PHARMACOLOGY IFOR ICANADIAN IHEALTH ICARE IPRACTICE
LINDA ILANE ILILLEY, IJULIE IS. ISNYDER IAND ISHELLY IRAINFORTH ICOLLINS
3rd Edition
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TESTBANK I
,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 ICHOICE
1. Which Iis Ia Ijudgement Iabout Ia Iparticular Ipatient‘s Ipotential Ineed
or Iproblem?
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a. A Igoal
b. An Iassessment
c. Subjective Idata
d. A Inursing Idiagnosis
ANS: I D
Nursing Idiagnosis Iis Ithe Iphase Iof Ithe Inursing Iprocess Iduring Iwhich
a Iclinical Ijudgement Iis Imade Iabout Ihow Ia Ipatient Iresponds Ito Iheath Iconditions Iand Ilife
Iprocesses Ior Ivulnerability Iforthat Iresponse.
DIF: Cognitive ILevel: IKnowledge REF: Ip. I11
2. The Ipatient Iis Ito Ireceive Ioral Ifurosemide I(Lasix) Ievery Iday; Ihowever, Ibecause Ithe
Ipatient Iis Iunable Ito Iswallow, Ihe Icannot Itake Imedication Iorally, Ias Iordered. IThe Inurse
Ineeds Ito Icontact Ithe Iphysician. IWhat Itype Iof Iproblem Iis Ithis?
a. A I―right Itime‖ Iproblem
b. A I―right Idose‖ Iproblem
c. A I―right Iroute‖ Iproblem
d. A I―right Imedication‖ Iproblem
ANS: I C
This Iis Ia I―right Iroute‖ Iproblem: Ithe Inurse Icannot Iassume Ithe Iroute Iand Imust Iclarify Ithe Iroute
with Ithe Iprescriber. IThis Iis Inot Ia I―right Itime‖ Iproblem Ibecause Ithe Iordered Ifrequency Ihas Inot
Ichanged. IThis Iis Inot Ia I―right Idose‖ Iproblem Ibecause Ithe Idose Iis Inot Irelated Ito Ian Iinability
Ito Iswallow. IThis Iis Inot Ia I―right Imedication‖ Iproblem Ibecause Ithe Imedication Iordered
Iwill Inot Ichange, Ijust Ithe Iroute.
DIF: Cognitive ILevel: IApplication REF: I p. I14
3. The Inurse Ihas Ibeen Imonitoring Ithe Ipatient‘s Iprogress Ion Ihis Inew Idrug Iregimen Isince Ithe
Ifirst Idose Iand Ihas Ibeen Idocumenting Isigns Iof Ipossible Iadverse Ieffects. IWhat Inursing
Iprocess Iphase Iis Ithe Inurse Ipractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing Idiagnosis
ANS: I B
Monitoring Ithe Ipatient‘s Iprogress Iis Ipart Iof Ithe Ievaluation Iphase. IPlanning, Iimplementation,
Iand Inursing Idiagnosis Iare Inot Iillustrated Iby Ithis I example.
DIF: Cognitive ILevel: IApplication REF: Ip. I19
,4. The Inurse Iis Icaring Ifor Ia Ipatient Iwho Ihas Ibeen Inewly Idiagnosed Iwith Itype I1 Idiabetes
mellitus. IWhich Istatement Ibest Iillustrates Ian Ioutcome Icriterion Ifor Ithis Ipatient?
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a. The Ipatient Iwill Ifollow Iinstructions.
b. The Ipatient Iwill Inot Iexperience Icomplications.
c. The Ipatient Iadheres Ito Ithe Inew Iinsulin Itreatment Iregimen.
d. The Ipatient Idemonstrates Isafe Iinsulin Iself-administration Itechnique.
ANS: I D
Having Ithe Ipatient Idemonstrate Isafe Iinsulin Iself-administration Itechnique Iis Ia Ispecific Iand
Imeasurable Ioutcome I criterion. IFollowing Iinstructions Iand Iavoiding Icomplications I are Inot
Ispecific Icriteria. IAdherence Ito Ithe Inew Iinsulin Itreatment Iregimen Iis Inot Iobjective Iand
Iwould Ibe Idifficult Ito Imeasure.
DIF: Cognitive ILevel: IApplication REF: Ip. I13
5. Which Iactivity Ibest Ireflects Ithe Iimplementation Iphase Iof Ithe Inursing Iprocess Ifor Ithe
I patient Iwho Iis Inewly Idiagnosed Iwith Itype I1 Idiabetes Imellitus?
a. Providing Ieducation Iregarding Iself-injection Itechnique
b. Setting Igoals Iand Ioutcome Icriteria Iwith Ithe Ipatient‘s Iinput
c. Recording Ia Ihistory Iof Iover-the-counter Imedications Iused Iat Ihome
d. Formulating Inursing Idiagnoses Iregarding Iknowledge Ideficits Irelated Ito Ithe
Inew Itreatment Iregimen
ANS: I A
Education Iis Ian Iintervention Ithat Ioccurs Iduring Ithe Iimplementation Iphase. ISetting Igoals
Iand Ioutcome Icriteria Ireflects Ithe Iplanning Iphase. IRecording Ia Idrug Ihistory Ireflects Ithe
Iassessment Iphase. IFormulating Inursing Idiagnoses Iregarding Ia Iknowledge Ideficit Ireflects
Ianalysis Iof Idata Ias Ipart Iof Ithe Iplanning Iphase. N
DIF: Cognitive ILevel: IAnalysis REF: Ip. I8 I| Ip. I13
6. The Inurse Iis Iworking Iduring Ia Ivery Ibusy Inight Ishift, Iand Ithe Ihealth Icare Iprovider Ihas Ijust
given Ithe Inurse Ia Imedication Iorder Iover Ithe Itelephone, Ibut Ithe Inurse Idoes Inot Irecall Ithe
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route. IWhat Iis Ithe Ibest Iway Ifor Ithe Inurse Ito Iavoid Imedication Ierrors?
