COMPLETE TEST BANK LILLEYS PHARMACOLOGY FOR
CANADIAN HEALTH CARE PRACTICE 4TH EDITION
SEALOCK QUESTIONS & ANSWERS WITH RATIONALES
(CHAPTER 1-58)
(C1) An 86-year-old patient is being discharged to home on digoxin and has little
information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a) The patient and patient's daughter will state the proper way to take the drug.
b) The nurse will provide teaching about the drug's adverse effects.
c) The patient will state all the symptoms of digoxin toxicity.
d) The patient will call the prescriber if adverse effects occur. - ANSWER: a)
this is an outcome of patient teaching. With (b) this isn't a patient outcome, it is a
step to take during the intervention, not evaluation stage. (c) is unrealistic for the
patient. (d) although it is good to voice concerns when an adverse effect has arisen,
it's not the best choice in relation to teaching activities.
(C1) A patient has a new prescription for a blood pressure medication that may
cause him to feel dizzy during the first few days of therapy. Which is the best nursing
diagnosis for this situation?
a) Activity tolerance
b) Potential for injury
c) Disturbed body image
d) Self-care deficit - ANSWER: b)
Since the patient can feel dizzy during the first few days, their likelihood of falling or
injuring themselves becomes higher. The other answers don't directly connect with
the question, since the adverse effect is usually during the first few days of therapy.
(C1) A patient's chart includes an order that reads as follows: digoxin 0.025mcg once
daily at 0900 hours. Which action by the nurse is correct?
a) the nurse gives the drug via transdermal route
b) the nurse gives the drug orally
c) the nurse gives the drug intravenously
d) the nurse contacts the prescriber to clarify the dosage route - ANSWER: d)
In the prescribers order, there is no indication of a route, so it is best not to assume
to route, especially with medications that can be given through multiple routes. By
asking the prescriber, you can ensure that the rights of medication administration
are accounted for.
(C1) The nurse is compiling a drug history for a patient. Which question from the
nurse will obtain the most information from the patient?
,a) "do you depend on sleeping pills to get to sleep?"
b) "do you have a family history of heart disease?"
c) "when you have pain, what do you do to relieve it?"
d) "what childhood diseases did you have?" - ANSWER: c)
Since we are asking specifically for the drug history of the patient, and not the
general health history, asking what they currently use to relieve pain would give us
more information to compile a drug history.
(C1) A 77-year old man who has been diagnosed with an upper respiratory infection
tells the nurse that he is allergic to penicillin. What is the most appropriate response
by the nurse?
a) "That is to be expected - lots of people are allergic to penicillin"
b) "This allergy is not of major concern because the drug is given so commonly"
c) "What type of reaction did you have when you took penicillin?"
d) "Drug allergies don't usually occur in older individuals because they have built up
resistance." - ANSWER: c)
This answer allows us to investigate further into his adverse reaction to penicillin.
(C1) The nurse is preparing a care plan for a patient who has been newly diagnosed
with type 2 diabetes mellitus. Put into correct order the steps of the nursing process,
with 1 being the first step and 5 being the last step.
a) Implementation
b) Planning
c) Assessment
d) Evalulation
e) Nursing diagnoses - ANSWER: correct order: c, e, b, a, d
(C1) The nurse is reviewing new medication orders that have been written for a
newly admitted patient. Which orders will the nurse need to clarify? Select all that
apply.
a) Metformin (Glucophage) 1000 mg PO twice a day
b) Sitagliptin (Januvia) 50 mg daily
c) Simvastatin (Zocor) 20 mg PO every evening
d) Irbesartan (Avapro) 300 mg PO once a day
e) Docusate (Colace) as needed for constipation - ANSWER: b) & e)
b) is missing the route while e) is missing the dosage and the route.
(C1) The nurse is reviewing data collected from a medication history. Which of these
data are considered objective data? (Select all that apply.)
a) White blood cell count 22,00 mm^3
b) Blood pressure 150/94 mm Hg
c) Patient rates pain as an "8" on a 10-point scale.
d) Patient's wife reports that the patient has been very sleepy during the day
e) Patient's weight is 150 lb - ANSWER: a), b), e)
, These are all forms of objective data, since they include an instrument of
measurement or a lab result. The others are considered subjective, as it is something
the patient reported.
(C2) An older adult woman took a prescription medicine to help her to sleep;
however, she felt restless all night and did not sleep at all =. The nurse recognizes
that this woman has experienced which type of reaction or effect?
a) Allergic Reaction
b) Idiosyncratic reaction
c) Mutagenic effect
d) Synergistic effect - ANSWER: b)
An idiosyncratic reaction is "An abnormal and unexpected response to a medication,
other than an allergic reaction, that is peculiar to an individual patient."
(C2) While caring for a patient with cirrhosis or hepatitis, the nurse knows that
abnormalities in which phase of pharmacokinetics may occur?
a) Absorption
b) Distribution
c) Metabolism
d) Excretion - ANSWER: C)
The liver is the most responsible for metabolizing. So if the patient has some form of
liver disease, then this action will be greatly affected.
(C2) A patient who has advanced cancer is receiving opioid medications around the
clock to "keep him comfortable" as he nears the end of his life. Which term best
describes this type of therapy?
a) Palliative therapy
b) Maintenance therapy
c) Supportive therapy
d) Supplemental therapy - ANSWER: a)
Palliative: make patients as comfortable as possible. Relieving the patient of
symptoms, pain, and stress of serious illness.
