4TH EDITION LILLEY’S TESTBANK PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS 1-58

PHARMACOLOGY FOR CANADIAN HEALTH CARE
PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS 1-58




TEST BANK

,CH 01: Nursing Practice in Canada and Drug Therapy
SK SK SK SK SK SK SK SK


Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
SK SK SK SK SK SK SK SK SK




MULTIPLE CHOICE SK




1. Which is a judgment about a particular hospital client‘s potential need or problem?
SK SK SK SK SK SK SK SK SK SK SK SK


a. A goal SK


b. An assessment SK


c. Subjective data SK


d. A nursing diagnosisSK SK




ACCURATE ANS:- D SK SK


Reasoning:-
>>> Nursing diagnosis is the phase of the nursing process during which a clinicalj
SK SK SK SK SK SK SK SK SK SK SK SK SK K
S


udgement is made about how a hospital client responds to heath conditions and
SK SK SK SK SK SK SK SK SK SK SK SK S


life processes or vulnerability for that response.
K SK SK SK SK SK SK




DIFFICULT: Cognitive Level: Knowledge REF: p. 11
SK SK SK SK SK




2. The hospital client is to receive oral furosemide (Lasix) every day; however, beca
SK SK SK SK SK SK SK SK SK SK SK SK


use the hospital client is unable to swallow, he cannot take medication orally, a
SK SK SK SK SK SK SK SK SK SK SK SK SK


s ordered. The nursing attendant needs to contact the physician. What type of p
SK SK SK SK SK SK SK SK SK SK SK SK SK


roblem is this? SK SK


a. A ―right time‖ problem
SK SK SK


b. A ―right dose‖ problem
SK SK SK


c. A ―right route‖ problem
SK SK SK


d. A ―right medication‖ problem
SK SK SK


ACCURATE ANS:- C SK SK


Reasoning:-
>>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and
SK SK SK SK SK SK SK SK SK SK SK SK SK S


must clarify the route
K SK SK SK


with the prescriber. This is not a ―right time‖ problem because the ordered freq
SK SK SK SK SK SK SK SK SK SK SK SK SK


uency has notchanged. This is not a ―right dose‖ problem because the dose is n
SK SK K
S SK SK SK SK SK SK SK SK SK SK SK SK


ot related to an inability toswallow. This is not a ―right medication‖ problem be
SK SK SK SK SK K
S SK SK SK SK SK SK SK SK


cause the medication ordered will notchange, just the route.
SK SK SK SK SK K
S SK SK SK




DIFFICULT: Cognitive Level: Application REF: p. 14
SK SK SK SK SK




3. The nursing attendant has been monitoring the hospital client‘s progress on his
SK SK SK SK SK SK SK SK SK SK SK SK


new drug regimen since the first dose and has been documenting signs of possible
SK SK SK SK SK SK SK SK SK SK SK SK SK S


adverse effects. What nursingprocess phase is the nursing attendant practising?
K SK SK SK K
S SK SK SK SK SK SK


a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis SK




ACCURATE ANS:- B SK SK


Reasoning:-
>>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning,imple
SK SK SK SK SK SK SK SK SK SK SK K
S


mentation, and nursing diagnosis are not illustrated by this example.
SK SK SK SK SK SK SK SK SK




DIFFICULT: Cognitive Level: Application REF: p. 19
SK SK SK SK SK

,4. The nursing attendant is caring for a hospital client who has been newly dia
SK SK SK SK SK SK SK SK SK SK SK SK SK


gnosed with type 1diabetes mellitus. Which statement best illustrates an ou
SK SK SK K
S SK SK SK S K SK SK SK


tcome criterion for this hospital client?
SK S K S K SK SK


a. The hospital client will follow instructions.
SK SK SK SK SK


b. The hospital client will not experience complications.
SK SK SK SK SK SK


c. The hospital client adheres to the new insulin treatment regimen.
SK SK SK SK SK SK SK SK SK


d. The hospital client demonstrates safe insulin self-administration technique.
SK SK S K SK SK S K SK




ACCURATE ANS:- D SK SK


Reasoning:->>>Having the hospital client demonstrate safe insulin self- SK SK SK S K SK SK SK


administration technique is a specific and measurable outcome criterion. Followin
SK SK SK SK SK SK SK SK SK


g instructions and avoiding complications are not specific criteria. Adherence to
SK SK SK SK SK SK SK SK SK SK SK


the new insulin treatment regimen is not objective and would be Difficult to mea
SK SK SK SK SK SK SK SK SK SK SK SK SK


sure.

