TEST BANK #ew
Pharmacology for Canadian Health Care Practice 3rd Edition Lilley
#ew #ew #ew #ew #ew #ew #ew #ew
SCHOLARVAULT
,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 judgement about a particular patient ‘s potential need
orproblem?
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 for that 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
SCHOLARVAULT
,4. The #ewnurse #ewis #ewcaring #ewfor #ewa #ewpatient #ewwho #ewhas #ewbeen #ewnewly #ewdiagnosed #ewwith #ewtype #ew1
diabetes #ewmellitus. #ewWhich #ewstatement #ewbest #ewillustrates #ewan #ewoutcome #ewcriterion #ewfor
#ew
this #ewpatient?
#ew
a. The #ewpatient #ewwill #ewfollow #ewinstructions.
b. The #ewpatient #ewwill #ewnot #ewexperience #ewcomplications.
c. The #ewpatient #ewadheres #ewto #ewthe #ewnew #ewinsulin #ewtreatment #ewregimen.
d. The #ewpatient #ewdemonstrates #ewsafe #ewinsulin #ewself-administration #ewtechnique.
ANS: # e w D
Having #ewthe #ewpatient #ewdemonstrate #ewsafe #ewinsulin #ewself-administration #ewtechnique #ewis #ewa
#ewspecific #ewand #ewmeasurable #ewoutcome #ewcriterion. #ewFollowing #ewinstructions #ewand #ewavoiding
#ewcomplications #eware #ewnot #ewspecific #ewcriteria. #ewAdherence #ewto #ewthe #ewnew #ewinsulin #ewtreatment
#ewregimen #ewis #ewnot #ewobjective #ewand #ewwould #ewbe #ewdifficult #ewto #ewmeasure.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew13
5. Which #ewactivity#ewbest #ewreflects #ewthe #ewimplementation #ewphase #ewof #ewthe #ewnursing #ewprocess
for #ewthe #ewpatient #ewwho #ewis #ewnewly #ewdiagnosed #ewwith #ewtype #ew1 #ewdiabetes #ewmellitus?
#ew
a. Providing #eweducation #ewregarding #ewself-injection #ewtechnique
b. Setting #ewgoals #ewand #ewoutcome #ewcriteria #ewwith #ewthe #ewpatient‘s #ewinput
c. Recording #ewa #ewhistory #ewof #ewover-the-counter #ewmedications #ewused #ewat #ewhome
d. Formulating #ewnursing #ewdiagnoses #ewregarding #ewknowledge #ewdeficits #ewrelated #ewto
#ewthe #ewnew #ewtreatment #ewregimen
ANS: # e w A
Education #ewis #ewan #ewintervention #ewthat #ewoccurs #ewduring #ewthe #ewimplementation #ewphase.
#ewSetting #ewgoals #ewand #ewoutcome #ewcriteria #ewreflects #ewthe #ewplanning #ewphase. #ewRecording #ewa
#ewdrug #ewhistory #ewreflects #ewthe #ewassessment #ewphase. #ewFormulating #ewnursing #ewdiagnoses
#ewregarding #ewa #ewknowledge #ewdeficit #ewreflects #ewanalysis #ewof #ewdata #ewas #ewpart #ewof #ewthe
#ewplanning #ewphase.N
DIF: Cognitive #ewLevel: #ewAnalysis REF: #ewp. #ew8 #ew| #ewp. #ew13
6. The #ewnurse #ewis #ewworking #ewduring #ewa #ewvery #ewbusy #ewnight #ewshift, #ewand #ewthe #ewhealth #ewcare
#ewprovider #ewhas #ewjust #ewgiven #ewthe #ewnurse #ewa #ewmedication #eworder #ewover #ewthe #ewtelephone, #ewbut
#ewthe #ewnurse #ewdoes #ewnot #ewrecall #ewthe #ewroute. #ewWhat #ewis #ewthe #ewbest #ewway #ewfor #ewthe #ewnurse #ewto
#ewavoid #ewmedication #ewerrors?
