TESTBANK g
PHARMACOLOGYgFORgCANADIANgHEALTHgCAREgPRACTICE
LINDAgLANEgLILLEY,gJULIEgS.gSNYDERgANDgSHELLYgRAINFORTHgCOLLINS
3rd Edition
g
TESTBANK g
,Chapter 01: Nursing Practice in Canada and Drug Therapy
g g g g g g g g
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
g g g g g g g g g
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient‘sgpotentialgneedgorg
problem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhich
agclinicalgjudgementgisgmadegaboutghowgagpatientgrespondsgtogheathgconditionsgandglifegprocesse
sgorgvulnerabilitygforthatgresponse.
DIF: CognitivegLevel:gKnowledge REF:gp.g11
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgisgu
nablegtogswallow,ghegcannotgtakegmedicationgorally,gasgordered.gThegnursegneedsgtogcontactgth
egphysician.gWhatgtypegofgproblemgisgthis?
a. Ag―rightgtime‖gproblem
b. Ag―rightg dose‖gproblem
c. Ag―rightgroute‖gproblem
d. Ag―rightgmedication‖gproblem
ANS:g C
Thisgisgag―rightgroute‖gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroute
withgthegprescriber.gThisgisgnotgag―rightgtime‖gproblemgbecausegthegorderedgfrequencyghasgnotgch
anged.gThisgisgnotgag―rightgdose‖gproblemgbecausegthegdosegisgnotgrelatedgtoganginabilitygtogswal
low.gThisgisgnotgag―rightgmedication‖gproblemgbecausegthegmedicationgorderedgwillgnotgchange
,gjustgthegroute.
DIF: CognitivegLevel:gApplication REF:g p.g14
3. Thegnurseghasgbeengmonitoringgthegpatient‘sgprogressgonghisgnewgdruggregimengsincegthegfirstgd
osegandghasgbeengdocumentinggsignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgphasegisg
thegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient‘sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,gan
dgnursinggdiagnosisgaregnotgillustratedgbygthisgexample.
DIF: CognitivegLevel:gApplication REF:gp.g19
,4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus.g
Whichgstatementgbestgillustratesgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstruction
sgandgavoidinggcomplicationsgaregnotgspecificgcriteria.gAdherencegtogthegnewginsulingtreatmentgr
egimengisgnotgobjectivegandgwouldgbegdifficultgtogmeasure.
DIF: CognitivegLevel:gApplication REF:gp.g13
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatientg
whogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus?
a. Providinggeducationgregardinggself-injectiongtechnique
b. Settingggoalsgandgoutcomegcriteriagwithgthegpatient‘sginput
c. Recordinggaghistorygofgover-the-countergmedicationsgusedgatghome
d. Formulatinggnursinggdiagnosesgregardinggknowledgegdeficitsgrelatedgtogthegnewgt
reatmentgregimen
ANS:g A
Educationgisganginterventiongthatgoccursgduringgthegimplementationgphase.gSettingggoalsgandgou
tcomegcriteriagreflectsgthegplanninggphase.gRecordinggagdrugghistorygreflectsgthegassessmentgpha
se.gFormulatinggnursinggdiagnosesgregardinggagknowledgegdeficitgreflectsganalysisgofgdatagasgpa
rtgofgthegplanninggphase.N
DIF: CognitivegLevel:gAnalysis REF:g p.g8g|gp.g13
6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggive
ngthegnursegagmedicationgordergovergthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.gWhatg
isgthegbestgwaygforgthegnursegtogavoidgmedicationgerrors?
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergtogcl
arifygit.gNevergassumegthegroutegofgadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysisg REF:g p.g17
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
, ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug,g
Rightgroute,gRightgdose,gRightgtime,gandgRightgpatient.gRightgeffect,grightgstrength,gandgrightgd
iagnosisgaregnotgpartgofgthegtraditionalgFivegRights.
DIF:g g CognitivegLevel:gComprehensiong g g REF:g p.g13
8. Whatgcorrectlygdescribesg thegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,g
planning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosing,g
planning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplement
ing,gandgfinallygevaluating,gwhichgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication REF:gp.g8
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient‘sgidentification
b. Thegpatient‘sgweight
c. Thegpatient‘sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwith
regardgtoganygdrug–
foodginteractionsgorgcompatibilitygissues.gThegpatient‘sgidentification,gweight,gandgdruggorgfoodg
allergiesgaregnotgaffectedgbygthegdrug‘sgtiming.
DIF: CognitivegLevel:gApplication REF:gp.g17
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgforgh
ergnursinggdiagnosis?