DIFFICULT: Cognitive Level: Application REF: p. 13
SK SK SK SK SK




5. Which activity best reflects the implementation phase of the nursing process for t
SK SK SK SK SK SK SK SK SK SK SK SK


he hospital clientwho is newly diagnosed with type 1 diabetes mellitus?
SK SK K
S SK SK SK SK SK SK SK SK


a. Providing education regarding self-injection technique SK SK S K SK


b. Setting goals and outcome criteria with the hospital client‘s input
SK SK SK SK SK SK SK SK SK


c. Recording a history of over-the-counter medications used at home
SK S K SK SK S K SK SK SK


d. Formulating nursing diagnoses regarding knowledge deficits relatedSK S K SK SK SK SK SK


to the new treatment regimen
SK SK SK SK




ACCURATE ANS:- A SK SK


Reasoning:-
>>>Education is an intervention that occurs during the implementation phase. Settin
SK SK SK SK SK SK SK SK SK SK


g goals and outcome criteria reflects the planning phase. Recording a drug histor
SK SK SK SK SK SK SK SK SK SK SK SK


y reflects the assessment phase. Formulating nursing diagnoses regarding a knowled
SK SK SK SK SK SK SK SK SK SK


ge deficitreflects analysis of data
SK K
S SK SK SK


as part of the planning phase.
SK SK SK SK SK



DIFFICULT: Cognitive Level: Analysis SK SK SK REF: p. 8 | p. 13
SK SK SK SK SK




6. The nursing attendant is working during a very busy night shift, and the primar
SK SK SK SK SK SK SK SK SK SK SK SK SK


y care provider has just given the nursing attendant a medication order over the
SK SK SK SK SK SK SK SK SK SK SK SK SK SK


telephone, but thenursing attendant does not recall the route. What is the best
SK SK K
S SK SK SK SK SK SK SK SK SK SK SK


way for the nursing attendantto avoid medication errors?
SK SK SK SK K
S SK SK SK


a. Recopy the order neatly on the order sheet, with the most common route indicated
SK SK SK SK SK SK SK SK SK SK SK SK SK


b. Consult with the pharmacist for clarification about the most common route
SK SK SK SK SK SK SK SK SK SK


c. Call the primary care provider to clarify the route of administration
SK SK SK SK SK SK SK SK SK SK


d. Withhold the drug until the primary care provider visits the hospital client
SK SK SK SK SK SK SK SK SK SK SK




ACCURATE ANS:- C SK SK


Reasoning:-
>>>If a medication order does not include the route, the nursing attendant mus
SK S K SK SK SK SK SK SK SK SK SK SK


t ask the primary care provider to clarify it. Never assume the route of administrat
SK SK SK SK SK SK SK SK SK SK SK SK SK SK


ion.

DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF:
SK SK SK SK SK SK SK SK S K p. 17 SK




7. Which constitutes the traditional Five Rights of medication administration?
SK SK SK SK SK SK SK SK

, a. Right drug, right route, right dose, right time, and right hospital client
SK SK SK SK SK SK SK SK SK SK SK


b. Right drug, the right effect, the right route, the right time, and the right hospital client
SK SK SK SK SK SK SK SK SK SK SK SK SK SK SK


c. Right hospital client, right strength, right diagnosis, right drug, and right route
SK SK SK SK SK SK SK SK SK SK SK


d. Right hospital client, right diagnosis, right drug, right route, and right time
SK SK SK SK SK SK SK SK SK SK SK




ACCURATE ANS:- A SK SK