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TEST BANK For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne ,Verified Chapters 1 - 58, Complete Newest Version ISBN: 9780323694803 CA$30.25
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TEST BANK For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne ,Verified Chapters 1 - 58, Complete Newest Version ISBN: 9780323694803

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TEST BANK For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Seneviratne ,Verified Chapters 1 - 58, Complete Newest Version ISBN: 9780323694803 TEST BANK For Lilley's Pharmacology for Canadian Health Care Practice 4th Edition by Kara Sealock, Cydnee Sen...

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Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank

,Chapter 01: Nursing Practice in Canada and Drug Therapy
.z .z .z .z .z .z .z .z




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
.z .z .z .z .z .z .z .z .z




MULTIPLECHOICE .z




1. Which is a judgement about a particular patient‘s potential need or problem?
.z .z .z .z .z .z .z .z .z .z .z




a. A goal .z




b. An assessment .z




c. Subjective data .z




d. A nursing diagnosis .z .z




ANS: . z D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




conditions and life processes or vulnerability for that response.
.z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Knowledge .z .z




2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallo
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




a. A ―right time‖ problem
.z .z .z




b. A ―right dose‖ problem
.z .z .z




c. A ―right route‖ problem
.z .z .z




d. A ―right medication‖ problem
.z .z .z




ANS: . z C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescr
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not cha
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Application .z .z




3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has be
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




possible adverse effects. What nursing process phase is the nurse practising?
.z .z .z .z .z .z .z .z .z .z .z




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




ANS: . z B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing dia
.z .z .z .z .z .z .z .z .z .z .z .z .z .z




this example.
.z .z




DIF: Cognitive Level: Application .z .z




4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statem
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




outcome criterion for this patient?
.z .z .z .z .z




a. The patient will follow instructions. .z .z .z .z




b. The patient will not experience complications.
.z .z .z .z .z




c. The patient adheres to the new insulin treatment regimen.
.z .z .z .z .z .z .z .z




d. The patient demonstrates safe insulin self-administration technique.
.z .z .z .z .z .z




ANS: . z D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outc
.z .z .z .z .z .z .z .z .z .z .z .z .z




instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment r
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




would be difficult to measure.
.z .z .z .z .z




DIF: Cognitive Level: Application .z .z




5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly di
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z

, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a m
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication er
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




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




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




c. Call the health care provider to clarify the route of administration
.z .z .z .z .z .z .z .z .z .z




d. Withhold the drug until the health care provider visits the patient .z .z .z .z .z .z .z .z .z .z




ANS: . z C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Nev
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




administration.
.z




DIF: Cognitive Level: Application | Cognitive Level: Analysis .z .z .z .z .z .z




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




a. Right drug, right route, right dose, right time, and right patient
.z .z .z .z .z .z .z .z .z .z




b. Right drug, the right effect, the right route, the right time, and the right patient
.z .z .z .z .z .z .z .z .z .z .z .z .z .z




c. Right patient, right strength, right diagnosis, right drug, and right route
.z .z .z .z .z .z .z .z .z .z




d. Right patient, right diagnosis, right drug, right route, and right time
.z .z .z .z .z .z .z .z .z .z




ANS: . z A
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Comprehension .z .z




8. What correctly describes the nursing process?
.z .z .z .z .z




a. Diagnosing, planning, assessing, implementing, and finally evaluating .z .z .z .z .z .z




b. Assessing, then diagnosing, implementing, and ending with evaluating .z .z .z .z .z .z .z




c. A linear direction that begins with assessing and continues through diagnosing,
.z .z .z .z .z .z .z .z .z .z




planning, and finally implementing
.z .z .z .z




d. An ongoing process that begins with assessing and continues with diagnosing,
.z .z .z .z .z .z .z .z .z .z




planning, implementing, and evaluating
.z .z .z .z




ANS: . z D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with asse
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .




DIF: Cognitive Level: Application .z .z




9. When the nurse is considering the timing of a drug dose, which is most important to assess?
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




a. The patient‘s identification .z .z




b. The patient‘s weight .z .z




c. The patient‘s last meal .z .z .z




d. Any drug or food allergies .z .z .z .z




ANS: . z C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Application .z .z




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




a. Anxiety
b. Anxiety related to new drug therapy .z .z .z .z .z




c. Anxiety related to anxious feelings about drug therapy, as evidenced by .z .z .z .z .z .z .z .z .z .z




statements such as ―I‘m upset about having to give myself shots‖
.z .z .z .z .z .z .z .z .z .z .z




d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
.z .z .z .z .z .z .z .z .z .z .z .z




upset about having to give myself shots‖
.z .z .z .z .z .z .z




ANS: . z D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiety re
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z

, Chapter 02: Pharmacological Principles
.z .z .z




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
.z .z .z .z .z .z .z .z .z




MULTIPLECHOICE .z




1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




identical amounts. Which term best denotes that the drugs have the same absorption rates?
.z .z .z .z .z .z .z .z .z .z .z .z .z .z




a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: . z D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioav
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is gre
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indi
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




not have a chemical reaction when mixed (or given, in the case of drugs) together.
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Comprehension .z .z




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide fo
.z .z .z .z .z .z .z .z .z .z .z .z .z .z




a. The medication will cause fewer adverse effects when given intravenously.
.z .z .z .z .z .z .z .z .z




b. The medication will be absorbed slowly into the tissues over time.
.z .z .z .z .z .z .z .z .z .z




c. The medication‘s action will begin faster when given intravenously.
.z .z .z .z .z .z .z .z




d. Most of the drug is inactivated by the liver before it reaches the target area.
.z .z .z .z .z .z .z .z .z .z .z .z .z .z




ANS: . z C
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation o
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




it reaches the target area.
.z .z .z .z .z




DIF: Cognitive Level: Comprehension .z .z




3. Which is true regarding parenteral drugs? .z .z .z .z .z




a. They bypass the first-pass effect. .z .z .z .z




b. They decrease blood flow to the stomach. .z .z .z .z .z .z




c. They are altered by the presence of food in the stomach. .z .z .z .z .z .z .z .z .z .z




d. They exert their effects while circulating in the bloodstream. .z .z .z .z .z .z .z .z




ANS: . z A
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach a
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulati
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




effects; they do not exert their effects while circulating in the bloodstream.
.z .z .z .z .z .z .z .z .z .z .z .z




DIF: Cognitive Level: Analysis .z .z




4. A drug‘s half-life is best defined as
.z .z .z .z .z .z




a. The time it takes for the drug to elicit half its therapeutic response.
.z .z .z .z .z .z .z .z .z .z .z .z




b. The time it takes one-half of the original amount of a drug to reach the target
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




cells.
.z




c. The time it takes one-half of the original amount of a drug to be removed from the
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




body.
.z




d. The time it takes one-half of the original amount of a drug to be absorbed into the
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z




circulation.
.z




ANS: . z C
A drug‘s half-life is the time it takes for one-half of the original amount of a drug to be removed from the bod
.z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z .z

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