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
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE N9




1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal N9


b. An assessment N9


c. Subjective data N9


d. A nursing diagnosis N9 N9




ANS: D N9


Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made
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ds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge N9 N9




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unabl
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ot take medication orally, as ordered. The nurse needs to contact the physician. What type of pro
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a. A ―right time‖ problemN9 N9 N9


b. A ―right dose‖ problemN9 N9 N9


c. A ―right route‖ problem
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d. A ―right medication‖ problem
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ANS: C N9


This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with
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a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right dose
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e is not related to an inability to swallow. This is not a ―right medication‖ problem because the m
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change, just the route.
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DIF: Cognitive Level: Application N9 N9




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose
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g signs of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis N9




ANS: B N9


Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nu
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ustrated by this example. N9 N9 N9




DIF: Cognitive Level: Application N9 N9




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. W
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rates an N9 N9 outcome criterion for this patient?N9 N9 N9 N9


a. The patient will follow instructions.
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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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6. The nurse is working during a very busy night shift, and the health care provider has just given th
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der over the telephone, but the nurse does not recall the route. What is the best way for the nurs
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rors?
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
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d. Withhold the drug until the health care provider visits the patient
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ANS: C N9


If a medication order does not include the route, the nurse must ask the health care provider to cl
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e of administration.
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DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A N9


The traditional Five Rights of medication administration were considered to be Right drug, Right
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nd Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Fiv
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DIF: Cognitive Level: Comprehension N9 N9




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnosi
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ng, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosi
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ng, planning, implementing, and evaluating
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ANS: D N9


The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing,
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hich may then lead back to any of the other phases.
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DIF: Cognitive Level: Application N9 N9




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification
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b. The patient‘s weight N9 N9


c. The patient‘s last meal N9 N9 N9


d. Any drug or food allergies
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ANS: C N9


The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food all
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rug‘s timing. N9




DIF: Cognitive Level: Application N9 N9




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for h
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a. Anxiety
b. Anxiety related to new drug therapy N9 N9 N9 N9 N9


c. Anxiety related to anxious feelings about drug therapy, as evidenced
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by statements such as ―I‘m upset about having to give myself shot
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s‖

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C, E, A, D, B
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DIF: Cognitive Level: Analysis
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