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

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LILLEY'S PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
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KARASEALOCK
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4th Edition
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TESTBANK v

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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 v




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




b. An assessment v




c. Subjective data v




d. A nursing diagnosisv v




ANS: D v




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




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow
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v 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
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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 v




This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescr
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problem because the ordered frequency has not changed. This is not a “right dose” problem because the do
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to swallow. This is not a “right medication” problem because the medication ordered will not change, just th
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DIF: Cognitive Level: Application v v




3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has bee
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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 v




ANS: B v




Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diag
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this example.
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DIF: Cognitive Level: Application v v




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statemen
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v outcome criterion for this patient? v v v v




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 v




Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outco
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instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment re
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would be difficult to measure.
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DIF: Cognitive Level: Application v v

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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a med
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v telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication erro
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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 v v v v v v v v v v




ANS: C v




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




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 v




The traditional Five Rights of medication administration were considered to be Right 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 v v




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




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




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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ANS: D v




The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with asse
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diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other p
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DIF: Cognitive Level: Application v v




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 v v




b. The patient’s weight v v




c. The patient’s last meal v v v




d. Any drug or food allergies v v v v




ANS: C v




The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any dr
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compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the d
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DIF: Cognitive Level: Application v v




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




c. Anxiety related to anxious feelings about drug therapy, as evidenced by v v v v v v v v v v




statements 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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ANS: D v




Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety rel
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Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE v




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed i
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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 v




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 of d
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“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is grea
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of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that
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chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension v v




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for
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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 slowly into the tissues over time.
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c. The medication’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 v




Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number o
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intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of t
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reaches the target area.
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DIF: Cognitive Level: Comprehension v v




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




b. They decrease blood flow to the stomach. v v v v v v




c. They are altered by the presence of food in the stomach. v v v v v v v v v v




d. They exert their effects while circulating in the bloodstream.
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ANS: A v




Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and t
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their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach an
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of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before t
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they do not exert their effects while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis v v




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 time it takes one-half of the original amount of a drug to reach the target cells.
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c. The time it takes one-half of the original amount of a drug to be removed from the body.
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d. The time it takes one-half of the original amount of a drug to be absorbed into the
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v circulation.
ANS: C v




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-lif
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