a. Recopy #ewthe #eworder #ewneatly #ewon #ewthe #eworder #ewsheet, #ewwith #ewthe #ewmost #ewcommon #ewroute
#ewindicated
b. Consult #ewwith #ewthe #ewpharmacist #ewfor #ewclarification #ewabout #ewthe #ewmost #ewcommon #ewroute
c. Call #ewthe #ewhealth #ewcare #ewprovider #ewto #ewclarify#ewthe #ewroute #ewof #ewadministration
d. Withhold #ewthe #ewdrug #ewuntil #ewthe #ewhealth #ewcare #ewprovider #ewvisits #ewthe #ewpatient
ANS: # e w C
If #ewa #ewmedication #eworder #ewdoes #ewnot #ewinclude #ewthe #ewroute, #ewthe #ewnurse #ewmust #ewask #ewthe
#ewhealth #ewcare #ewprovider #ewto #ewclarify #ewit. #ewNever #ewassume #ewthe #ewroute #ewof #ewadministration.
DIF: Cognitive #ewLevel: #ewApplication #ew|#ewCognitive #ewLevel: #ewAnalysis # e w REF: # e w p. #ew17
7. Which #ewconstitutes #ewthe #ewtraditional #ewFive #ewRights #ewof #ewmedication #ewadministration?
a. Right #ewdrug, #ewright #ewroute, #ewright #ewdose, #ewright #ewtime, #ewand #ewright #ewpatient
b. Right #ewdrug, #ewthe #ewright #eweffect, #ewthe #ewright #ewroute, #ewthe #ewright #ewtime, #ewand #ewthe #ewright
patient
#ew
c. Right #ewpatient, #ewright #ewstrength, #ewright #ewdiagnosis, #ewright #ewdrug, #ewand #ewright #ewroute
d. Right #ewpatient, #ewright #ewdiagnosis, #ewright #ewdrug, #ewright #ewroute, #ewand #ewright #ewtime
ANS: # e w A
SCHOLARVAULT
, The #ewtraditional #ewFive #ewRights #ewof #ewmedication #ewadministration #ewwere #ewconsidered #ewto
#ewbe #ewRight #ewdrug, #ewRight #ewroute, #ewRight #ewdose, #ewRight #ewtime, #ewand #ewRight #ewpatient.
#ewRight #eweffect, #ewright #ewstrength, #ewand #ewright #ewdiagnosis #eware #ewnot #ewpart #ewof #ewthe
#ewtraditional #ewFive #ewRights.
DIF: # e w # e w Cognitive #ewLevel: #ewComprehension # e w # e w REF: # e w p. #ew13
8. What #ewcorrectly#ewdescribes #ewthe #ewnursing #ewprocess?
a. Diagnosing, #ewplanning, #ewassessing, #ewimplementing, #ewand #ewfinally #ewevaluating
b. Assessing, #ewthen #ewdiagnosing, #ewimplementing, #ewand #ewending #ewwith #ewevaluating
c. A #ewlinear #ewdirection #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewthrough
diagnosing, #ewplanning, #ewand #ewfinally #ewimplementing
#ew
d. An #ewongoing #ewprocess #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewwith
diagnosing, #ewplanning, #ewimplementing, #ewand #ewevaluating
#ew
ANS: # e w D
The #ewnursing #ewprocess #ewis #ewan #ewongoing, #ewflexible, #ewadaptable, #ewand #ewadjustable #ewfive-step
#ewprocess #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewthrough #ewdiagnosing, #ewplanning,
#ewimplementing, #ewand #ewfinally #ewevaluating, #ewwhich #ewmay #ewthen #ewlead #ewback #ewto #ewany #ewof
#ewthe #ewother #ewphases.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew8
9. When #ewthe #ewnurse #ewis #ewconsidering #ewthe #ewtiming #ewof #ewa #ewdrug #ewdose, #ewwhich #ewis #ewmost
important #ewto #ewassess?
