Chapter 01: Nursing Practice in Canada and Drug Therapy
r r r r r r r r
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
r r r r r r r r r
MULTIPLErCHOICE
1. Whichrisrarjudgementraboutrarparticularrpatient’srpotentialrneedrorrproblem?
a. Argoal
b. Anrassessment
c. Subjectiverdata
d. Arnursingrdiagnosis
ANSWER:r D
Nursingrdiagnosisrisrtherphaserofrthernursingrprocessrduringrwhichrarclinicalrjudgementrisrmaderaboutrhow
conditionsrandrliferprocessesrorrvulnerabilityrforrthatrresponse.
DIF: CognitiverLevel:rKnowledge
2. Therpatientrisrtorreceiveroralrfurosemider(Lasix)reveryrday;rhowever,rbecausertherpatientrisrunablertorswallo
cationrorally,rasrordered.rThernurserneedsrtor contactrtherphysician.rWhatrtyperofrproblemrisrthis?
a. Ar“rightrtime”rproblem
b. Ar“rightrdose”rproblem
c. Ar“rightrroute”rproblem
d. Ar“rightrmedication”rproblem
ANSWER:r C
Thisrisrar“rightrroute”rproblem:rthernursercannotrassumertherrouterandrmustrclarifyrtherrouterwithrtherprescri
problemrbecausertherorderedrfrequencyrhasrnotrchanged.rThisrisrnotrar“rightrdose”rproblemrbecausertherdos
orswallow.rThisrisrnotrar“rightrmedication”rproblemrbecauserthermedicationrorderedrwillrnotrchange,rjustrth
DIF: CognitiverLevel:rApplication
3. Thernurserhasrbeenrmonitoringrtherpatient’srprogressronrhisrnewrdrugrregimenrsincertherfirstrdoserandrhasrbe
sibleradversereffects.rWhatr nursingrprocessrphaser isrthernurserpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingrdiagnosis
ANSWER:r B
Monitoringrtherpatient’srprogressrisrpartrofrtherevaluationrphase.rPlanning,rimplementation,randrnursingrdia
yrthisrexample.
DIF: CognitiverLevel:rApplication
4. Thernurserisrcaringrforrarpatientrwhorhasrbeenrnewlyrdiagnosedrwithrtyper1rdiabetesrmellitus.rWhichrstateme
mercriterionrforrthisrpatient?
a. Therpatientrwillrfollowrinstructions.
b. Therpatientrwillrnotrexperiencercomplications.
c. Therpatientradheresrtorthernewrinsulinrtreatmentrregimen.
d. Therpatientrdemonstratesrsaferinsulinrself-administrationrtechnique.
ANSWER:r D
Havingrtherpatientrdemonstratersaferinsulinrself-
administrationrtechniquerisrarspecificrandrmeasurableroutcomercriterion.rFollowingrinstructionsrandravoidi
ificrcriteria.rAdherencertorthernewrinsulinrtreatmentrregimenrisrnotrobjectiverandrwouldrberdifficultr tor meas
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