{"id":128126,"date":"2023-11-28T09:54:31","date_gmt":"2023-11-28T09:54:31","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=128126"},"modified":"2023-11-28T09:54:33","modified_gmt":"2023-11-28T09:54:33","slug":"lilleys-pharmacology-for-canadian-health-care-practice-4th-edition-by-kara-sealock-cydnee-seneviratne-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/28\/lilleys-pharmacology-for-canadian-health-care-practice-4th-edition-by-kara-sealock-cydnee-seneviratne-test-bank\/","title":{"rendered":"Lilley’s Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne Test Bank"},"content":{"rendered":"\n

Lilley’s Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne Test Bank<\/p>\n\n\n\n

Lilley’s Pharmacology for Canadian Health Care Practice 4th Edition by Kara
Sealock, Cydnee Seneviratne Full Test Bank
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley\u2019s Pharmacology for Canadian Health Care Practice, 4th
Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. Which is a judgement about a particular patient\u2019s potential need or problem?
    a. A goal
    b. An assessment
    c. Subjective data
    d. A nursing diagnosis
    ANS: D
    Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
    how a patient responds to heath conditions and life processes or vulnerability for that response.
    DIF: Cognitive Level: Knowledge<\/li>\n\n\n\n
  2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to
    swallow, he cannot take medication orally, as ordered. The nurse needs to contact the physician. What
    type of problem is this?
    a. A \u201cright time\u201d problem
    b. A \u201cright dose\u201d problem
    c. A \u201cright route\u201d problem
    d. A \u201cright medication\u201d problem
    ANS: C
    This is a \u201cright route\u201d problem: the nurse cannot assume the route and must clarify the route with the
    prescriber. This is not a \u201cright time\u201d problem because the ordered frequency has not changed. This is
    not a \u201cright dose\u201d problem because the dose is not related to an inability to swallow. This is not a
    \u201cright medication\u201d problem because the medication ordered will not change, just the route.
    DIF: Cognitive Level: Application<\/li>\n\n\n\n
  3. The nurse has been monitoring the patient\u2019s progress on his new drug regimen since the first dose and
    has been documenting signs of possible adverse effects. What nursing process phase is the nurse
    practising?
    a. Planning
    b. Evaluation
    c. Implementation
    d. Nursing diagnosis
    ANS: B
    Monitoring the patient\u2019s progress is part of the evaluation phase. Planning, implementation, and
    nursing diagnosis are not illustrated by this example.
    DIF: Cognitive Level: Application<\/li>\n\n\n\n
  4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
    statement best illustrates an outcome criterion for this patient?<\/li>\n<\/ol>\n\n\n\n

    a. The patient will follow instructions.
    b. The patient will not experience complications.
    c. The patient adheres to the new insulin treatment regimen.
    d. The patient demonstrates safe insulin self-administration technique.
    ANS: D
    Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
    outcome criterion. Following instructions and avoiding complications are not specific criteria.
    Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
    DIF: Cognitive Level: Application<\/p>\n\n\n\n

      \n
    1. Which activity best reflects the implementation phase of the nursing process for the patient who is
      newly diagnosed with type 1 diabetes mellitus?
      a. Providing education regarding self-injection technique
      b. Setting goals and outcome criteria with the patient\u2019s input
      c. Recording a history of over-the-counter medications used at home
      d. Formulating nursing diagnoses regarding knowledge deficits related to the new
      treatment regimen
      ANS: A
      Education is an intervention that occurs during the implementation phase. Setting goals and outcome
      criteria reflects the planning phase. Recording a drug history reflects the assessment phase.
      Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the
      planning phase.
      DIF: Cognitive Level: Analysis<\/li>\n\n\n\n
    2. The nurse is working during a very busy night shift, and the health care provider has just given the
      nurse a medication order over the telephone, but the nurse does not recall the route. What is the best
      way for the nurse to avoid medication errors?
      a. Recopy the order neatly on the order sheet, with the most common route indicated
      b. Consult with the pharmacist for clarification about the most common route
      c. Call the health care provider to clarify the route of administration
      d. Withhold the drug until the health care provider visits the patient
      ANS: C
      If a medication order does not include the route, the nurse must ask the health care provider to clarify
      it. Never assume the route of administration.
      DIF: Cognitive Level: Application | Cognitive Level: Analysis<\/li>\n\n\n\n
    3. Which constitutes the traditional Five Rights of medication administration?
      a. Right drug, right route, right dose, right time, and right patient
      b. Right drug, the right effect, the right route, the right time, and the right patient
      c. Right patient, right strength, right diagnosis, right drug, and right route
      d. Right patient, right diagnosis, right drug, right route, and right time
      ANS: A<\/li>\n<\/ol>\n\n\n\n

