TEST BANK Lilleys Pharmacology for Canadian Health Care Practice (4TH) by Sealock Chapter 1-58 Updated Questions & Answers with Rationale

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

,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 m




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




b. An assessment m




c. Subjective data m




d. A nursing diagnosis m m




ACCURATE ANS:- D m m




Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a clinical m m m m m m m m m m m m m




judgement is made about how a hospital client responds to heath conditions and life processes
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or vulnerability for that response.
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DIFFICULT: Cognitive Level: Knowledge REF: p. 11 m m m m m




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




b. A ―right dose‖ problem m m m




c. A ―right route‖ problemm m m




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




Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and m m m m m m m m m m m m m




must clarify the route
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with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
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changed. This is not a ―right dose‖ problem because the dose is not related to an inability to
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swallow. This is not a ―right medication‖ problem because the medication ordered will not
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change, just the route.
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DIFFICULT: Cognitive Level: Application REF: p. 14 m m m m m




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




ACCURATE ANS:- B m m




Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning, m m m m m m m m m m m




implementation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: Cognitive Level: Application REF: p. 19 m m m m m

,4. The nursing attendant is caring for a hospital client who has been newly diagnosed with
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type 1diabetes mellitus. Which statement best illustrates an outcome criterion for this
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hospital client?
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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 m m




Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration m m m m m m m




technique is a specific and measurable outcome criterion. Following instructions and
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avoiding complications are not specific criteria. Adherence to the new insulin treatment
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regimen is not objective and would be Difficult to measure.
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DIFFICULT: Cognitive Level: Application REF: p. 13 m m m m m




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




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 m m m m m m m m




d. Formulating nursing diagnoses regarding knowledge deficits related to the m m m m m m m m




new treatment regimen
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ACCURATE ANS:- A m m




Reasoning:->>>Education is an intervention that occurs during the implementation phase. Setting m m m m m m m m m m




goals and outcome criteria reflects the planning phase. Recording a drug history reflects the
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assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflects analysis
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of data
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as part of the planning phase.
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DIFFICULT: Cognitive Level: Analysis REF: p. 8 | p. 13 m m m m m m m m




6. The nursing attendant is working during a very busy night shift, and the primary care
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provider has just given the nursing attendant a medication order over the telephone, but the
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nursing attendant does not recall the route. What is the best way for the nursing attendantto
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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 m m m m m m m m m m m




ACCURATE ANS:- C m m




Reasoning:->>>If a medication order does not include the route, the nursing attendant must m m m m m m m m m m m m




ask the primary care provider to clarify it. Never assume the route of administration.
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DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF: m m m m m m m m m p. 17m




7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right hospital client
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b. Right drug, the right effect, the right route, the right time, and the right hospital client
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c. Right hospital client, right strength, right diagnosis, right drug, and right route
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d. Right hospital client, right diagnosis, right drug, right route, and right time
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ACCURATE ANS:- A m m

, The traditional Five Rights of medication administration were considered to be Right drug,
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Right route, Right dose, Right time, and Right hospital client. Right effect, right strength, and
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right diagnosis are not part of the traditional Five Rights.
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DIFFICULT: Cognitive Level: Comprehension REF: p. 13 m m m mmm m




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




b. Assessing, then diagnosing, implementing, and ending with evaluating m m m m m m m




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




Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable five- m m m m m m m m m m




step process that begins with assessing and continues through diagnosing, planning,
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implementing, and finally evaluating, which may then lead back to any of the other phases.
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DIFFICULT: Cognitive Level: Application REF: p. 8 m m m m m




9. When the nursing attendant is considering the timing of a drug dose, which is most important to
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assess?
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a. The hospital client‘s identification
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b. The hospital client‘s weight m m m




c. The hospital client‘s last meal
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d. Any drug or food allergies m m m m




ACCURATE ANS:- C m m




Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to be m m m m m m m m m m




assessed with
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regard to any drug–food interactions or compatibility issues. The hospital client‘s
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midentification, weight, and drug or food allergies are not affected by the drug‘s timing.
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DIFFICULT: Cognitive Level: Application REF: p. 17 m m m m m




10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects the
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correct format for her nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy m m m m m




c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
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such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
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upset about having to give myself shots‖
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ACCURATE ANS:- D m m