xx xx xx xx
PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
xx xx xx xx xx xx
CHS1-58
xx x
,CH 01: Nursing Practice in Canada and Drug Therapy
xx xx xx xx xx xx xx xx
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
xx xx xx xx xx xx xx xx xx
MULTIPLE xxCHOICE
1. Which xxis xxa xxjudgment xxabout xxa xxparticular xxhospital xxclient‘s xxpotential xxneed xxor xxproblem?
a. A xxgoal
b. An xxassessment
c. Subjective xxdata
d. A xxnursing xxdiagnosis
ACCURATE xxANS:- x x D
Reasoning:->>> xxNursing xxdiagnosis xxis xxthe xxphase xxof xxthe xxnursing xxprocess
xxduring xxwhich xxa xxclinicalx
judgement xxis xxmade xxabout xxhow xxa xxhospital xxclient
xxresponds xxto xxheath xx conditions xxand xxlife xxprocesses xx or xxvulnerability xxfor xxthat
xxresponse.
DIFFICULT: xxCognitive xxLevel: xxKnowledge REF: xxp. xx11
2. The xxhospital xxclient xxis xxto xxreceive xxoral xxfurosemide xx(Lasix) xxevery xxday;
xxhowever, xxbecause xxthe xxhospital xxclient xxis xx unable xxto xxswallow, xxhe xxcannot
xxtake xxmedication xx orally, xxas xx ordered. xx The xxnursing xxattendant xxneeds xxto
xxcontact xxthe xxphysician. xx What xxtype xx of xxproblem xxis xxthis?
a. A xx―right xxtime‖ xxproblem
b. A xx―right xxdose‖ xxproblem
c. A xx―right xxroute‖ xxproblem
d. A xx―right xxmedication‖ xxproblem
ACCURATE xxANS:- x x C
Reasoning:->>>This x x is xxa x x ―right x x route‖ x x problem: x x the x x nursing xxattendant x x cannot
x x assume x x the x x route xx and xxmust xxclarify xxthe xxroute
with x x the x x prescriber. x x This x x is x x not x x a x x ―right x x time‖ x x problem x x because x x the
x x ordered x x frequency x x has x x notx changed. xxThis xxis xxnot xxa xx―right xxdose‖ xxproblem
xxbecause xxthe xxdose xxis xxnot xxrelated xxto xxan xxinability xxtox swallow. xxThis xxis xxnot xxa
xx―right xxmedication‖ xx problem xxbecause xxthe xxmedication xxordered xxwill xxnot
change, xxjust xxthe xxroute.
x
DIFFICULT: xxCognitive xxLevel: xxApplication REF: xxp. xx14
3. The xxnursing xxattendant xxhas xxbeen xxmonitoring xxthe xxhospital xxclient‘s xxprogress
xxon xxhis xx new xx drug xxregimen xxsince xxthe xxfirst xxdose xxand xxhas xxbeen xxdocumenting
xxsigns xxof xxpossible xxadverse xxeffects. xxWhat xxnursingx process xxphase xxis xxthe xxnursing
xxattendant xxpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing xxdiagnosis
ACCURATE xxANS:- x x B
Reasoning:->>>Monitoring xxthe xxhospital xxclient‘s xxprogress xxis xxpart xxof xxthe xxevaluation
xxphase. xxPlanning,x
implementation, xxand xxnursing xxdiagnosis xxare xxnot xxillustrated xxby xxthis
xxexample.
DIFFICULT: xxCognitive xxLevel: xxApplication REF: xxp. xx19
,4. The xxnursing xxattendant xxis xxcaring xxfor xxa xxhospital xxclient xxwho xxhas xxbeen
xxnewly xxdiagnosed xxwith xxtype xx1d x iabetes x x mellitus. x x Which x x statement x x best
x x illustrates x x an x x outcome x x criterion x x for x x this x x hospital xxclient?
a. The x x hospital xxclient x x will x x follow x x instructions.
b. The xxhospital xxclient xxwill xxnot xxexperience xxcomplications.
c. The xxhospital xxclient xxadheres xxto xxthe xxnew xxinsulin xxtreatment xxregimen.
d. The x x hospital xxclient x x demonstrates x x safe x x insulin x x self-administration x x technique.
