TESTBANK d
PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
d d d d d
LINDALANE LILLEY, JULIE S. SNYDER AND SHELLYRAINFORTH COLLINS
d d d d d d d d d
3rd Edition
d
TESTBANK d
,Chapter 01: Nursing Practice in Canada and Drug Therapy
d d d d d d d d
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
d d d d d d d d d
MULTIPLE CHOICE d
1. Which is a judgement about a particular patient‘s potential need or
d d d d d d d d d d
problem?
d
a. A goal d
b. An assessment d
c. Subjective data d
d. A nursing diagnosis
d d
ANS: D d
Nursing diagnosis is the phase of the nursing process during which
d d d d d d d d d d
a clinical judgement is made about how a patient responds to heath conditions and life processes or
d d d d d d d d d d d d d d d d
vulnerability forthat response.
d d d
DIF: Cognitive Level: Knowledge d d REF: p. 11 d d
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
d d d d d d d d d d d d d d
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the
d d d d d d d d d d d d d d d d
physician. What type of problem is this?
d d d d d d d
a. A ―right time‖ problem
d d d
b. A ―right dose‖ problem
d d d
c. A ―right route‖ problem
d d d
d. A ―right medication‖ problem
d d d
ANS: C d
This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
d d d d d d d d d d d d d d d d
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
d d d d d d d d d d d d d d d
changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
d d d d d d d d d d d d d d d d d d
swallow. This is not a ―right medication‖ problem because the medication ordered will not
d d d d d d d d d d d d d d
change, just the route.
d d d d
DIF: Cognitive Level: Application d d REF: p. 14 d d
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose
d d d d d d d d d d d d d d d d
and has been documenting signs of possible adverse effects. What nursing process phase is the
d d d d d d d d d d d d d d d
nurse practising?
d d
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis d
ANS: B d
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
d d d d d d d d d d d d
nursing diagnosis are not illustrated by this example.
d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 19 d d
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
d d d d d d d d d d d d d d d d
Which statement best illustrates an outcome criterion for this patient?
d d d d d d d d d d
a. The patient will follow instructions.
d d d d
b. The patient will not experience complications.
d d d d d
c. The patient adheres to the new insulin treatment regimen.
d d d d d d d d
d. The patient demonstrates safe insulin self-administration technique.
d d d d d d
ANS: D d
Having the patient demonstrate safe insulin self-administration technique is a specific and
d d d d d d d d d d d
measurable outcome criterion. Following instructions and avoiding complications are not
d d d d d d d d d d
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
d d d d d d d d d d d d d d d
difficult to measure.
d d d
DIF: Cognitive Level: Application d d REF: p. 13 d d
5. Which activity best reflects the implementation phase of the nursing process for the patient who
d d d d d d d d d d d d d d
d is newly diagnosed with type 1 diabetes mellitus?
d d d d d d d
a. Providing education regarding self-injection technique d d d d
b. Setting goals and outcome criteria with the patient‘s input d d d d d d d d
c. Recording a history of over-the-counter medications used at home d d d d d d d d
d. Formulating nursing diagnoses regarding knowledge deficits related to the new d d d d d d d d d
treatment regimen
d d
ANS: A d
Education is an intervention that occurs during the implementation phase. Setting goals and
d d d d d d d d d d d d
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
d d d d d d d d d d d d d
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
d d d d d d d d d d d d d
part of the planning phase.N
d d d d d
DIF: Cognitive Level: Analysis d d REF: p. 8 |p. 13 d d d d d
6. The nurse is working during a very busy night shift, and the health care provider has just given the
d d d d d d d d d d d d d d d d d d
nurse a medication order over the telephone, but the nurse does not recall the route. What is the
d d d d d d d d d d d d d d d d d d
best way for the nurse to avoid medication errors?
d d d d d d d d d
a. Recopy the order neatly on the order sheet, with the most common route indicated
d d d d d d d d d d d d d
b. Consult with the pharmacist for clarification about the most common route d d d d d d d d d d
c. Call the health care provider to clarify the route of administration
d d d d d d d d d d
d. Withhold the drug until the health care provider visits the patient d d d d d d d d d d
ANS: C d
If a medication order does not include the route, the nurse must ask the health care provider to
d d d d d d d d d d d d d d d d d
clarify it. Never assume the route of administration.