(C2) The nurse is giving medications to a patient in heart failure. The intravenous
route is chosen instead of the intramuscular route. Which patient factor most
influences the decision about which route to use?
a) Altered biliary function
b) Increased glomerular filtration
c) Reduced liver metabolism
d) Diminished circulation - ANSWER: D)
CANADIAN HEALTH CARE PRACTICE 4TH EDITION
SEALOCK QUESTIONS & ANSWERS WITH RATIONALES
(CHAPTER 1-58)
(C1) An 86-year-old patient is being discharged to home on digoxin and has little
information regarding the medication. Which statement best reflects a realistic
outcome of patient teaching activities?
a) The patient and patient's daughter will state the proper way to take the drug.
b) The nurse will provide teaching about the drug's adverse effects.
c) The patient will state all the symptoms of digoxin toxicity.
d) The patient will call the prescriber if adverse effects occur. - ANSWER: a)
this is an outcome of patient teaching. With (b) this isn't a patient outcome, it is a
step to take during the intervention, not evaluation stage. (c) is unrealistic for the
patient. (d) although it is good to voice concerns when an adverse effect has arisen,
it's not the best choice in relation to teaching activities.
(C1) A patient has a new prescription for a blood pressure medication that may
cause him to feel dizzy during the first few days of therapy. Which is the best nursing
diagnosis for this situation?
a) Activity tolerance
b) Potential for injury
c) Disturbed body image
d) Self-care deficit - ANSWER: b)
Since the patient can feel dizzy during the first few days, their likelihood of falling or
injuring themselves becomes higher. The other answers don't directly connect with
the question, since the adverse effect is usually during the first few days of therapy.
(C1) A patient's chart includes an order that reads as follows: digoxin 0.025mcg once
daily at 0900 hours. Which action by the nurse is correct?
a) the nurse gives the drug via transdermal route
b) the nurse gives the drug orally
c) the nurse gives the drug intravenously
d) the nurse contacts the prescriber to clarify the dosage route - ANSWER: d)
In the prescribers order, there is no indication of a route, so it is best not to assume
to route, especially with medications that can be given through multiple routes. By
asking the prescriber, you can ensure that the rights of medication administration
are accounted for.
(C1) The nurse is compiling a drug history for a patient. Which question from the
nurse will obtain the most information from the patient?
,a) "do you depend on sleeping pills to get to sleep?"
b) "do you have a family history of heart disease?"
c) "when you have pain, what do you do to relieve it?"
d) "what childhood diseases did you have?" - ANSWER: c)
Since we are asking specifically for the drug history of the patient, and not the
general health history, asking what they currently use to relieve pain would give us
more information to compile a drug history.
(C1) A 77-year old man who has been diagnosed with an upper respiratory infection
tells the nurse that he is allergic to penicillin. What is the most appropriate response
by the nurse?
a) "That is to be expected - lots of people are allergic to penicillin"
b) "This allergy is not of major concern because the drug is given so commonly"
c) "What type of reaction did you have when you took penicillin?"
d) "Drug allergies don't usually occur in older individuals because they have built up
resistance." - ANSWER: c)
This answer allows us to investigate further into his adverse reaction to penicillin.
(C1) The nurse is preparing a care plan for a patient who has been newly diagnosed
with type 2 diabetes mellitus. Put into correct order the steps of the nursing process,
with 1 being the first step and 5 being the last step.
a) Implementation
b) Planning
c) Assessment
d) Evalulation
e) Nursing diagnoses - ANSWER: correct order: c, e, b, a, d
(C1) The nurse is reviewing new medication orders that have been written for a
newly admitted patient. Which orders will the nurse need to clarify? Select all that
apply.
a) Metformin (Glucophage) 1000 mg PO twice a day
b) Sitagliptin (Januvia) 50 mg daily
c) Simvastatin (Zocor) 20 mg PO every evening
d) Irbesartan (Avapro) 300 mg PO once a day
e) Docusate (Colace) as needed for constipation - ANSWER: b) & e)
b) is missing the route while e) is missing the dosage and the route.
(C1) The nurse is reviewing data collected from a medication history. Which of these
data are considered objective data? (Select all that apply.)
a) White blood cell count 22,00 mm^3
b) Blood pressure 150/94 mm Hg
c) Patient rates pain as an "8" on a 10-point scale.
d) Patient's wife reports that the patient has been very sleepy during the day
e) Patient's weight is 150 lb - ANSWER: a), b), e)
, These are all forms of objective data, since they include an instrument of
measurement or a lab result. The others are considered subjective, as it is something
the patient reported.
(C2) An older adult woman took a prescription medicine to help her to sleep;
however, she felt restless all night and did not sleep at all =. The nurse recognizes
that this woman has experienced which type of reaction or effect?
a) Allergic Reaction
b) Idiosyncratic reaction
c) Mutagenic effect
d) Synergistic effect - ANSWER: b)
An idiosyncratic reaction is "An abnormal and unexpected response to a medication,
other than an allergic reaction, that is peculiar to an individual patient."
(C2) While caring for a patient with cirrhosis or hepatitis, the nurse knows that
abnormalities in which phase of pharmacokinetics may occur?
a) Absorption
b) Distribution
c) Metabolism
d) Excretion - ANSWER: C)
The liver is the most responsible for metabolizing. So if the patient has some form of
liver disease, then this action will be greatly affected.
(C2) A patient who has advanced cancer is receiving opioid medications around the
clock to "keep him comfortable" as he nears the end of his life. Which term best
describes this type of therapy?
a) Palliative therapy
b) Maintenance therapy
c) Supportive therapy
d) Supplemental therapy - ANSWER: a)
Palliative: make patients as comfortable as possible. Relieving the patient of
symptoms, pain, and stress of serious illness.
(C2) The nurse is giving medications to a patient in heart failure. The intravenous
route is chosen instead of the intramuscular route. Which patient factor most
influences the decision about which route to use?
a) Altered biliary function
b) Increased glomerular filtration
c) Reduced liver metabolism
d) Diminished circulation - ANSWER: D)