#ew
a. The #ewpatient‘s #ewidentification
b. The #ewpatient‘s #ewweight
c. The #ewpatient‘s #ewlast #ewmeal
d. Any#ewdrug #ewor #ewfood #ewallergies
ANS: # e w C
The #ewpharmacokinetic #ewand #ewpharmacodynamic #ewproperties #ewof #ewthe #ewdrug #ewneed #ewto #ewbe
#ewassessed #ewwith #ewregard #ewto #ewany #ewdrug–food #ewinteractions #ewor #ewcompatibility #ewissues. #ewThe
#ewpatient‘s #ewidentification,
weight, #ewand #ewdrug #ewor #ewfood # e w allergies #eware #ewnot #ewaffected #ewby#ewthe #ewdrug‘s #ewtiming.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew17
10. The #ewnurse #ewis #ewwriting #ewnursing #ewdiagnoses #ewfor #ewa #ewplan #ewof #ewcare. #ewWhich #ewreflects #ewthe
#ewcorrect #ewformat #ewfor #ewher #ewnursing #ewdiagnosis?
a. Anxiety
b. Anxiety#ewrelated #ewto #ewnew #ewdrug #ewtherapy
c. Anxiety#ewrelated #ewto #ewanxious #ewfeelings #ewabout #ewdrug #ewtherapy, #ewas #ewevidenced
by#ewstatements #ewsuch #ewas #ew―I‘m #ewupset #ewabout #ewhaving #ewto #ewgive #ewmyself
#ew
#ewshots‖
d. Anxiety#ewrelated #ewto #ewnew #ewdrug #ewtherapy, #ewas #ewevidenced #ewby#ewstatements #ewsuch
#ewas #ew―I‘m #ewupset #ewabout #ewhaving #ewto #ewgive #ewmyself #ewshots‖
ANS: # e w D
SCHOLARVAULT
Pharmacology for Canadian Health Care Practice 3rd Edition Lilley
#ew #ew #ew #ew #ew #ew #ew #ew
SCHOLARVAULT
,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 judgement about a particular patient ‘s potential need
orproblem?
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 for that 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
SCHOLARVAULT
,4. The #ewnurse #ewis #ewcaring #ewfor #ewa #ewpatient #ewwho #ewhas #ewbeen #ewnewly #ewdiagnosed #ewwith #ewtype #ew1
diabetes #ewmellitus. #ewWhich #ewstatement #ewbest #ewillustrates #ewan #ewoutcome #ewcriterion #ewfor
#ew
this #ewpatient?
#ew
a. The #ewpatient #ewwill #ewfollow #ewinstructions.
b. The #ewpatient #ewwill #ewnot #ewexperience #ewcomplications.
c. The #ewpatient #ewadheres #ewto #ewthe #ewnew #ewinsulin #ewtreatment #ewregimen.
d. The #ewpatient #ewdemonstrates #ewsafe #ewinsulin #ewself-administration #ewtechnique.
ANS: # e w D
Having #ewthe #ewpatient #ewdemonstrate #ewsafe #ewinsulin #ewself-administration #ewtechnique #ewis #ewa
#ewspecific #ewand #ewmeasurable #ewoutcome #ewcriterion. #ewFollowing #ewinstructions #ewand #ewavoiding
#ewcomplications #eware #ewnot #ewspecific #ewcriteria. #ewAdherence #ewto #ewthe #ewnew #ewinsulin #ewtreatment
#ewregimen #ewis #ewnot #ewobjective #ewand #ewwould #ewbe #ewdifficult #ewto #ewmeasure.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew13
5. Which #ewactivity#ewbest #ewreflects #ewthe #ewimplementation #ewphase #ewof #ewthe #ewnursing #ewprocess
for #ewthe #ewpatient #ewwho #ewis #ewnewly #ewdiagnosed #ewwith #ewtype #ew1 #ewdiabetes #ewmellitus?