d d d d d d d d
DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: p. 17 d d d d d d d d d
7. Which constitutes the traditional Five Rights of medication administration?
d d d d d d d d
a. Right drug, right route, right dose, right time, and right patient
d d d d d d d d d d
b. Right drug, the right effect, the right route, the right time, and the right patient
d d d d d d d d d d d d d d
c. Right patient, right strength, right diagnosis, right drug, and right route
d d d d d d d d d d
d. Right patient, right diagnosis, right drug, right route, and right time
d d d d d d d d d d
ANS: A d
, The traditional Five Rights of medication administration were considered to be Right drug,
d d d d d d d d d d d d
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
d d d d d d d d d d d d d d d
diagnosis are not part of the traditional Five Rights.
d d d d d d d d d
DIF: d d Cognitive Level: Comprehension d d d d d REF: p. 13 d d
8. What correctly describes the nursing process?
d d d d d
a. Diagnosing, planning, assessing, implementing, and finally evaluating d d d d d d
b. Assessing, then diagnosing, implementing, and ending with evaluating d d d d d d d
c. A linear direction that begins with assessing and continues through diagnosing,
d d d d d d d d d d
d planning, and finally implementing d d d
d. An ongoing process that begins with assessing and continues with diagnosing,
d d d d d d d d d d
d planning, implementing, and evaluating d d d
ANS: D d
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
d d d d d d d d d d d d
begins with assessing and continues through diagnosing, planning, implementing, and finally
d d d d d d d d d d d
evaluating, which may then lead back to any of the other phases.
d d d d d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 8 d d
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
d d d d d d d d d d d d d d d d
a. The patient‘s identification d d
b. The patient‘s weight d d
c. The patient‘s last meal d d d
d. Any drug or food allergies d d d d
ANS: C d
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
d d d d d d d d d d d d
regard to any drug–food interactions or compatibility issues. The patient‘s identification, weight,
d d d d d d d d d d d
and drug or food allergies are not affected by the drug‘s timing.
d d d d d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 17 d d
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
d d d d d d d d d d d d d d d d d
d nursing diagnosis? d
a. Anxiety
b. Anxiety related to new drug therapy d d d d d
c. Anxiety related to anxious feelings about drug therapy, as evidenced bystatements
d d d d d d d d d d d
d such as ―I‘m upset about having to give myself shots‖
d d d d d d d d d
d. Anxiety related tonew drug therapy, asevidenced by statements such as―I‘m
d d d d d d d d d d d d
d upset about having to give myself shots‖d d d d d d
ANS: D d
PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
d d d d d
LINDALANE LILLEY, JULIE S. SNYDER AND SHELLYRAINFORTH COLLINS
d d d d d d d d d
3rd Edition
d
TESTBANK d
,Chapter 01: Nursing Practice in Canada and Drug Therapy
d d d d d d d d
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
d d d d d d d d d
MULTIPLE CHOICE d
1. Which is a judgement about a particular patient‘s potential need or
d d d d d d d d d d
problem?
d
a. A goal d
b. An assessment d
c. Subjective data d
d. A nursing diagnosis
d d
ANS: D d
Nursing diagnosis is the phase of the nursing process during which
d d d d d d d d d d
a clinical judgement is made about how a patient responds to heath conditions and life processes or
d d d d d d d d d d d d d d d d
vulnerability forthat response.
d d d
DIF: Cognitive Level: Knowledge d d REF: p. 11 d d
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
d d d d d d d d d d d d d d
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the
d d d d d d d d d d d d d d d d
physician. What type of problem is this?
d d d d d d d
a. A ―right time‖ problem
d d d
b. A ―right dose‖ problem
d d d
c. A ―right route‖ problem
d d d
d. A ―right medication‖ problem
d d d
ANS: C d
This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
d d d d d d d d d d d d d d d d
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
d d d d d d d d d d d d d d d
changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
d d d d d d d d d d d d d d d d d d
swallow. This is not a ―right medication‖ problem because the medication ordered will not
d d d d d d d d d d d d d d
change, just the route.
d d d d
DIF: Cognitive Level: Application d d REF: p. 14 d d
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose
d d d d d d d d d d d d d d d d
and has been documenting signs of possible adverse effects. What nursing process phase is the
d d d d d d d d d d d d d d d
nurse practising?
d d
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis d
ANS: B d
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
d d d d d d d d d d d d
nursing diagnosis are not illustrated by this example.
d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 19 d d
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
d d d d d d d d d d d d d d d d
Which statement best illustrates an outcome criterion for this patient?
d d d d d d d d d d
a. The patient will follow instructions.
d d d d
b. The patient will not experience complications.
d d d d d
c. The patient adheres to the new insulin treatment regimen.
d d d d d d d d
d. The patient demonstrates safe insulin self-administration technique.
