Pharmacology_for_Canadian_Health_Care

,Chapter 01: Nursing Practice in Canada and Drug Therapy
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Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
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MULTIPLE CHOICE vr




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




b. An assessment vr




c. Subjective data vr




d. A nursing diagnosis vr vr




ANS: D v r




Nursing diagnosis is the phase of the nursing process during which vr vr vr vr vr vr vr vr vr vr




a clinical judgement is made about how a patient responds to heath conditions and life processes
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or vulnerability forthat response.
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DIF: Cognitive Level: Knowledge vr vr REF: p. 11 vr vr




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
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the physician. What type of problem is this?
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a. A ―right time‖ problem vr vr vr




b. A ―right dose‖ problem vr vr vr




c. A ―right route‖ problem vr vr vr




d. A ―right medication‖ problem vr vr vr




ANS: v r C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
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withthe prescriber. This is not a ―right time‖ problem because the ordered frequency has not
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changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
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swallow. This is not a ―right medication‖ problem because the medication ordered will not
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change, just the route.
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DIF: Cognitive Level: Application vr vr REF: v r p. 14 vr




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first
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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 vr




ANS: B v r




Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
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nursing diagnosis are not illustrated by this example.
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DIF: Cognitive Level: Application vr vr REF: p. 19 vr vr

,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
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Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions. vr vr vr vr




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 r




Having the patient demonstrate safe insulin self-administration technique is a specific and
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measurable outcome criterion. Following instructions and avoiding complications are not
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specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
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difficult to measure.
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DIF: Cognitive Level: Application vr vr REF: p. 13 vr vr




5. Which activity best reflects the implementation phase of the nursing process for the patient
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vr who is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique vr vr vr vr




b. Setting goals and outcome criteria with the patient‘s input vr vr vr vr vr vr vr vr




c. Recording a history of over-the-counter medications used at home vr vr vr vr vr vr vr vr




d. Formulating nursing diagnoses regarding knowledge deficits related to the new vr vr vr vr vr vr vr vr vr




treatment regimen
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ANS: A v r




Education is an intervention that occurs during the implementation phase. Setting goals and
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outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
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phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
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part of the planning phase.N
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DIF: Cognitive Level: Analysis vr vr REF: p. 8 | p. 13 vr vr vr vr vr




6. The nurse is working during a very busy night shift, and the health care provider has just given
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the nurse a medication order over the telephone, but the nurse does not recall the route. What is
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the best way for the nurse to avoid medication errors?
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a. Recopy the order neatly on the order sheet, with the most common route indicated vr vr vr vr vr vr vr vr vr vr vr vr vr




b. Consult with the pharmacist for clarification about the most common route vr vr vr vr vr vr vr vr vr vr




c. Call the health care provider to clarifythe route of administration
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d. Withhold the drug until the health care provider visits the patient vr vr vr vr vr vr vr vr vr vr




ANS: C v r




If a medication order does not include the route, the nurse must ask the health care provider to
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clarify it. Never assume the route of administration.
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DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: vr vr vr vr vr vr v r v r p. 17 vr




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 vr vr vr vr vr vr vr vr vr vr




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 r

, The traditional Five Rights of medication administration were considered to be Right drug,
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Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
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diagnosis are not part of the traditional Five Rights.
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DIF: v r v r Cognitive Level: Comprehension vr vr v r v r v r REF: v r p. 13 vr




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




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




c. A linear direction that begins with assessing and continues through diagnosing,
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vr planning, and finally implementing vr vr vr




d. An ongoing process that begins with assessing and continues with diagnosing,
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vr planning, implementing, and evaluating vr vr vr




ANS: D v r




The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
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begins with assessing and continues through diagnosing, planning, implementing, and finally
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evaluating, which may then lead back to any of the other phases.
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DIF: Cognitive Level: Application vr vr REF: p. 8 vr vr




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 vr vr




b. The patient‘s weight vr vr




c. The patient‘s last meal vr vr vr




d. Any drug or food allergies vr vr vr vr




ANS: v r C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
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regard to any drug–food interactions or compatibility issues. The patient‘s identification,
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weight, and drug or food allergies are not affected by the drug‘s timing.
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DIF: Cognitive Level: Application vr vr REF: p. 17 vr vr




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
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vr nursing diagnosis? vr




a. Anxiety
b. Anxiety related to new drug therapy vr vr vr vr vr




c. Anxietyrelated to anxious feelings about drug therapy, as evidenced bystatements
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vr such as ―I‘m upset about having to give myself shots‖
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d. Anxietyrelated tonew drugtherapy, asevidenced bystatementssuch as―I‘mvr vr vr vr vr vr vr vr vr vr vr vr




vr upset about having to give myself shots‖ vr vr vr vr vr vr




ANS: D v r