#ew
a. Providing #eweducation #ewregarding #ewself-injection #ewtechnique
b. Setting #ewgoals #ewand #ewoutcome #ewcriteria #ewwith #ewthe #ewpatient‘s #ewinput
c. Recording #ewa #ewhistory #ewof #ewover-the-counter #ewmedications #ewused #ewat #ewhome
d. Formulating #ewnursing #ewdiagnoses #ewregarding #ewknowledge #ewdeficits #ewrelated #ewto
#ewthe #ewnew #ewtreatment #ewregimen
ANS: # e w A
Education #ewis #ewan #ewintervention #ewthat #ewoccurs #ewduring #ewthe #ewimplementation #ewphase.
#ewSetting #ewgoals #ewand #ewoutcome #ewcriteria #ewreflects #ewthe #ewplanning #ewphase. #ewRecording #ewa
#ewdrug #ewhistory #ewreflects #ewthe #ewassessment #ewphase. #ewFormulating #ewnursing #ewdiagnoses
#ewregarding #ewa #ewknowledge #ewdeficit #ewreflects #ewanalysis #ewof #ewdata #ewas #ewpart #ewof #ewthe
#ewplanning #ewphase.N
DIF: Cognitive #ewLevel: #ewAnalysis REF: #ewp. #ew8 #ew| #ewp. #ew13
6. The #ewnurse #ewis #ewworking #ewduring #ewa #ewvery #ewbusy #ewnight #ewshift, #ewand #ewthe #ewhealth #ewcare
#ewprovider #ewhas #ewjust #ewgiven #ewthe #ewnurse #ewa #ewmedication #eworder #ewover #ewthe #ewtelephone, #ewbut
#ewthe #ewnurse #ewdoes #ewnot #ewrecall #ewthe #ewroute. #ewWhat #ewis #ewthe #ewbest #ewway #ewfor #ewthe #ewnurse #ewto
#ewavoid #ewmedication #ewerrors?
a. Recopy #ewthe #eworder #ewneatly #ewon #ewthe #eworder #ewsheet, #ewwith #ewthe #ewmost #ewcommon #ewroute
#ewindicated
b. Consult #ewwith #ewthe #ewpharmacist #ewfor #ewclarification #ewabout #ewthe #ewmost #ewcommon #ewroute
c. Call #ewthe #ewhealth #ewcare #ewprovider #ewto #ewclarify#ewthe #ewroute #ewof #ewadministration
d. Withhold #ewthe #ewdrug #ewuntil #ewthe #ewhealth #ewcare #ewprovider #ewvisits #ewthe #ewpatient
ANS: # e w C
If #ewa #ewmedication #eworder #ewdoes #ewnot #ewinclude #ewthe #ewroute, #ewthe #ewnurse #ewmust #ewask #ewthe
#ewhealth #ewcare #ewprovider #ewto #ewclarify #ewit. #ewNever #ewassume #ewthe #ewroute #ewof #ewadministration.
DIF: Cognitive #ewLevel: #ewApplication #ew|#ewCognitive #ewLevel: #ewAnalysis # e w REF: # e w p. #ew17
7. Which #ewconstitutes #ewthe #ewtraditional #ewFive #ewRights #ewof #ewmedication #ewadministration?
a. Right #ewdrug, #ewright #ewroute, #ewright #ewdose, #ewright #ewtime, #ewand #ewright #ewpatient
b. Right #ewdrug, #ewthe #ewright #eweffect, #ewthe #ewright #ewroute, #ewthe #ewright #ewtime, #ewand #ewthe #ewright
patient
#ew
c. Right #ewpatient, #ewright #ewstrength, #ewright #ewdiagnosis, #ewright #ewdrug, #ewand #ewright #ewroute
d. Right #ewpatient, #ewright #ewdiagnosis, #ewright #ewdrug, #ewright #ewroute, #ewand #ewright #ewtime
ANS: # e w A
SCHOLARVAULT
, The #ewtraditional #ewFive #ewRights #ewof #ewmedication #ewadministration #ewwere #ewconsidered #ewto
#ewbe #ewRight #ewdrug, #ewRight #ewroute, #ewRight #ewdose, #ewRight #ewtime, #ewand #ewRight #ewpatient.