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a. Recopy Ithe Iorder Ineatly Ion Ithe Iorder Isheet, Iwith Ithe Imost Icommon Iroute Iindicated
b. Consult Iwith Ithe Ipharmacist Ifor Iclarification Iabout Ithe Imost Icommon Iroute
c. Call Ithe Ihealth Icare Iprovider Ito Iclarify Ithe Iroute Iof Iadministration
d. Withhold Ithe Idrug Iuntil Ithe Ihealth Icare Iprovider Ivisits Ithe Ipatient
ANS: I C
If Ia Imedication Iorder Idoes Inot Iinclude Ithe Iroute, Ithe Inurse Imust Iask Ithe Ihealth Icare Iprovider
Ito Iclarify Iit. INever Iassume Ithe Iroute Iof Iadministration.
DIF: Cognitive ILevel: IApplication I| ICognitive ILevel: IAnalysis I REF: I p. I17
7. Which Iconstitutes Ithe Itraditional IFive IRights Iof Imedication Iadministration?
a. Right Idrug, Iright Iroute, Iright Idose, Iright Itime, Iand Iright Ipatient
b. Right Idrug, Ithe Iright Ieffect, Ithe Iright Iroute, Ithe Iright Itime, Iand Ithe Iright Ipatient
c. Right Ipatient, Iright Istrength, Iright Idiagnosis, Iright Idrug, Iand Iright Iroute
d. Right Ipatient, Iright Idiagnosis, Iright Idrug, Iright Iroute, Iand Iright Itime
ANS: I A
, The Itraditional IFive IRights Iof Imedication Iadministration Iwere Iconsidered Ito Ibe IRight
Idrug, IRight Iroute, IRight Idose, IRight Itime, Iand IRight Ipatient. IRight Ieffect, Iright Istrength,
Iand Iright Idiagnosis Iare Inot Ipart Iof Ithe Itraditional IFive IRights.
DIF: I I Cognitive ILevel: IComprehension I I I REF: I p. I13
8. What Icorrectly Idescribes Ithe Inursing Iprocess?
a. Diagnosing, Iplanning, Iassessing, Iimplementing, Iand Ifinally Ievaluating
b. Assessing, Ithen Idiagnosing, Iimplementing, Iand Iending Iwith Ievaluating
c. A Ilinear Idirection Ithat Ibegins Iwith Iassessing Iand Icontinues Ithrough
Idiagnosing, Iplanning, Iand Ifinally Iimplementing
d. An Iongoing Iprocess Ithat Ibegins Iwith Iassessing Iand Icontinues Iwith
Idiagnosing, Iplanning, Iimplementing, Iand Ievaluating
ANS: I D
The Inursing Iprocess Iis Ian Iongoing, Iflexible, Iadaptable, Iand Iadjustable Ifive-step Iprocess
Ithat Ibegins Iwith Iassessing Iand Icontinues Ithrough Idiagnosing, Iplanning, Iimplementing, Iand
Ifinally Ievaluating, Iwhich Imay Ithen Ilead Iback Ito I any Iof Ithe Iother Iphases.
DIF: Cognitive ILevel: IApplication REF: Ip. I8
9. When Ithe Inurse Iis Iconsidering Ithe Itiming Iof Ia Idrug Idose, Iwhich Iis Imost Iimportant Ito Iassess?
a. The Ipatient‘s Iidentification
b. The Ipatient‘s Iweight
c. The Ipatient‘s Ilast Imeal
d. Any Idrug Ior Ifood Iallergies
ANS: I C
The Ipharmacokinetic Iand Ipharmacodynamic Iproperties Iof Ithe Idrug Ineed Ito Ibe Iassessed Iwith
regard Ito Iany Idrug–food Iinteractions Ior Icompatibility Iissues. IThe Ipatient‘s Iidentification,
Iweight, Iand Idrug Ior Ifood Iallergies Iare Inot Iaffected Iby Ithe Idrug‘s Itiming.
DIF: Cognitive ILevel: IApplication REF: Ip. I17
10. The Inurse Iis Iwriting Inursing Idiagnoses Ifor Ia Iplan Iof Icare. IWhich Ireflects Ithe Icorrect Iformat
I for Iher Inursing Idiagnosis?
a. Anxiety
b. Anxiety Irelated Ito Inew Idrug Itherapy
c. Anxiety Irelated Ito Ianxious Ifeelings Iabout Idrug Itherapy, Ias Ievidenced Iby
statements Isuch Ias I―I‘m Iupset Iabout Ihaving Ito Igive Imyself Ishots‖
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d. Anxiety Irelated Ito Inew Idrug Itherapy, Ias Ievidenced Iby Istatements Isuch Ias I―I‘m
Iupset Iabout Ihaving Ito Igive Imyself Ishots‖
ANS: I D