d d d d d d
ANS: D d
Having the patient demonstrate safe insulin self-administration technique is a specific and
d d d d d d d d d d d
measurable outcome criterion. Following instructions and avoiding complications are not
d d d d d d d d d d
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
d d d d d d d d d d d d d d d
difficult to measure.
d d d
DIF: Cognitive Level: Application d d REF: p. 13 d d
5. Which activity best reflects the implementation phase of the nursing process for the patient who
d d d d d d d d d d d d d d
d is newly diagnosed with type 1 diabetes mellitus?
d d d d d d d
a. Providing education regarding self-injection technique d d d d
b. Setting goals and outcome criteria with the patient‘s input d d d d d d d d
c. Recording a history of over-the-counter medications used at home d d d d d d d d
d. Formulating nursing diagnoses regarding knowledge deficits related to the new d d d d d d d d d
treatment regimen
d d
ANS: A d
Education is an intervention that occurs during the implementation phase. Setting goals and
d d d d d d d d d d d d
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
d d d d d d d d d d d d d
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
d d d d d d d d d d d d d
part of the planning phase.N
d d d d d
DIF: Cognitive Level: Analysis d d REF: p. 8 |p. 13 d d d d d
6. The nurse is working during a very busy night shift, and the health care provider has just given the
d d d d d d d d d d d d d d d d d d
nurse a medication order over the telephone, but the nurse does not recall the route. What is the
d d d d d d d d d d d d d d d d d d
best way for the nurse to avoid medication errors?
d d d d d d d d d
a. Recopy the order neatly on the order sheet, with the most common route indicated
d d d d d d d d d d d d d
b. Consult with the pharmacist for clarification about the most common route d d d d d d d d d d
c. Call the health care provider to clarify the route of administration
d d d d d d d d d d
d. Withhold the drug until the health care provider visits the patient d d d d d d d d d d
ANS: C d
If a medication order does not include the route, the nurse must ask the health care provider to
d d d d d d d d d d d d d d d d d
clarify it. Never assume the route of administration.
d d d d d d d d
DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: p. 17 d d d d d d d d d
7. Which constitutes the traditional Five Rights of medication administration?
d d d d d d d d
a. Right drug, right route, right dose, right time, and right patient
d d d d d d d d d d
b. Right drug, the right effect, the right route, the right time, and the right patient
d d d d d d d d d d d d d d
c. Right patient, right strength, right diagnosis, right drug, and right route
d d d d d d d d d d
d. Right patient, right diagnosis, right drug, right route, and right time
d d d d d d d d d d
ANS: A d
, The traditional Five Rights of medication administration were considered to be Right drug,
d d d d d d d d d d d d
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
d d d d d d d d d d d d d d d
diagnosis are not part of the traditional Five Rights.
d d d d d d d d d
DIF: d d Cognitive Level: Comprehension d d d d d REF: p. 13 d d
8. What correctly describes the nursing process?
d d d d d
a. Diagnosing, planning, assessing, implementing, and finally evaluating d d d d d d
b. Assessing, then diagnosing, implementing, and ending with evaluating d d d d d d d
c. A linear direction that begins with assessing and continues through diagnosing,
d d d d d d d d d d
d planning, and finally implementing d d d
d. An ongoing process that begins with assessing and continues with diagnosing,
d d d d d d d d d d
d planning, implementing, and evaluating d d d
ANS: D d
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
d d d d d d d d d d d d
begins with assessing and continues through diagnosing, planning, implementing, and finally
d d d d d d d d d d d
evaluating, which may then lead back to any of the other phases.
d d d d d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 8 d d
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
d d d d d d d d d d d d d d d d
a. The patient‘s identification d d
b. The patient‘s weight d d
c. The patient‘s last meal d d d
d. Any drug or food allergies d d d d
ANS: C d
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
d d d d d d d d d d d d
regard to any drug–food interactions or compatibility issues. The patient‘s identification, weight,
d d d d d d d d d d d
and drug or food allergies are not affected by the drug‘s timing.
d d d d d d d d d d d d
DIF: Cognitive Level: Application d d REF: p. 17 d d
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
d d d d d d d d d d d d d d d d d
d nursing diagnosis? d
a. Anxiety
b. Anxiety related to new drug therapy d d d d d
c. Anxiety related to anxious feelings about drug therapy, as evidenced bystatements
d d d d d d d d d d d
d such as ―I‘m upset about having to give myself shots‖
d d d d d d d d d
d. Anxiety related tonew drug therapy, asevidenced by statements such as―I‘m
d d d d d d d d d d d d
d upset about having to give myself shots‖d d d d d d
ANS: D d
