TEST BANK FOR LILLEYS PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 5TH EDITION BY SEALOCK ISBN:9780323811408 COMPLETE GUIDE All CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

, CompleteTestBankLILLEYSPharmacologyforC 1a 1a 1a




hCarePractice 5th EditionSEALOCKChapter1-
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Chapter01: Nursing Practice inCanada and DrugTherapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE 1a




1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal 1a



b. An assessment 1a



c. Subjective data 1a



d. A nursing diagnosis 1a f6




ANS: D 1 a



Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
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h conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge 1a 1a




2. The patient is to receive oral furosemide (Lasix) everyday; however, because the patient is unable to swall
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edication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A ―right time‖ problem1a 1a 1a



b. A ―right dose‖ problem1a 1a 1a



c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C 1 a



This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the pres
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me‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem becaus
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n inability to swallow. This is not a ―right medication‖ problem because the medication ordered will n
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.

DIF: Cognitive Level: Application 1a 1a




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has
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possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis 1a




ANS: B 1 a



Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing di
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by this example.
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DIF: Cognitive Level: Application 1a 1a




4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statem
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tcome criterion for this patient?
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a. The patient will follow instructions. 1a 1a 1a 1a



b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. Thepatient demonstrates safe insulin self-administration technique.
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ANS: D 1 a



Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoid
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c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to me
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, 6. The nurse is working during a verybusy night shift, and the health care provider has just given the nurse a m
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e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medicat
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a. Recopythe 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 route1a 1a 1a 1a 1a 1a 1a 1a 1a 1a



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 1a 1a 1a 1a 1a 1a 1a 1a 1a 1a




ANS: C 1 a



If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Ne
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DIF: 1 a 1 a Cognitive Level: Application | Cognitive Level: Analysis f6 1a 1a 1a 1a 1a




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 patient
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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 1 a



The traditional Five Rights of medication administration were considered to be Right drug, Right route, Ri
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ght patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: 1 a 1 a Cognitive Level: Comprehension 1a 1a




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating 1a 1a 1a 1a 1a 1a



b. Assessing, then diagnosing, implementing, and ending with evaluating 1a 1a 1a 1a 1a 1a 1a



c. A linear direction that begins with assessing and continues through diagnosing, pl
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anning, and finally implementing 1a 1a 1a



d. An ongoing process that begins with assessing and continues with diagnosing, p
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lanning, implementing, and evaluating 1a 1a 1a




ANS: D 1 a



The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, and f
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ay then lead back to any of the other phases.
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DIF: 1 a 1 a Cognitive Level: Application 1a 1a




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification 1a 1a



b. The patient‘s weight 1a 1a



c. The patient‘s last meal 1a 1a 1a



d. Any drug or food allergies 1a f6 1a 1a




ANS: C 1 a



The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies
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g.

DIF: 1 a 1 a Cognitive Level: Application 1a 1a




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
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a. Anxiety
b. Anxietyrelated to new drug therapy 1a 1a 1a 1a 1a



c. Anxietyrelated to anxious feelings about drug therapy, as evidenced by s 1a 1a 1a 1a f6 1a 1a 1a 1a 1a



tatements such as ―I‘m upset about having to give myself shots‖ 1a 1a 1a 1a 1a 1a 1a 1a 1a 1a



d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m 1a 1a 1a f6 1a 1a 1a 1a 1a 1a 1a



upset about having to give myself shots‖1a 1a 1a 1a 1a 1a




ANS: D 1 a

, Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE 1a




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
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dentical 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 1 a



Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bio
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ioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
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―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is
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e effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to
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s do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: 1 a 1 a Cognitive Level: Comprehension f6 1a




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication 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. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C 1 a



Intravenous injections are the fastest route of absorption. The intravenous route does not affect the numbe
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ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation
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r before it reaches the target area.
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DIF: 1 a 1 a Cognitive Level: Comprehension f6 1a




3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. 1a 1a 1a 1a



b. They decrease blood flow to the stomach. 1a 1a 1a 1a 1a 1a



c. They are altered by the presence of food in the stomach.
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d. They exert their effects while circulating in the bloodstream.
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ANS: A 1 a



Drugs given bythe parenteral route bypass the first-
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pass effect, but theystill must be absorbed into cells and tissues before they can exert their effects. Enteral
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), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
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s must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
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le circulating in the bloodstream.
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DIF: Cognitive Level: Analysis f6 1a




4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The timeit takes one- 1a 1a 1a 1a



half of the original amount of a drug to reach the target cells.
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c. The time it takes one-1a 1a 1a 1a



half of the original amount of a drug to be removed from the body.
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d. The time it takes one-1a 1a 1a 1a



half of the original amount of a drug to be absorbed into the circulation.
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ANS: C 1 a