TEST BANK For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition UPDATED by Kara Sealock, Cydnee Seneviratne ,Verified Chapters 1 - 58, Complete Newest Version

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Complete Test Bank LILLEYS Pharmacology fo x@ x@ x@ x@ x@




th Care Practice 4th Edition SEALOCK Chapte
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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, 4th Edition
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MULTIPLE CHOICE x@




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


b. An assessment x@


c. Subjective data x@


d. A nursing diagnosis
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ANS: D x@


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made
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onds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge x@ x@




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unab
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nnot take medication orally, as ordered. The nurse needs to contact the physician. What type o
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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 x@


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route w
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not a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right
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e dose is not related to an inability to swallow. This is not a ―right medication‖ problem becau
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@will not change, just the route.
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DIF: Cognitive Level: Application x@ x@




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dos
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ting 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 x@




ANS: B x@


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and n
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llustrated by this example. x@ x@ x@




DIF: Cognitive Level: Application x@ x@




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. W
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strates 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 x@


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions an
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are not specific criteria. Adherence to the new insulin treatment regimen is not objective and w
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6. The nurse is working during a very busy night shift, and the health care provider has just given
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order over the telephone, but the nurse does not recall the route. What is the best way for the
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ion 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 x@


If a medication order does not include the route, the nurse must ask the health care provider to
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of administration.
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DIF: 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 x@


The traditional Five Rights of medication administration were considered to be Right drug, Right
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me, and Right patient. Right effect, right strength, and right diagnosis are not part of the tradit
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DIF: Cognitive Level: Comprehension x@ x@




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 diagnos
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ing, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnos
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ing, planning, implementing, and evaluating
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ANS: D x@


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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which may then lead back to any of the other phases.
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DIF: Cognitive Level: Application x@ x@




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 x@ x@


c. The patient‘s last mealx@ x@ x@


d. Any drug or food allergies x@ x@ x@ x@




ANS: C x@


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regar
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food a
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ug‘s timing.
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DIF: Cognitive Level: Application x@ x@




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 x@ x@ x@ x@ x@


c. Anxiety related to anxious feelings about drug therapy, as evidence
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d by statements such as ―I‘m upset about having to give myself
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shots‖
d. Anxiety related to new drug therapy, as evidenced by statements such as
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C, E, A, D, B
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DIF: Cognitive Level: Analysis
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