TESTBANK
LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
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KARA SEALOCK
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4th Edition
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TESTBANK w
, lOMoAR g cPSD| 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE g
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal g
b. An assessment g
c. Subjective data g
d. A nursing diagnosis g g
ANS: g g D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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to heath conditions and life processes or vulnerability for that response.
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DIF: g g Cognitive Level: Knowledge g g
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
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g take medication orally, as ordered. The nurse needs to contact the physician. What type of pro
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a. A “right time” problem
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b. A “right dose” problem
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c. A “right route” problem
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d. A “right medication” problem
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ANS: g g C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with
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“right time” problem because the ordered frequency has not changed. This is not a “right
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dose is not related to an inability to swallow. This is not a “right medication” problem because the
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change, just the route.
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DIF: g g Cognitive Level: Application g g
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and
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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 g
ANS: g g B
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
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illustrated by this example.
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DIF: g g Cognitive Level: Application g g
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
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an outcome criterion for this patient?
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a. The patient will follow instructions.g g g g
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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ANS: g g D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
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Following instructions and avoiding complications are not specific criteria. Adherence to the new insu
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gnot objective and would be difficult to measure.
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,Copyright © 2021, Elsevier Inc. All rights reserved.
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, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nur
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over the telephone, but the nurse does not recall the route. What is the best way for the nurse to
g g g g g g g g g g g g g g g g g g g g
gerrors?
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 g
If a medication order does not include the route, the nurse must ask the health care provider to clarify i
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administration.
g
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 g
The traditional Five Rights of medication administration were considered to be Right drug, Right route
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and Right patient. Right effect, right strength, and right diagnosis are not part of the traditiona
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DIF: Cognitive Level: Comprehension g g
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating g g g g g g
b. Assessing, then diagnosing, implementing, and ending with evaluating
g g g g g g g
c. A linear direction that begins with assessing and continues through
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diagnosing, planning, and finally implementing
g g g g g
d. An ongoing process that begins with assessing and continues with
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diagnosing, planning, implementing, and evaluating
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ANS: D g
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
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through diagnosing, planning, implementing, and finally evaluating, which may then lead back
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phases.
g
DIF: Cognitive Level: Application g g
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 g g
b. The patient’s weight g g
c. The patient’s last meal g g g
d. Any drug or food allergies g g g g
ANS: C g
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
g g g g g g g g g g g g g g g
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affe
g g g g g g g g g g g g g g
DIF: Cognitive Level: Application g g
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
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a. Anxiety
b. Anxiety related to new drug therapy g g g g g
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 shots”
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d. Anxiety related to new drug therapy, as evidenced by statements such as
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“I’m upset about having to give myself shots”
g g g g g g g
LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
g g g g g g
KARA SEALOCK
g
4th Edition
g
TESTBANK w
, lOMoAR g cPSD| 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
g g g g g g g g
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
g g g g g g g g g
MULTIPLE CHOICE g
1. Which is a judgement about a particular patient’s potential need or problem?
g g g g g g g g g g g
a. A goal g
b. An assessment g
c. Subjective data g
d. A nursing diagnosis g g
ANS: g g D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
g g g g g g g g g g g g g g g g
to heath conditions and life processes or vulnerability for that response.
g g g g g g g g g g g
DIF: g g Cognitive Level: Knowledge g g
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
g g g g g g g g g g g g g g g g g
g take medication orally, as ordered. The nurse needs to contact the physician. What type of pro
g g g g g g g g g g g g g g g
a. A “right time” problem
g g g
b. A “right dose” problem
g g g
c. A “right route” problem
g g g
d. A “right medication” problem
g g g
ANS: g g C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with
g g g g g g g g g g g g g g g g g
“right time” problem because the ordered frequency has not changed. This is not a “right
g g g g g g g g g g g g g g g g
dose is not related to an inability to swallow. This is not a “right medication” problem because the
g g g g g g g g g g g g g g g g g g
change, just the route.