      The traditional Five Rights of medication administration were considered to be Right drug, Right
      route, Right dose, Right time, and Right patient. Right effect, right strength, and right diagnosis are not
      part of the traditional Five Rights.
      DIF: Cognitive Level: Comprehension<\/p>\n\n\n\n

        \n
      1. What correctly describes the nursing process?
        a. Diagnosing, planning, assessing, implementing, and finally evaluating
        b. Assessing, then diagnosing, implementing, and ending with evaluating
        c. A linear direction that begins with assessing and continues through diagnosing,
        planning, and finally implementing
        d. An ongoing process that begins with assessing and continues with diagnosing,
        planning, implementing, and evaluating
        ANS: D
        The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins
        with assessing and continues through diagnosing, planning, implementing, and finally evaluating,
        which may then lead back to any of the other phases.
        DIF: Cognitive Level: Application<\/li>\n\n\n\n
      2. When the nurse is considering the timing of a drug dose, which is most important to assess?
        a. The patient\u2019s identification
        b. The patient\u2019s weight
        c. The patient\u2019s last meal
        d. Any drug or food allergies
        ANS: C
        The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
        any drug\u2013food interactions or compatibility issues. The patient\u2019s identification, weight, and drug or
        food allergies are not affected by the drug\u2019s timing.
        DIF: Cognitive Level: Application<\/li>\n\n\n\n
      3. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
        nursing diagnosis?
        a. Anxiety
        b. Anxiety related to new drug therapy
        c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
        such as \u201cI\u2019m upset about having to give myself shots\u201d
        d. Anxiety related to new drug therapy, as evidenced by statements such as \u201cI\u2019m
        upset about having to give myself shots\u201d
        ANS: D<\/li>\n<\/ol>\n\n\n\n

        Formulation of nursing diagnoses is usually a three-step process. The only complete answer is
        \u201cAnxiety related to new drug therapy, as evidenced by statements such as \u2018I\u2019m upset about having to
        give myself shots.\u2019\u201d The answer \u201cAnxiety\u201d is missing the \u201crelated to\u201d and \u201cas evidenced by\u201d portions.
        The answer \u201cAnxiety related to new drug therapy\u201d is missing the \u201cas evidenced by\u201d portion of defining
        characteristics. The \u201crelated to\u201d section in \u201cAnxiety related to anxious feelings about drug therapy, as
        evidenced by statements such as \u2018I\u2019m upset about having to give myself shots\u2019\u201d is simply a restatement
        of the problem \u201canxiety,\u201d not a separate factor related to the response.
        DIF: Cognitive Level: Analysis
        OTHER<\/p>\n\n\n\n

          \n
        1. Place the phases of the nursing process in the correct order, starting with the first phase.
          a. Planning
          b. Evaluation
          c. Assessment
          d. Implementation
          e. Diagnosing
          ANS:
          C, E, A, D, B
          DIF: Cognitive Level: Analysis
          Chapter 02: Pharmacological Principles
          Sealock: Lilley\u2019s Pharmacology for Canadian Health Care Practice, 4th Edition
          MULTIPLE CHOICE<\/li>\n\n\n\n
        2. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both
          absorbed into the circulation in identical amounts. Which term best denotes that the drugs have the
          same absorption rates?
          a. Equivalent
          b. Synergistic
          c. Compatible
          d. Bioequivalent
          ANS: D
          Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same
          bioavailability; thus, they are bioequivalent. \u201cEquivalent\u201d is incorrect because the term
          \u201cbioavailability\u201d is used to express the extent of drug absorption. \u201cSynergistic\u201d is incorrect because
          this term refers to two drugs given together whose resulting effect is greater than the sum of the effects
          of each drug given alone. \u201cCompatible\u201d is incorrect because this term is a general term used to indicate
          that two substances do not have a chemical reaction when mixed (or given, in the case of drugs)
          together.
          DIF: Cognitive Level: Comprehension
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        3. <\/li>\n<\/ol>\n\n\n\n