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LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
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KARASEALOCK
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4th Edition
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TESTBANK k
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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for CanadianHealth Care Practice, 4th Edition
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MULTIPLE CHOICE kt
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal kt
b. An assessment kt
c. Subjective data kt
d. A nursing diagnosis kt kt
ANS: D k t
Nursing diagnosis is the phase ofthe nursing process during which a clinical judgement is made about how ap
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conditions and life processes or vulnerability for that response.
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DIF: k t k t CognitiveLevel: Knowledge kt kt
2. Thepatient is to receive oral furosemide (Lasix) everyday; however, becausethe patient is unable to swallow
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medication 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 kt kt kt
b. A “right dose” problem kt kt kt
c. A “right route” problem kt kt kt
d. A “right medication” problemkt kt kt
ANS: C k t
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the p
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time” problem because the ordered frequency has not changed. This is not a “right dose” problem becau
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inability to swallow. This is not a “right medication” problem because the medication ordered will not cha
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DIF: k t k t Cognitive Level: Application kt kt
3. Thenurse has been monitoring thepatient’s progress on his newdrug regimen sincethe first dose and has been
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kt possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
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ANS: B k t
Monitoring thepatient’s progress is partof the evaluation phase. Planning, implementation, and nursing diagn
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this example.
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DIF: k t k t Cognitive Level: Application kt kt
4. Thenurseis caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statemen
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outcome criterion for this patient?
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a. The patient will follow instructions. kt kt kt kt
b. Thepatient will not experience complications. kt kt kt kt kt
c. Thepatient adheres to the new insulin treatment regimen. kt kt kt kt kt kt kt kt
d. Thepatient demonstrates safe insulin self-administration technique.
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ANS: D k t
Having the patient demonstrate safeinsulin self-administration techniqueisa specific and measurable outcom
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instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment r
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would be difficult to measure.
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DIF: k t k t Cognitive Level: Application kt kt
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6. Thenurse is working during a very busy night shift, and the health care provider has just given the nurse a med
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telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
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a. Recopythe order neatly on the order sheet, with the most common route indicated kt kt kt kt kt kt kt kt kt kt kt kt kt
b. Consult with the pharmacist for clarification about the most common route kt kt kt kt kt kt kt kt kt kt
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 kt kt kt kt kt kt kt kt kt kt
ANS:C kt
If a medication order does not include the route, the nursemust ask the health care provider to clarify it. Never
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DIF: Cognitive Level: Application | Cognitive Level: Analysis kt kt kt kt kt kt
7. Whichconstitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient kt kt kt kt kt kt kt kt kt kt
b. Right drug, 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 route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS:A kt
Thetraditional Five Rights ofmedication administration were considered to beRight drug, Right route, Righ
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patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension kt kt
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating kt kt kt kt kt kt
b. Assessing, then diagnosing, implementing, and ending with evaluating kt kt kt kt kt kt kt
c. Alineardirectionthatbegins with assessing and continuesthrough diagnosing,
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planning, and finally implementing
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d. Anongoingprocess that begins withassessing and continueswithdiagnosing,
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planning, implementing, and evaluating
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ANS:D kt
Thenursing process is an ongoing, flexible, adaptable,and adjustable five-step process thatbegins with asses
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diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other
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DIF: Cognitive Level: Application kt kt
9. Whenthe nurse is considering the timing of a drug dose, which is most important to assess?
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a. Thepatient’s identification kt kt
b. Thepatient’s weight kt kt
c. Thepatient’s last meal kt kt kt
d. Any drug or food allergies kt kt kt kt
ANS:C kt
Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydru
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issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s timin
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DIF: Cognitive Level: Application kt kt
10. Thenurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing d
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a. Anxiety
b. Anxietyrelated to new drug therapy kt kt kt kt kt
c. Anxietyrelatedtoanxious feelingsaboutdrugtherapy,as evidencedby kt kt kt kt kt kt kt kt kt kt
statements such as “I’m upset about having to give myself shots”
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d. Anxietyrelatedtonewdrug therapy, as evidenced bystatementssuch as “I’m kt kt kt kt kt kt kt kt kt kt kt kt
upset about having to give myself shots”
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ANS:D kt
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety r
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as evidenced by statements such as ‘I’m upset about having to give myself shots.’” The answer “Anxiety”
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Chapter02:PharmacologicalPrinciples
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Sealock: Lilley’s Pharmacology for CanadianHealth Care Practice, 4th Edition
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MULTIPLE CHOICE kt
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, areboth absorbed in
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kt identical amounts. 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 k t
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
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bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent o
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“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is kt kt kt kt kt kt kt kt kt kt kt kt kt kt kt
effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to ind
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not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: k t k t Cognitive Level: Comprehension kt kt
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide fo
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a. Themedication will cause fewer adverse effects when given intravenously.
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b. Themedication will be absorbed slowly into the tissues over time.kt kt kt kt kt kt kt kt kt kt
c. Themedication’s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area. kt kt kt kt kt kt kt kt kt kt kt kt kt kt
ANS: C k t
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num kt kt kt kt kt kt kt kt kt kt kt kt kt kt kt
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivati
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before it reaches the target area.
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DIF: k t k t Cognitive Level: Comprehension kt kt
3. Which is true regarding parenteral drugs? kt kt kt kt kt
a. They bypass the first-pass effect. kt kt kt kt
b. They decrease blood flow to the stomach. kt kt kt kt kt kt
c. Theyare altered by the presence of food in the stomach. kt kt kt kt kt kt kt kt kt kt
d. Theyexert their effects while circulating in the bloodstream. kt kt kt kt kt kt kt kt
ANS: A k t
Drugs given bythe parenteral route bypass the first-pass effect, but theystill must be absorbed into cells and ti
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their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach
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presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulat
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their effects; they do not exert their effects while circulating in the bloodstream.
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DIF: k t k t Cognitive Level: Analysis kt kt
4. A drug’s half-life is best defined as
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a. Thetime it takes for the drug to elicit half its therapeutic response.
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b. Thetimeit takes one-half of the original amount of adrug toreach the target cells.
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c. Thetimeit takes one-half ofthe original amount of adrug to be removed from the body.
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d. Thetimeit takes one-half ofthe original amount of a drug to be absorbed into the
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kt circulation.
ANS: C k t
A drug’s half-life is the time it takes for one-half of the original amount of a drug to be removed from the body
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which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug’s half-
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DIF: k t k t Cognitive Level: Comprehension kt kt