#ewRight #eweffect, #ewright #ewstrength, #ewand #ewright #ewdiagnosis #eware #ewnot #ewpart #ewof #ewthe
#ewtraditional #ewFive #ewRights.
DIF: # e w # e w Cognitive #ewLevel: #ewComprehension # e w # e w REF: # e w p. #ew13
8. What #ewcorrectly#ewdescribes #ewthe #ewnursing #ewprocess?
a. Diagnosing, #ewplanning, #ewassessing, #ewimplementing, #ewand #ewfinally #ewevaluating
b. Assessing, #ewthen #ewdiagnosing, #ewimplementing, #ewand #ewending #ewwith #ewevaluating
c. A #ewlinear #ewdirection #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewthrough
diagnosing, #ewplanning, #ewand #ewfinally #ewimplementing
#ew
d. An #ewongoing #ewprocess #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewwith
diagnosing, #ewplanning, #ewimplementing, #ewand #ewevaluating
#ew
ANS: # e w D
The #ewnursing #ewprocess #ewis #ewan #ewongoing, #ewflexible, #ewadaptable, #ewand #ewadjustable #ewfive-step
#ewprocess #ewthat #ewbegins #ewwith #ewassessing #ewand #ewcontinues #ewthrough #ewdiagnosing, #ewplanning,
#ewimplementing, #ewand #ewfinally #ewevaluating, #ewwhich #ewmay #ewthen #ewlead #ewback #ewto #ewany #ewof
#ewthe #ewother #ewphases.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew8
9. When #ewthe #ewnurse #ewis #ewconsidering #ewthe #ewtiming #ewof #ewa #ewdrug #ewdose, #ewwhich #ewis #ewmost
important #ewto #ewassess?
#ew
a. The #ewpatient‘s #ewidentification
b. The #ewpatient‘s #ewweight
c. The #ewpatient‘s #ewlast #ewmeal
d. Any#ewdrug #ewor #ewfood #ewallergies
ANS: # e w C
The #ewpharmacokinetic #ewand #ewpharmacodynamic #ewproperties #ewof #ewthe #ewdrug #ewneed #ewto #ewbe
#ewassessed #ewwith #ewregard #ewto #ewany #ewdrug–food #ewinteractions #ewor #ewcompatibility #ewissues. #ewThe
#ewpatient‘s #ewidentification,
weight, #ewand #ewdrug #ewor #ewfood # e w allergies #eware #ewnot #ewaffected #ewby#ewthe #ewdrug‘s #ewtiming.
DIF: Cognitive #ewLevel: #ewApplication REF: #ewp. #ew17
10. The #ewnurse #ewis #ewwriting #ewnursing #ewdiagnoses #ewfor #ewa #ewplan #ewof #ewcare. #ewWhich #ewreflects #ewthe
#ewcorrect #ewformat #ewfor #ewher #ewnursing #ewdiagnosis?
a. Anxiety
b. Anxiety#ewrelated #ewto #ewnew #ewdrug #ewtherapy
c. Anxiety#ewrelated #ewto #ewanxious #ewfeelings #ewabout #ewdrug #ewtherapy, #ewas #ewevidenced
by#ewstatements #ewsuch #ewas #ew―I‘m #ewupset #ewabout #ewhaving #ewto #ewgive #ewmyself
#ew
#ewshots‖
d. Anxiety#ewrelated #ewto #ewnew #ewdrug #ewtherapy, #ewas #ewevidenced #ewby#ewstatements #ewsuch
#ewas #ew―I‘m #ewupset #ewabout #ewhaving #ewto #ewgive #ewmyself #ewshots‖
ANS: # e w D
SCHOLARVAULT
