Test Bank For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne 9780323694803 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED !!! LATEST UPDATE!!!

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CompleteTestBankLILLEYSPharmacologyforC J J J J J J




Care Practice 4th Edition SEALOCK Chapter 1-5 J J J J J J




Chapter01:Nursing PracticeinCanadaandDrugTherapy
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Sealock: Lilley’sPharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE J




1. Whichis a judgement about a particular patient’s potential need or problem?
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a. A goal J




b. An assessment J




c. Subjective data J




d. A nursing diagnosis J J




ANS: D J




Nursingdiagnosis isthe phase ofthe nursingprocess duringwhich a clinical judgement ismade about howapat
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ions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge J J




2. The patient is to receive oral furosemide (Lasix)everyday; however, because the patient is unable to swallow, h
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on orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A“right time” problem J J J




b. A“right dose” problem J J J




c. A“right route” problem J J J




d. A“right medication” problem J J J




ANS: C J




This is a “right route” problem: the nurse cannot assume the route and must clarifythe route with the prescriber
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em because the ordered frequencyhas not changed. This is not a “right dose” problem because the dose is not re
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. This is not a “right medication” problem because the medication ordered will not change, just the route.
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DIF: Cognitive Level: Application J J




3. Thenurse has been monitoringthe patient’s progress on his new drugregimen since the firstdose and has been d
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e adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis J




ANS: B J




Monitoringthepatient’s progress ispartoftheevaluation phase. Planning, implementation, andnursingdiagn
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example.

DIF: CognitiveLevel: Application J J




4. The nurse is caringfor a patient who has been newlydiagnosed with type 1 diabetes mellitus.Which statement b
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riterion for this patient? J J J




a. The patient will follow instructions. J J J J




b. The patient will not experience complications. J J J J J




c. Thepatient adheres to the new insulin treatment regimen. J J J J J J J J




d. Thepatient demonstrates safeinsulin self-administration technique.
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ANS: D J




Havingthe patient demonstrate safeinsulinself- J J J J J J




administrationtechnique isaspecific andmeasurable outcomecriterion. Following instructions and avoiding J J J J J J J J J J J J




c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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6. The nurse is workingduringa verybusynight shift, and the health care provider has just given the nurse a medica
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ne, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
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a. Recopythe order neatlyon the order sheet, with the most common route indicated J J J J J J J J J J J J J




b. Consultwith the pharmacist for clarification about the most common route J J J J J J J J J J




c. Callthe health care provider to clarifythe route of administration
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d. Withholdthe druguntil the health care provider visits the patient J J J J J J J J J J




ANS: C J




If a medication order doesnot include the route, the nurse must ask the health care provider to clarifyit. Never ass
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DIF: CognitiveLevel: Application |Cognitive Level: Analysis J J J J J J




7. Whichconstitutes the traditional Five Rights of medication administration?
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a. Rightdrug, right route, right dose, right time, and right patient J J J J J J J J J J




b. Rightdrug, the right effect, the right route, the right time,and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right routeJ J J J J J J J J J




d. Right patient, right diagnosis, right drug, right route, and right time J J J J J J J J J J




ANS: A J




Thetraditional Five Rightsof medication administrationwereconsidered to beRight drug, Right route, Right d
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ent. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension J J




8. What correctlydescribes the nursing process?
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a. Diagnosing,planning, assessing, implementing, and finallyevaluating J J J J J J




b. Assessing,then diagnosing, implementing, and endingwith evaluating J J J J J J J




c. Alineardirectionthatbegins withassessingand continuesthroughdiagnosing, plan
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ning, and finally implementing J J J




d. Anongoingprocessthatbeginswithassessingandcontinueswithdiagnosing, plan
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ning, implementing, and evaluating J J J




ANS: D J




Thenursingprocess isan ongoing, flexible, adaptable,and adjustablefive-
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step process thatbegins withassessingand continues through diagnosing, planning, implementing, and finally
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n lead back to any of the other phases.
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DIF: CognitiveLevel: Application J J




9. Whenthe nurse is considering the timingof a drug dose, which is most important to assess?
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a. Thepatient’s identification J J




b. Thepatient’s weight J J




c. Thepatient’s last meal J J J




d. Anydrug or food allergies J J J J




ANS: C J




Thepharmacokinetic and pharmacodynamic properties ofthedrugneed to beassessed with regardto anydrug–
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food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies are no
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DIF: CognitiveLevel: Application J J




10. The nurse is writing nursingdiagnoses for a plan of care. Which reflects the correct format for her nursing diagn
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a. Anxiety
b. Anxietyrelated to new drug therapy J J J J J




c. Anxietyrelatedtoanxiousfeelings aboutdrugtherapy, as evidenced by state J J J J J J J J J J J




ments such as “I’m upset about having to give myself shots” J J J J J J J J J J




d. Anxietyrelatedtonewdrugtherapy, asevidenced bystatementssuch as“I’m upset J J J J J J J J J J J J J J




about having to give myself shots” J J J J J




ANS: D J




Formulation of nursing diagnoses is usually a three- J J J J J J J

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Chapter02:PharmacologicalPrinciples
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Sealock: Lilley’sPharmacology for Canadian Health Care Practice,4th Edition
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MULTIPLE CHOICE J




1. A patient is receivingtwo different drugs, which, at their current dose forms and dosages, are bothabsorbed into
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mounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D J




Two drugs absorbed into the circulation at thesame amount (in specific dosage forms) have the same bioavaila
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alent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorpt
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“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater J J J J J J J J J J J J J J J J




ach drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two sub
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al reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level:Comprehension
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2. Apatient is receivingmedication via intravenous injection. Which information should the nurse provide for pa
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a. Themedication will cause fewer adverse effects when given intravenously.
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b. Themedication will be absorbed slowlyinto the tissues over time.
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c. Themedication’s action will begin faster when given intravenously.
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d. Mostof the drugis inactivated bythe liver before it reaches the target area. J J J J J J J J J J J J J J




ANS: C J




Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of ad
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ous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug byt
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target area.
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DIF: Cognitive Level:Comprehension
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3. Which istrue regarding parenteral drugs? J J J J J




a. Theybypass the first-pass effect. J J J J




b. Theydecrease blood flow to the stomach. J J J J J J




c. Theyare altered bythe presence of food in the stomach. J J J J J J J J J J




d. Theyexert their effects while circulating in the bloodstream. J J J J J J J J




ANS: A J




Drugs givenbythe parenteral route bypass the first- J J J J J J J J




pass effect, but theystill must be absorbed into cells and tissues before theycan exert their effects. Enteral drugs
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nteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parente
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o cells and tissues from the circulation before they can exert their effects; they do not exert their effects while ci
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DIF: Cognitive Level: Analysis
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4. Adrug’s half-life is best defined as
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a. The timeit takes for the drugto elicit half its therapeutic response.
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b. Thetimeit takesone-half oftheoriginal amount ofadrugto reachthetarget cells.
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c. Thetimeit takes one-half oftheoriginal amount of adrugto be removed from the body.
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d. Thetimeit takes one- J J J J




half oftheoriginal amount of adrugto be absorbed intothe circulation.
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ANS: C J




Adrug’s half-life isthe time it takes for one-
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half ofthe original amount of a drugto be removed from the body. It isa measure of the rate at which drugs are rem
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rs A, B, and D are not correct definitions of a drug’s half-life.
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