,Chapter 01: Nursing Practice in Canada and Drug Therapy
m m m m m m m m
Lilley: Pharmacology for Canadian Health Care Practice, 4th Canadian Edition
m m m m m m m m m
MULTIPLE mCHOICE
1. Which mis ma mjudgement mabout ma mparticular mpatient‘s mpotential
mneed mor mproblem?
a. A mgoal
b. An massessment
c. Subjective mdata
d. A mnursing mdiagnosis
ANS: m D
Nursing mdiagnosis mis mthe mphase mof mthe mnursing mprocess mduring mwhich
a mclinical mjudgement mis mmade mabout mhow ma mpatient mresponds mto mheath mconditions mand mlife
mprocesses mor mvulnerability mforthat mresponse.
DIF: Cognitive mLevel: mKnowledge REF: mp. m11
2. The mpatient mis mto mreceive moral mfurosemide m(Lasix) mevery mday; mhowever, mbecause mthe
mpatient mis munable mto mswallow, mhe mcannot mtake mmedication morally, mas mordered. mThe mnurse
mneeds mto mcontact mthe mphysician. mWhat mtype mof mproblem mis mthis?
a. A m―right mtime‖ mproblem
b. A m―right m dose‖ mproblem
c. A m―right mroute‖ mproblem
d. A m―right mmedication‖ mproblem
ANS: m C
This mis ma m―right mroute‖ mproblem: mthe mnurse mcannot massume mthe mroute mand mmust mclarify mthe mroute
with mthe mprescriber. mThis mis mnot ma m―right mtime‖ mproblem mbecause mthe mordered mfrequency mhas
mnot mchanged. mThis mis mnot ma m―right mdose‖ mproblem mbecause mthe mdose mis mnot mrelated mto man
minability mto mswallow. mThis mis mnot ma m―right mmedication‖ mproblem mbecause mthe mmedication
mordered mwill mnot mchange, mjust mthe mroute.
DIF: Cognitive mLevel: mApplication REF: m p. m14
3. The mnurse mhas mbeen mmonitoring mthe mpatient‘s mprogress mon mhis mnew mdrug mregimen msince
mthe mfirst mdose mand mhas mbeen mdocumenting msigns mof mpossible madverse meffects. mWhat mnursing
mprocess mphase mis mthe mnurse mpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing mdiagnosis
ANS: m B
Monitoring mthe mpatient‘s mprogress mis mpart mof mthe mevaluation mphase. mPlanning,
mimplementation, mand mnursing mdiagnosis mare mnot millustrated mby mthis mexample.
DIF: Cognitive mLevel: mApplication REF: mp. m19
,4. The mnurse mis mcaring mfor ma mpatient mwho mhas mbeen mnewly mdiagnosed mwith mtype m1 mdiabetes
mmellitus. mWhich mstatement mbest millustrates man moutcome mcriterion mfor mthis mpatient?
a. The mpatient mwill mfollow minstructions.
b. The mpatient mwill mnot mexperience mcomplications.
c. The mpatient madheres mto mthe mnew minsulin mtreatment mregimen.
d. The mpatient mdemonstrates msafe minsulin mself-administration mtechnique.
ANS: m D
Having mthe mpatient mdemonstrate msafe minsulin mself-administration mtechnique mis ma mspecific
mand mmeasurable moutcome mcriterion. mFollowing minstructions mand mavoiding mcomplications
mare mnot mspecific mcriteria. mAdherence mto mthe mnew minsulin mtreatment mregimen mis mnot
mobjective mand mwould mbe mdifficult mto mmeasure.
DIF: Cognitive mLevel: mApplication REF: mp. m13
5. Which mactivity mbest mreflects mthe mimplementation mphase mof mthe mnursing mprocess mfor mthe
mpatient mwho mis mnewly mdiagnosed mwith mtype m1 mdiabetes mmellitus?
a. Providing meducation mregarding mself-injection mtechnique
b. Setting mgoals mand moutcome mcriteria mwith mthe mpatient‘s minput
c. Recording ma mhistory mof mover-the-counter mmedications mused mat mhome
d. Formulating mnursing mdiagnoses mregarding mknowledge mdeficits mrelated mto mthe
mnew mtreatment mregimen
ANS: m A
Education mis man mintervention mthat moccurs mduring mthe mimplementation mphase. mSetting mgoals
mand moutcome mcriteria mreflects mthe mplanning mphase. mRecording ma mdrug mhistory mreflects mthe
massessment mphase. mFormulating mnursing mdiagnoses mregarding ma mknowledge mdeficit mreflects
manalysis mof mdata mas mpart mof mthe mplanning mphase.N
DIF: Cognitive mLevel: mAnalysis REF: m p. m8 m| mp. m13
6. The mnurse mis mworking mduring ma mvery mbusy mnight mshift, mand mthe mhealth mcare mprovider mhas
mjust mgiven mthe mnurse ma mmedication morder mover mthe mtelephone, mbut mthe mnurse mdoes mnot
mrecall mthe mroute. mWhat mis mthe mbest mway mfor mthe mnurse mto mavoid mmedication merrors?