g g g g
DIF: g g Cognitive Level: Application g g
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and
g g g g g g g g g g g g g g g g g g
g signs of possible adverse effects. What nursing process phase is the nurse practising?
g g g g g g g g g g g g
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis g
ANS: g g B
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
g g g g g g g g g g g g g
illustrated by this example.
g g g g
DIF: g g Cognitive Level: Application g g
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
g g g g g g g g g g g g g g g g g g
an outcome criterion for this patient?
g g g g g g
a. The patient will follow instructions.g g g g
b. The patient will not experience complications.
g g g g g
c. The patient adheres to the new insulin treatment regimen.
g g g g g g g g
d. The patient demonstrates safe insulin self-administration technique.
g g g g g g
ANS: g g D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
g g g g g g g g g g g g g
Following instructions and avoiding complications are not specific criteria. Adherence to the new insu
g g g g g g g g g g g g g g
gnot objective and would be difficult to measure.
g g g g g g g
,Copyright © 2021, Elsevier Inc. All rights reserved.
g g g g g g g
, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nur
g g g g g g g g g g g g g g g g g g g
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to
g g g g g g g g g g g g g g g g g g g g
gerrors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
g g g g g g g g g g g g g
b. Consult with the pharmacist for clarification about the most common route
g g g g g g g g g g
c. Call the health care provider to clarify the route of administration
g g g g g g g g g g
d. Withhold the drug until the health care provider visits the patient
g g g g g g g g g g
ANS: C g
If a medication order does not include the route, the nurse must ask the health care provider to clarify i
g g g g g g g g g g g g g g g g g g g
administration.
g
DIF: Cognitive Level: Application | Cognitive Level: Analysis
g g g g g g
7. Which constitutes the traditional Five Rights of medication administration?
g g g g g g g g
a. Right drug, right route, right dose, right time, and right patient
g g g g g g g g g g
b. Right drug, the right effect, the right route, the right time, and the right patient
g g g g g g g g g g g g g g
c. Right patient, right strength, right diagnosis, right drug, and right route
g g g g g g g g g g
d. Right patient, right diagnosis, right drug, right route, and right time
g g g g g g g g g g
ANS: A g
The traditional Five Rights of medication administration were considered to be Right drug, Right route
g g g g g g g g g g g g g g
and Right patient. Right effect, right strength, and right diagnosis are not part of the traditiona
g g g g g g g g g g g g g g g g
DIF: Cognitive Level: Comprehension g g
8. What correctly describes the nursing process?
g g g g g
a. Diagnosing, planning, assessing, implementing, and finally evaluating g g g g g g
b. Assessing, then diagnosing, implementing, and ending with evaluating
g g g g g g g
c. A linear direction that begins with assessing and continues through
g g g g g g g g g
diagnosing, planning, and finally implementing
g g g g g
d. An ongoing process that begins with assessing and continues with
g g g g g g g g g
diagnosing, planning, implementing, and evaluating
g g g g g
ANS: D g
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
g g g g g g g g g g g g g g
through diagnosing, planning, implementing, and finally evaluating, which may then lead back
g g g g g g g g g g g g g
phases.
g
DIF: Cognitive Level: Application g g
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
g g g g g g g g g g g g g g g g
a. The patient’s identification g g
b. The patient’s weight g g
c. The patient’s last meal g g g
d. Any drug or food allergies g g g g
ANS: C g
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
g g g g g g g g g g g g g g g
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affe
g g g g g g g g g g g g g g
DIF: Cognitive Level: Application g g
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
g g g g g g g g g g g g g g g g g
a. Anxiety
b. Anxiety related to new drug therapy g g g g g
c. Anxiety related to anxious feelings about drug therapy, as evidenced
g g g g g g g g g
by statements such as “I’m upset about having to give myself shots”
g g g g g g g g g g g g
d. Anxiety related to new drug therapy, as evidenced by statements such as
g g g g g g g g g g g
“I’m upset about having to give myself shots”
g g g g g g g
