Test Bank for Lilley's Pharmacology for Canadian Health Care Practice, 4th Edition (Chapters 1-58)

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1Chapter 01: Nursing Practice in Canada and Drug TherapySealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th EditionMULTIPLE CHOICE1.Which is a judgement about a particular patient’s potential need or problem?a.A goalb.An assessmentc.Subjective datad.A nursing diagnosisANS:DNursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds toheath conditions and life processes or vulnerability for that response.DIF:Cognitive Level: Knowledge2.The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot takemedication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?a.A “right time” problemb.A “right dose” problemc.A “right route” problemd.A “right medication” problemANS:CThis is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “righttime” problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not related toan inability to swallow. This is not a “right medication” problem because the medication ordered will not change, just the route.DIF:Cognitive Level: Application3.The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been documenting signsof possible adverse effects. What nursing process phase is the nurse practising?a.Planningb.Evaluationc.Implementationd.Nursing diagnosisANS:BMonitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are notillustrated by this example.DIF:Cognitive Level: Application4.The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statementbestillustrates anoutcome criterion for this patient?a.The patient will follow instructions.b.The patient will not experience complications.c.The patient adheres to the new insulin treatment regimen.d.The patient demonstrates safe insulin self-administration technique.ANS:DHaving the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome criterion. Followinginstructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not objectiveand would be difficult to measure.DIF:Cognitive Level: Application5.Which activitybestreflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1diabetes mellitus?a.Providing education regarding self-injection techniqueb.Setting goals and outcome criteria with the patient’s inputc.Recording a history of over-the-counter medications used at homed.Formulating nursing diagnoses regarding knowledge deficits related to the newtreatment regimenANS:AEducation is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planningphase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflects analysis of data as part of the planning phase.DIF:Cognitive Level: AnalysislOMoARcPSD|13778330

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