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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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Chapter 01: Nursing Practice in Canada and Drug Therapy
xk xk xk xk xk xk xk xk



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




MULTIPLE CHOICE xk




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


a. A goal xk


b. An assessment xk


c. Subjective data xk


d. A nursing diagnosis
xk xk




ANS: D xk


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
xk xk xk xk xk xk xk xk xk xk xk xk xk xk xk xk


o heath conditions and life processes or vulnerability for that response.
xk xk xk xk xk xk xk xk xk xk




DIF: Cognitive Level: Knowledge xk xk




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


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


a. A ―right time‖ problem
xk xk xk


b. A ―right dose‖ problem
xk xk xk


c. A ―right route‖ problem
xk xk xk


d. A ―right medication‖ problem
xk xk xk




ANS: C xk


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


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


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


t the route.
xk xk




DIF: Cognitive Level: Application xk xk




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


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


a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis xk




ANS: B xk


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


ated by this example.
xk xk xk




DIF: Cognitive Level: Application xk xk




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


s an outcome criterion for this patient?
xk xk xk xk xk xk


a. The patient will follow instructions.
xk xk xk xk


b. The patient will not experience complications.
xk xk xk xk xk


c. The patient adheres to the new insulin treatment regimen.
xk xk xk xk xk xk xk xk


d. The patient demonstrates safe insulin self-administration technique.
xk xk xk xk xk xk




ANS: D xk


Having the patient demonstrate safe insulin self-
xk xk xk xk xk xk


administration technique is a specific and measurable outcome criterion. Following instructions and
xk xk xk xk xk xk xk xk xk xk xk xk


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




DIF: Cognitive Level: Application xk xk




5. Which activity best reflects the implementation phase of the nursing process for the patient who is n
xk xk xk xk xk xk xk xk xk xk xk xk xk xk xk xk

, lOMoARcPSD| 13728229




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


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


a. Recopy the order neatly on the order sheet, with the most common route indicated
xk xk xk xk xk xk xk xk xk xk xk xk xk


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


c. Call the health care provider to clarify the route of administration
xk xk xk xk xk xk xk xk xk xk


d. Withhold the drug until the health care provider visits the patient
xk xk xk xk xk xk xk xk xk xk




ANS: C xk


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


administration.

DIF: Cognitive Level: Application | Cognitive Level: Analysis
xk xk xk xk xk xk




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


a. Right drug, right route, right dose, right time, and right patient
xk xk xk xk xk xk xk xk xk xk


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


c. Right patient, right strength, right diagnosis, right drug, and right route
xk xk xk xk xk xk xk xk xk xk


d. Right patient, right diagnosis, right drug, right route, and right time
xk xk xk xk xk xk xk xk xk xk




ANS: A xk


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


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




DIF: Cognitive Level: Comprehension xk xk




8. What correctly describes the nursing process?
xk xk xk xk xk


a. Diagnosing, planning, assessing, implementing, and finally evaluating
xk xk xk xk xk xk


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


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


g, planning, and finally implementing
xk xk xk xk


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


g, planning, implementing, and evaluating
xk xk xk xk




ANS: D xk


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


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


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




DIF: Cognitive Level: Application xk xk




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


a. The patient‘s identification xk xk


b. The patient‘s weight xk xk


c. The patient‘s last meal xk xk xk


d. Any drug or food allergies xk xk xk xk




ANS: C xk


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


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


‘s timing.
xk




DIF: Cognitive Level: Application xk xk




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


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


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


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


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


m upset about having to give myself shots‖
xk xk xk xk xk xk xk

, lOMoARcPSD| 13728229




Chapter 02: Pharmacological Principles
xk xk xk


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




MULTIPLE CHOICE xk




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


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


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


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


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


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


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


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




DIF: Cognitive Level: Comprehension xk xk




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


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


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


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


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




ANS: C xk


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


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


liver before it reaches the target area.
xk xk xk xk xk xk xk




DIF: Cognitive Level: Comprehension xk xk




3. Which is true regarding parenteral drugs?
xk xk xk xk xk


a. They bypass the first-pass effect. xk xk xk xk


b. They decrease blood flow to the stomach.
xk xk xk xk xk xk


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


d. They exert their effects while circulating in the bloodstream.
xk xk xk xk xk xk xk xk




ANS: A xk


Drugs given by the parenteral route bypass the first-
xk xk xk xk xk xk xk xk


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


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


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


effects while circulating in the bloodstream.
xk xk xk xk xk




DIF: Cognitive Level: Analysis xk xk




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


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


b. The time it takes one- xk xk xk xk


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


c. The time it takes one-
xk xk xk xk


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


d. The time it takes one-
xk xk xk xk


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




ANS: C xk
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