, Right Diagnosis, Right Drug, And Right Route
d. Right Patient, Right Diagnosis, Right Drug, Right Route, And Right Time
ANS: A
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, The Traditional Five Rights Of Medication Administration Were Considered To Be
Right Drug, Right Route, Right Dose, Right Time, And Right Patient. Right Effect,
Right Strength, And Right Diagnosis Are Not Part Of The Traditional Five Rights.
DIF: Cognitive Level: Comprehension REF: P. 13
8. What Correctly Describes The Nursing Process?
a. Diagnosing, Planning, Assessing, Implementing, And Finally Evaluating
b. Assessing, Then Diagnosing, Implementing, And Ending With Evaluating
c. A Linear Direction That Begins With Assessing And Continues Through
Diagnosing, Planning, And Finally Implementing
d. An Ongoing Process That Begins With Assessing And Continues With
Diagnosing, Planning, Implementing, And Evaluating
ANS: D
The Nursing Process Is An Ongoing, Flexible, Adaptable, And Adjustable Five-Step
Process That Begins With Assessing And Continues Through Diagnosing, Planning,
Implementing, And Finally Evaluating, Which May Then Lead Back To Any Of The
Other Phases.
DIF: Cognitive Level: Application REF: P. 8
9. When The Nurse Is Considering The Timing Of A Drug Dose, Which Is Most Important To
Assess?
a. The Patient‘S Identification
b. The Patient‘S Weight
c. The Patient‘S Last Meal
d. Any Drug Or Food Allergies
ANS: C
The Pharmacokinetic And Pharmacodynamic Properties Of The Drug Need To Be Assessed
With
Regard To Any Drug–Food Interactions Or Compatibility Issues. The Patient‘S
Identification, Weight, And Drug Or Food Allergies Are Not Affected By The Drug‘S
Timing.
DIF: Cognitive Level: Application REF: P. 17
10. The Nurse Is Writing Nursing Diagnoses For A Plan Of Care. Which Reflects The
Correct Format For Her Nursing Diagnosis?
a. Anxiety
b. Anxiety Related To New Drug Therapy
c. Anxiety Related To Anxious Feelings About Drug Therapy, As Evidenced By
Statements Such As ―I‘M Upset About Having To Give Myself Shots‖
d. Anxiety Related To New Drug Therapy, As Evidenced By Statements
Such As ―I‘M Upset About Having To Give Myself Shots‖
ANS: D
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