TEST BANK - Lilleys Pharmacology for Canadian Health Care Practice, 4th Edition (Sealock), Chapters 1 - 58 | All Chapters

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TEST BANK - Lilleys Pharmacology for Canadian Health Care Practice, 4th
Edition (Sealock), Chapters 1 - 58 | All Chapters

,TABLEOF CONTENTS
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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 fi




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


b. An assessment fi


c. Subjective data fi


d. A nursing diagnosis fi fi




ANSWER: frxzrxzix z x z D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to he ath conditions an d l
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ife processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge fi fi




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take m e di
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cation 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 fi fi fi


b. A —right dose‖ problem fi fi fi


c. A —right route‖ problem fi fi fi


d. A —right medication‖ problem fi fi fi




ANSWER: fx z ix z x z C
This is a —right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a —
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right ti me‖ problem because the ordered frequency has not changed. This is not a —
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right dose‖ problem because the dose is not related to an i n ability to swallow. This is not a —
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right medication‖ problem because the medication ordered will not change, just the route.
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DIF: Cognitive Level: Application fi fi




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting signs of
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x z possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fi




ANSWER: frxzrxzix z x z B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
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by this example.
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DIF: Cognitive Level: Application fi fi




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


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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ANSWER: frxzrxzix z x z D
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are not sp ecific criteria
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. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: Cognitive Level: Application fi fi




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


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


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


d. Formulating nursing diagnoses regarding knowledge deficits related to the new tr e fi fi fi fi fi fi fi fi fi fi xz




atment regimen fi




ANSWER: frxzrxzix z x z A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning ph a
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se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit reflects a nal
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ysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis fi fi

, Copyright © 2021, Elsevier Inc. All rights reserved.
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