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h Care Practice 5th Edition SEALOCK Chapter 1
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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE DE




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


b. An assessment DE


c. Subjective data DE


d. A nursing diagnosis
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ANS: D DE


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




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable
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not take medication orally, as ordered. The nurse needs to contact the physician. What type of
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a. A ―right time‖ problem
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b. A ―right dose‖ problem
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c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C DE


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with
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DEa ―righ t time‖ problem because the ordered frequency has not changed. This is not a ―right
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Edose is not related to an inability to swallow. This is not a ―right medication‖ problem becaus
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ill not change, just the route
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.

DIF: Cognitive Level: Application DE DE




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




ANS: B DE


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nur
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ustrate d by this example.
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DIF: Cognitive Level: Application DE DE




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Wh
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rates an outcome criterion for this patient?
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a. The patient will follow instructions.
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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. The patient demonstrates safe insulin self-administration technique.
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ANS: D DE


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and
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, 6. The nurse is working during a very busy night shift, and the health care provider has just given th
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der over the telephone, but the nurse does not recall the route. What is the best way for the nu
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n 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 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
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ANS: C DE


If a medication order does not include the route, the nurse must ask the health care provider to cl
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ministr ation. DE




DIF: D E D E Cognitive Level: Application | Cognitive Level: Analysis
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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 DE


The traditional Five Rights of medication administration were considered to be Right drug, Right ro
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me, and Right patient. Right effect, right strength, and right diagnosis are not part of the traditio
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DIF: D E D E Cognitive Level: Comprehension DE DE




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnosi
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ng, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosi
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ng, planning, implementing, and evaluating
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ANS: D DE


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,
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hich may then lead back to any of the other phases.
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DIF: D E D E Cognitive Level: Application DE DE




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
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b. The patient‘s weight DE DE


c. The patient‘s last meal DE DE DE


d. Any drug or food allergies DE f6 DE DE




ANS: C DE


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food al
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g‘s timi ng.
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DIF: D E D E Cognitive Level: Application DE DE




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


c. Anxietyrelated to anxious feelings about drug therapy, as evidenced DE DE DE DE f6 DE DE DE DE


by statements such as ―I‘m upset about having to give myself s
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hots‖
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―
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, ANS:
C, E, A, D, B
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DIF: D E D E Cognitive Level: Analysis
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