a. Recopy mthe morder mneatly mon mthe morder msheet, mwith mthe mmost mcommon mroute mindicated
b. Consult mwith mthe mpharmacist mfor mclarification mabout mthe mmost mcommon mroute
c. Call mthe mhealth mcare mprovider mto mclarify mthe mroute mof madministration
d. Withhold mthe mdrug muntil mthe mhealth mcare mprovider mvisits mthe mpatient
ANS: m C
If ma mmedication morder mdoes mnot minclude mthe mroute, mthe mnurse mmust mask mthe mhealth mcare
mprovider mto mclarify mit. mNever massume mthe mroute mof madministration.
DIF: Cognitive mLevel: mApplication m| mCognitive mLevel: mAnalysis m REF: m p. m17
7. Which mconstitutes mthe mtraditional mFive mRights mof mmedication madministration?
a. Right mdrug, mright mroute, mright mdose, mright mtime, mand mright mpatient
b. Right mdrug, mthe mright meffect, mthe mright mroute, mthe mright mtime, mand mthe mright mpatient
c. Right mpatient, mright mstrength, mright mdiagnosis, mright mdrug, mand mright mroute
d. Right mpatient, mright mdiagnosis, mright mdrug, mright mroute, mand mright mtime
ANS: m A
, The mtraditional mFive mRights mof mmedication madministration mwere mconsidered mto mbe mRight
mdrug, mRight mroute, mRight mdose, mRight mtime, mand mRight mpatient. mRight meffect, mright
mstrength, mand mright mdiagnosis mare mnot mpart mof mthe mtraditional mFive mRights.
DIF: m m Cognitive mLevel: mComprehension m m m REF: m p. m13
8. What mcorrectly mdescribes m the mnursing mprocess?
a. Diagnosing, mplanning, massessing, mimplementing, mand mfinally mevaluating
b. Assessing, mthen mdiagnosing, mimplementing, mand mending mwith mevaluating
c. A mlinear mdirection mthat mbegins mwith massessing mand mcontinues mthrough
diagnosing, mplanning, mand mfinally mimplementing
m
d. An mongoing mprocess mthat mbegins mwith massessing mand mcontinues mwith
diagnosing, mplanning, mimplementing, mand mevaluating
m
ANS: m D
The mnursing mprocess mis man mongoing, mflexible, madaptable, mand madjustable mfive-step mprocess
mthat mbegins mwith massessing mand mcontinues mthrough mdiagnosing, mplanning, mimplementing,
mand mfinally mevaluating, mwhich mmay mthen mlead mback mto many mof mthe mother mphases.
DIF: Cognitive mLevel: mApplication REF: mp. m8
9. When mthe mnurse mis mconsidering mthe mtiming mof ma mdrug mdose, mwhich mis mmost mimportant mto massess?
a. The mpatient‘s midentification
b. The mpatient‘s mweight
c. The mpatient‘s mlast mmeal
d. Any mdrug mor mfood mallergies
ANS: m C
The mpharmacokinetic mand mpharmacodynamic mproperties mof mthe mdrug mneed mto mbe massessed mwith
regard mto many mdrug–food minteractions mor mcompatibility missues. mThe mpatient‘s midentification,
mweight, mand mdrug mor mfood mallergies mare mnot maffected mby mthe mdrug‘s mtiming.
DIF: Cognitive mLevel: mApplication REF: mp. m17
10. The mnurse mis mwriting mnursing mdiagnoses mfor ma mplan mof mcare. mWhich mreflects mthe mcorrect
m format mfor mher mnursing mdiagnosis?
a. Anxiety
b. Anxiety mrelated mto mnew mdrug mtherapy
c. Anxiety mrelated mto manxious mfeelings mabout mdrug mtherapy, mas mevidenced mby
statements msuch mas m―I‘m mupset mabout mhaving mto mgive mmyself mshots‖
m
d. Anxiety mrelated mto mnew mdrug mtherapy, mas mevidenced mby mstatements msuch mas
―I‘m mupset mabout mhaving mto mgive mmyself mshots‖
m
ANS: m D