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatementsgs
uchgasg―I‘mgupsetgaboutghavinggtoggivegmyselfgshots‖
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg―I‘mg
upsetgaboutghavinggtoggivegmyselfgshots‖
ANS:g D
PHARMACOLOGYgFORgCANADIANgHEALTHgCAREgPRACTICE
LINDAgLANEgLILLEY,gJULIEgS.gSNYDERgANDgSHELLYgRAINFORTHgCOLLINS
3rd Edition
g
TESTBANK g
,Chapter 01: Nursing Practice in Canada and Drug Therapy
g g g g g g g g
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
g g g g g g g g g
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient‘sgpotentialgneedgorg
problem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhich
agclinicalgjudgementgisgmadegaboutghowgagpatientgrespondsgtogheathgconditionsgandglifegprocesse
sgorgvulnerabilitygforthatgresponse.
DIF: CognitivegLevel:gKnowledge REF:gp.g11
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgisgu
nablegtogswallow,ghegcannotgtakegmedicationgorally,gasgordered.gThegnursegneedsgtogcontactgth
egphysician.gWhatgtypegofgproblemgisgthis?
a. Ag―rightgtime‖gproblem
b. Ag―rightg dose‖gproblem
c. Ag―rightgroute‖gproblem
d. Ag―rightgmedication‖gproblem
ANS:g C
Thisgisgag―rightgroute‖gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroute
withgthegprescriber.gThisgisgnotgag―rightgtime‖gproblemgbecausegthegorderedgfrequencyghasgnotgch
anged.gThisgisgnotgag―rightgdose‖gproblemgbecausegthegdosegisgnotgrelatedgtoganginabilitygtogswal
low.gThisgisgnotgag―rightgmedication‖gproblemgbecausegthegmedicationgorderedgwillgnotgchange
,gjustgthegroute.
DIF: CognitivegLevel:gApplication REF:g p.g14
3. Thegnurseghasgbeengmonitoringgthegpatient‘sgprogressgonghisgnewgdruggregimengsincegthegfirstgd
osegandghasgbeengdocumentinggsignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgphasegisg
thegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient‘sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,gan
dgnursinggdiagnosisgaregnotgillustratedgbygthisgexample.
DIF: CognitivegLevel:gApplication REF:gp.g19
,4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus.g
Whichgstatementgbestgillustratesgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstruction
sgandgavoidinggcomplicationsgaregnotgspecificgcriteria.gAdherencegtogthegnewginsulingtreatmentgr
egimengisgnotgobjectivegandgwouldgbegdifficultgtogmeasure.
DIF: CognitivegLevel:gApplication REF:gp.g13
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatientg
whogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus?
a. Providinggeducationgregardinggself-injectiongtechnique
b. Settingggoalsgandgoutcomegcriteriagwithgthegpatient‘sginput
c. Recordinggaghistorygofgover-the-countergmedicationsgusedgatghome
d. Formulatinggnursinggdiagnosesgregardinggknowledgegdeficitsgrelatedgtogthegnewgt
reatmentgregimen
ANS:g A
Educationgisganginterventiongthatgoccursgduringgthegimplementationgphase.gSettingggoalsgandgou
tcomegcriteriagreflectsgthegplanninggphase.gRecordinggagdrugghistorygreflectsgthegassessmentgpha
se.gFormulatinggnursinggdiagnosesgregardinggagknowledgegdeficitgreflectsganalysisgofgdatagasgpa
rtgofgthegplanninggphase.N
DIF: CognitivegLevel:gAnalysis REF:g p.g8g|gp.g13
6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggive
ngthegnursegagmedicationgordergovergthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.gWhatg
isgthegbestgwaygforgthegnursegtogavoidgmedicationgerrors?
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergtogcl
arifygit.gNevergassumegthegroutegofgadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysisg REF:g p.g17
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
, ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug,g
Rightgroute,gRightgdose,gRightgtime,gandgRightgpatient.gRightgeffect,grightgstrength,gandgrightgd
iagnosisgaregnotgpartgofgthegtraditionalgFivegRights.
DIF:g g CognitivegLevel:gComprehensiong g g REF:g p.g13
8. Whatgcorrectlygdescribesg thegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,g
planning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosing,g
planning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplement
ing,gandgfinallygevaluating,gwhichgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication REF:gp.g8
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient‘sgidentification
b. Thegpatient‘sgweight
c. Thegpatient‘sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwith
regardgtoganygdrug–
foodginteractionsgorgcompatibilitygissues.gThegpatient‘sgidentification,gweight,gandgdruggorgfoodg
allergiesgaregnotgaffectedgbygthegdrug‘sgtiming.
DIF: CognitivegLevel:gApplication REF:gp.g17
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgforgh
ergnursinggdiagnosis?
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedgbygstatementsgs
uchgasg―I‘mgupsetgaboutghavinggtoggivegmyselfgshots‖
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg―I‘mg
upsetgaboutghavinggtoggivegmyselfgshots‖
ANS:g D
