TEST BANK LILLEYS PHARMACOLOGY FOR
HEALTH CARE PRACTICE 4TH EDITIO
CHAPTER 1 - CHAPTER 58 Q&A WITH RAT
NEW MODIFIED TESTED AND APPROVED 2
UPGRADE
Nursing Practice in Canada and Drug Therapy Sealock: chapter 1
1. Which activity best reflects the implementation phase of the nursing process for the patient who
1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient’s 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 cr
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regardin
reflects analysis of data as part of the planning phase.
DIF: Cognitive Level: Analysis
2. The nurse is working during a very busy night shift, and the health care provider has just given
order over the telephone, but the nurse does not recall the route. What is the best way for the nurse to a
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
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The traditional Five Rights of medication administration were considered to be Right drug, Right route
and Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
DIF: Cognitive Level: Comprehension
4. 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 final
d. An ongoing process that begins with assessing and continues with diagnosing, planning, implemen
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
DIF: Cognitive Level: Application
5. Which is a judgement about a particular patient’s potential need or problem?
a. A goal
a. An assessment
b. Subjective data
c. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
heath conditions and life processes or vulnerability for that response.
DIF: Cognitive Level: Knowledge
6. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
take medication orally, as ordered. The nurse needs to contact the physician. What type of problem is th
problem
a. A “right dose” problem
b. A “right route” problem
c. A “right medication” problem
ANS: C
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6.
DIF: Cognitive Level: Application
8. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
outcome criterion for this patient?
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 o
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatm
and would be difficult to measure.
DIF: Cognitive Level: Application
9. When the nurse is considering the timing of a drug dose, which is most important to assess? a. The pati
b. The patient’s weight
c. The patient’s 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 a
or compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected
DIF: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as “I’m upset about having to give myself shots”
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
upset about having to give myself shots”
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d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
DIF: Cognitive Level: Analysis