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Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
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MULTIPLE CHOICE v
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal v
b. An assessment v
c. Subjective data v
d. A nursing diagnosis v v
ANS: D v
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge v v
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to s
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medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A “right time” problem v v v
b. A “right dose” problem v v v
c. A “right route” problem v v v
d. A “right medication” problem
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ANS: C v
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the p
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time” problem because the ordered frequency has not changed. This is not a “right dose” problem beca
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van inability to swallow. This is not a “right medication” problem because the medication ordered will
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DIF: Cognitive Level: Application v v
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and
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of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis v
ANS: B v
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
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illustrated by this example.
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DIF: Cognitive Level: Application v v
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
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outcome criterion for this patient?
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a. The patient will follow instructions.v v v v
b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D v
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
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instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
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vand would be difficult to measure.
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DIF: Cognitive Level: Application v v
5. Which activity best reflects the implementation phase of the nursing process for the patient who is new
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
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the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANS: C v
If a medication order does not include the route, the nurse must ask the health care provider to clarify i
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administration.
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DIF: Cognitive Level: Application | Cognitive Level: Analysis v v v v v v
7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A v
The traditional Five Rights of medication administration were considered to be Right drug, Right route
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Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights
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DIF: Cognitive Level: Comprehension v v
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnosing,
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planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosing,
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planning, implementing, and evaluating
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ANS: D v
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
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through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
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DIF: Cognitive Level: Application v v
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient’s identification v v
b. The patient’s weight v v
c. The patient’s last meal v v v
d. Any drug or food allergies v v v v
ANS: C v
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
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compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by
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DIF: Cognitive Level: Application v v
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
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a. Anxiety
b. Anxiety related to new drug therapy v v v v v
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
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statements such as “I’m upset about having to give myself shots”
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d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
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upset about having to give myself shots”
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ANS: D v
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiet
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