ACCURATE xxANS:- x x D
Reasoning:->>>Having x x the x x hospital xxclient x x demonstrate x x safe x x insulin x x self-
administration x x technique x x is x x a xxspecific xxand xxmeasurable xxoutcome xxcriterion.
xxFollowing xxinstructions xx and xxavoiding xxcomplications x x are x x not x x specific
x x criteria. x x Adherence x x to x x the x x new x x insulin x x treatment x x regimen x x is x x not
xxobjective xxand xxwould xxbe xxDifficult xxto xx measure.
DIFFICULT: xxCognitive xxLevel: xxApplication REF: xxp. xx13
5. Which xxactivity xxbest xxreflects xxthe xximplementation xxphase xxof xxthe xxnursing
xxprocess xxfor xxthe xxhospital xxclientw x ho xxis xxnewly xxdiagnosed x x with xxtype xx1
xxdiabetes xxmellitus?
a. Providing x x education x x regarding x x self-injection x x technique
b. Setting xxgoals xxand xxoutcome xxcriteria xxwith xxthe xxhospital xxclient‘s xxinput
c. Recording x x a x x history x x of x x over-the-counter x x medications x x used x x at x x home
d. Formulating x x nursing x x diagnoses x x regarding x x knowledge x x deficits
x x related x x to x x the x x new xxtreatment xxregimen
ACCURATE xxANS:- x x A
Reasoning:->>>Education xxis xxan xxintervention xxthat xxoccurs xxduring xxthe
xximplementation xxphase. xxSetting xxgoals xxand xx outcome xxcriteria xxreflects xxthe
xxplanning xx phase. xxRecording xxa xx drug xxhistory xxreflects xxthe xxassessment xxphase.
xxFormulating xxnursing xxdiagnoses xxregarding xxa xxknowledge xxdeficitx reflects xxanalysis
xxof xxdata
as xxpart xxof xxthe xxplanning xxphase.
DIFFICULT: xxCognitive xxLevel: xxAnalysis REF: xxp. xx8 xx| xxp. xx13
6. The xxnursing xxattendant xxis xxworking xxduring xxa xxvery xxbusy xxnight xxshift, xxand
xxthe xxprimary xx care xxprovider xxhas xxjust xxgiven xxthe xxnursing xxattendant xxa
xxmedication xxorder xxover xxthe xxtelephone, xxbut xxthex nursing xxattendant xxdoes xxnot
xxrecall xxthe xxroute. xxWhat xxis xxthe xx best xxway xx for xxthe xxnursing xxattendant x to xxavoid
xx medication xxerrors?
a. Recopy xxthe x x order x x neatly x x on x x the x x order x x sheet, x x with x x the x x most x x common
x x route x x indicated
b. Consult xxwith xxthe xxpharmacist xxfor xxclarification xxabout xxthe xxmost xxcommon xxroute
c. Call xxthe xxprimary xxcare xxprovider xxto xxclarify xxthe xxroute xxof xxadministration
d. Withhold xxthe xxdrug xxuntil xxthe xxprimary xxcare xxprovider xxvisits xxthe xxhospital xxclient
ACCURATE xxANS:- x xC
Reasoning:->>>If x x a x x medication x x order x x does x x not x x include x x the x x route, x x the
x x nursing xxattendant x x must xxask xxthe xxprimary xxcare xx provider xxto xxclarify xxit. xxNever
xxassume xxthe xxroute xxof xxadministration.
DIFFICULT: xxCognitive xxLevel: xxApplication xx| xxCognitive xxLevel: xxAnalysis xx REF: x x p. xx17
7. Which xx constitutes x x the xx traditional xx Five x x Rights xx of x x medication xx administration?
, a. Right xxdrug, xxright xxroute, xxright xxdose, xxright xxtime, xxand xxright xxhospital xxclient
b. Right xxdrug, xxthe xxright xxeffect, xxthe xxright xxroute, xxthe xxright xxtime, xxand xxthe xxright xxhospital
xxclient
c. Right xxhospital xxclient, xxright xxstrength, xxright xxdiagnosis, xxright xxdrug, xxand xxright xxroute
d. Right xxhospital xxclient, xxright xxdiagnosis, xxright xxdrug, xxright xxroute, xxand xxright xxtime
ACCURATE xxANS:- x x A