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Test Bank For Lilleys Pharmacology for Canadian Health Care Practice 5th Edition Sealock | All Chapters 1-58| Complete Guide With Solutions| Revised Edition

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Test Bank For Lilleys Pharmacology for Canadian Health Care Practice 5th Edition Sealock | All Chapters 1-58| Complete Guide With Solutions| Revised Edition

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lOMoARcPSD| 13728229




lOMoARcPSD| 13728229

, lOMoARcPSD| 13728229




Chapter 01: Nursing Practice in Canada and Drug Therapy
7u 7u 7u 7u 7u 7u 7u 7u



Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
7u 7u 7u 7u 7u 7u 7u 7u 7u




MULTIPLE CHOICE 7u




1. Which is a judgement about a particular patient‘s potential need or problem?
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. A goal 7u


b. An assessment 7u


c. Subjective data 7u


d. A nursing diagnosis
7u 7u




ANS: D 7u


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
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o heath conditions and life processes or vulnerability for that response.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Knowledge 7u 7u




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. A ―right time‖ problem
7u 7u 7u


b. A ―right dose‖ problem
7u 7u 7u


c. A ―right route‖ problem
7u 7u 7u


d. A ―right medication‖ problem
7u 7u 7u




ANS: C 7u


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


related to an inability to swallow. This is not a ―right medication‖ problem because the medication
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


t the route.
7u 7u




DIF: Cognitive Level: Application 7u 7u




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


gns of possible adverse effects. What nursing process phase is the nurse practising?
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis 7u




ANS: B 7u


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


ated by this example.
7u 7u 7u




DIF: Cognitive Level: Application 7u 7u




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


s an outcome criterion for this patient?
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a. The patient will follow instructions.
7u 7u 7u 7u


b. The patient will not experience complications.
7u 7u 7u 7u 7u


c. The patient adheres to the new insulin treatment regimen.
7u 7u 7u 7u 7u 7u 7u 7u


d. The patient demonstrates safe insulin self-administration technique.
7u 7u 7u 7u 7u 7u




ANS: D 7u


Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Application 7u 7u

, lOMoARcPSD| 13728229




6. The nurse is working during a very busy night shift, and the health care provider has just given the n
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


d. Withhold the drug until the health care provider visits the patient
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




ANS: C 7u


If a medication order does not include the route, the nurse must ask the health care provider to clarif
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


administration.

DIF: Cognitive Level: Application | Cognitive Level: Analysis
7u 7u 7u 7u 7u 7u




7. Which constitutes the traditional Five Rights of medication administration?
7u 7u 7u 7u 7u 7u 7u 7u


a. Right drug, right route, right dose, right time, and right patient
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


b. Right drug, the right effect, the right route, the right time, and the right patient
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


c. Right patient, right strength, right diagnosis, right drug, and right route
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


d. Right patient, right diagnosis, right drug, right route, and right time
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




ANS: A 7u


The traditional Five Rights of medication administration were considered to be Right drug, Right rou
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Comprehension 7u 7u




8. What correctly describes the nursing process?
7u 7u 7u 7u 7u


a. Diagnosing, planning, assessing, implementing, and finally evaluating
7u 7u 7u 7u 7u 7u


b. Assessing, then diagnosing, implementing, and ending with evaluating
7u 7u 7u 7u 7u 7u 7u


c. A linear direction that begins with assessing and continues through diagnosin
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


g, planning, and finally implementing
7u 7u 7u 7u


d. An ongoing process that begins with assessing and continues with diagnosin
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


g, planning, implementing, and evaluating
7u 7u 7u 7u




ANS: D 7u


The nursing process is an ongoing, flexible, adaptable, and adjustable five-
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


step process that begins with assessing and continues through diagnosing, planning, implementing, a
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


h may then lead back to any of the other phases.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Application 7u 7u




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. The patient‘s identification 7u 7u


b. The patient‘s weight 7u 7u


c. The patient‘s last meal 7u 7u 7u


d. Any drug or food allergies 7u 7u 7u 7u




ANS: C 7u


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


‘s timing.
7u




DIF: Cognitive Level: Application 7u 7u




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. Anxiety
b. Anxiety related to new drug therapy 7u 7u 7u 7u 7u


c. Anxiety related to anxious feelings about drug therapy, as evidenced b
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


y statements such as ―I‘m upset about having to give myself shots‖
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


m upset about having to give myself shots‖
7u 7u 7u 7u 7u 7u 7u

, lOMoARcPSD| 13728229




Chapter 02: Pharmacological Principles
7u 7u 7u


Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
7u 7u 7u 7u 7u 7u 7u 7u 7u




MULTIPLE CHOICE 7u




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both a
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


n in identical amounts. Which term best denotes that the drugs have the same absorption rates?
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D 7u


Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effec
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term u
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


stances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Comprehension 7u 7u




2. A patient is receiving medication via intravenous injection. Which information should the nurse prov
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


a. The medication will cause fewer adverse effects when given intravenously.
7u 7u 7u 7u 7u 7u 7u 7u 7u


b. The medication will be absorbed slowly into the tissues over time.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


c. The medication‘s action will begin faster when given intravenously.
7u 7u 7u 7u 7u 7u 7u 7u


d. Most of the drug is inactivated by the liver before it reaches the target area.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




ANS: C 7u


Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


he intravenous route is not a slow route of absorption, and the intravenous route does not cause inac
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


liver before it reaches the target area.
7u 7u 7u 7u 7u 7u 7u




DIF: Cognitive Level: Comprehension 7u 7u




3. Which is true regarding parenteral drugs?
7u 7u 7u 7u 7u


a. They bypass the first-pass effect. 7u 7u 7u 7u


b. They decrease blood flow to the stomach.
7u 7u 7u 7u 7u 7u


c. They are altered by the presence of food in the stomach.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


d. They exert their effects while circulating in the bloodstream.
7u 7u 7u 7u 7u 7u 7u 7u




ANS: A 7u


Drugs given by the parenteral route bypass the first-
7u 7u 7u 7u 7u 7u 7u 7u


pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. E
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


rally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of f
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


ral drugs must be absorbed into cells and tissues from the circulation before they can exert their eff
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


effects while circulating in the bloodstream.
7u 7u 7u 7u 7u




DIF: Cognitive Level: Analysis 7u 7u




4. A drug‘s half-life is best defined as
7u 7u 7u 7u 7u 7u


a. The time it takes for the drug to elicit half its therapeutic response.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


b. The time it takes one- 7u 7u 7u 7u


half of the original amount of a drug to reach the target cells.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


c. The time it takes one-
7u 7u 7u 7u


half of the original amount of a drug to be removed from the body.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u


d. The time it takes one-
7u 7u 7u 7u


half of the original amount of a drug to be absorbed into the circulation.
7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u 7u




ANS: C 7u
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