,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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ma
MULTIPLE CHOICE ma
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal ma
b. An assessment ma
c. Subjective data ma
d. A nursing diagnosis
ma ma
ANS: D ma
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
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ut how a patient responds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge ma ma
2.
The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
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unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the ph
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ysician. 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
ma ma ma
d. A “right medication” problem
ma ma ma
ANS: C ma
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
the prescriber. This is not a “right time” problem because the ordered frequency has not changed. T
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his is not a “right dose” problem because the dose is not related to an inability to swallow. This is
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
not a “right medication” problem because the medication ordered will not change, just the route.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
3.
The nurse has been monitoring the patient’s progress on his new drug regimen since the fir
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,st dose and has been documenting signs of possible adverse effects. What nursing process phase is
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the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis ma
ANS: B ma
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nur
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sing diagnosis are not illustrated by this example.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
4.
The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
us. Which statement best illustrates 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.
ma ma ma ma ma ma ma ma
d. The patient demonstrates safe insulin self-administration technique.
ma ma ma ma ma ma
ANS: D ma
Having the patient demonstrate safe insulin self-
ma ma ma ma ma ma
administration technique is a specific and measurable outcome criterion. Following instructions and
ma ma ma ma ma ma ma ma ma ma ma ma
avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ot objective and would be difficult to measure.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
5.
Which activity best reflects the implementation phase of the nursing process for the patient
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
who is newly diagnosed with type 1 diabetes mellitus?
ma ma ma ma ma ma ma ma
a. Providing education regarding self-injection technique
ma ma ma ma
b. Setting goals and outcome criteria with the patient’s input
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c. Recording a history of over-the-counter medications used at home
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, d.
Formulating nursing diagnoses regarding knowledge deficits related to the new treatment re
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gimen
ANS: A ma
Education is an intervention that occurs during the implementation phase. Setting goals and outcom
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e criteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formu
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lating nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planni
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ng phase. ma
DIF: Cognitive Level: Analysis ma ma
ma
6.
The nurse is working during a very busy night shift, and the health care provider has just giv
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
en the nurse a medication order over the telephone, but the nurse does not recall the route. What
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
is the best way for the nurse to avoid medication errors?
ma ma ma ma ma ma ma ma ma ma
a. Recopy the order neatly on the order sheet, with the most common route indicated
ma ma ma ma ma ma ma ma ma ma ma ma ma
b. Consult with the pharmacist for clarification about the most common route
ma ma ma ma ma ma ma ma ma ma
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
ma ma ma ma ma ma ma ma ma ma
ANS: C ma
If a medication order does not include the route, the nurse must ask the health care provider to cla
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
rify it. Never assume the route of administration.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application | Cognitive Level: Analysis
ma ma ma ma ma ma
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
ma ma ma ma ma ma ma ma ma ma
ANS: A ma
ma ma ma ma ma ma ma ma
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
ma ma ma ma ma ma ma ma ma
ma
MULTIPLE CHOICE ma
1. Which is a judgement about a particular patient’s potential need or problem?
ma ma ma ma ma ma ma ma ma ma ma
a. A goal ma
b. An assessment ma
c. Subjective data ma
d. A nursing diagnosis
ma ma
ANS: D ma
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ut how a patient responds to heath conditions and life processes or vulnerability for that response.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
DIF: Cognitive Level: Knowledge ma ma
2.
The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the ph
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ysician. What type of problem is this?
ma ma ma ma ma ma
a. A “right time” problem
ma ma ma
b. A “right dose” problem
ma ma ma
c. A “right route” problem
ma ma ma
d. A “right medication” problem
ma ma ma
ANS: C ma
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
the prescriber. This is not a “right time” problem because the ordered frequency has not changed. T
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
his is not a “right dose” problem because the dose is not related to an inability to swallow. This is
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
not a “right medication” problem because the medication ordered will not change, just the route.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
3.
The nurse has been monitoring the patient’s progress on his new drug regimen since the fir
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
,st dose and has been documenting signs of possible adverse effects. What nursing process phase is
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
the nurse practising?
ma ma
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis ma
ANS: B ma
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nur
ma ma ma ma ma ma ma ma ma ma ma ma ma
sing diagnosis are not illustrated by this example.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
4.
The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellit
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
us. Which statement best illustrates an outcome criterion for this patient?
ma ma ma ma ma ma ma ma ma ma
a. The patient will follow instructions.
ma ma ma ma
b. The patient will not experience complications.
ma ma ma ma ma
c. The patient adheres to the new insulin treatment regimen.
ma ma ma ma ma ma ma ma
d. The patient demonstrates safe insulin self-administration technique.
ma ma ma ma ma ma
ANS: D ma
Having the patient demonstrate safe insulin self-
ma ma ma ma ma ma
administration technique is a specific and measurable outcome criterion. Following instructions and
ma ma ma ma ma ma ma ma ma ma ma ma
avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is n
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ot objective and would be difficult to measure.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application ma ma
5.
Which activity best reflects the implementation phase of the nursing process for the patient
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
who is newly diagnosed with type 1 diabetes mellitus?
ma ma ma ma ma ma ma ma
a. Providing education regarding self-injection technique
ma ma ma ma
b. Setting goals and outcome criteria with the patient’s input
ma ma ma ma ma ma ma ma
c. Recording a history of over-the-counter medications used at home
ma ma ma ma ma ma ma ma
, d.
Formulating nursing diagnoses regarding knowledge deficits related to the new treatment re
ma ma ma ma ma ma ma ma ma ma ma
gimen
ANS: A ma
Education is an intervention that occurs during the implementation phase. Setting goals and outcom
ma ma ma ma ma ma ma ma ma ma ma ma ma
e criteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formu
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
lating nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planni
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ng phase. ma
DIF: Cognitive Level: Analysis ma ma
ma
6.
The nurse is working during a very busy night shift, and the health care provider has just giv
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
en the nurse a medication order over the telephone, but the nurse does not recall the route. What
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
is the best way for the nurse to avoid medication errors?
ma ma ma ma ma ma ma ma ma ma
a. Recopy the order neatly on the order sheet, with the most common route indicated
ma ma ma ma ma ma ma ma ma ma ma ma ma
b. Consult with the pharmacist for clarification about the most common route
ma ma ma ma ma ma ma ma ma ma
c. Call the health care provider to clarify the route of administration
ma ma ma ma ma ma ma ma ma ma
d. Withhold the drug until the health care provider visits the patient
ma ma ma ma ma ma ma ma ma ma
ANS: C ma
If a medication order does not include the route, the nurse must ask the health care provider to cla
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
rify it. Never assume the route of administration.
ma ma ma ma ma ma ma
DIF: Cognitive Level: Application | Cognitive Level: Analysis
ma ma ma ma ma ma
7. Which constitutes the traditional Five Rights of medication administration?
ma ma ma ma ma ma ma ma
a. Right drug, right route, right dose, right time, and right patient
ma ma ma ma ma ma ma ma ma ma
b. Right drug, the right effect, the right route, the right time, and the right patient
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
c. Right patient, right strength, right diagnosis, right drug, and right route
ma ma ma ma ma ma ma ma ma ma
d. Right patient, right diagnosis, right drug, right route, and right time
ma ma ma ma ma ma ma ma ma ma
ANS: A ma
