Pharmacology and the Nursing Process Test Bank Free

Correct Answer: B

Rationale: The correct answer is B: Compatible blood and tissue types. This is crucial to minimize the risk of rejection and ensure a successful transplant. Matching blood and tissue types help prevent the recipient's immune system from attacking the new organ. Blood relationship (A) is not as important as compatibility. Sex and size (C) are important considerations for certain transplants but not the most crucial factor. Need (D) is relevant but does not outweigh the importance of compatibility to ensure a successful transplant.

Correct Answer: A

Rationale: The correct answer is A: Type I hypersensitivity reaction. In Type I hypersensitivity, anaphylactic reactions involve immediate IgE-mediated responses to allergens, leading to histamine release and potentially life-threatening symptoms. This type of reaction is characterized by rapid onset and systemic involvement. Choices B, C, and D are incorrect because Type III reactions involve immune complex deposition leading to inflammation (B), Type II reactions involve cytotoxic antibodies targeting cells (C), and Type IV reactions involve delayed cell-mediated responses (D).

Correct Answer: A

Rationale: The correct answer is A: Identify factors interfering with goal achievement. This is the priority action because it focuses on understanding what caused the patient to fall despite the goal of preventing falls. By identifying the factors interfering with goal achievement, the nurse can make necessary adjustments to the care plan to prevent future falls. Choice B is incorrect because counseling the nursing assistive personnel and removing the fall risk sign does not address the root cause of the fall. Choice C is incorrect because shifting responsibility to the charge nurse for documentation does not address the immediate need to assess and address the factors contributing to the fall. Choice D is incorrect because documenting the fall is important but not the priority when the immediate concern is understanding why the fall occurred.

Correct Answer: B

Rationale: Rationale: The correct answer is B because the kidneys do not reabsorb carbon dioxide to regulate acid-base balance. Carbon dioxide is mainly regulated by the lungs through respiration. The kidneys regulate acid-base balance by excreting hydrogen ions, reabsorbing or excreting bicarbonate (HCO3-) into the blood, and retaining or excreting hydrogen ions. Reabsorbing carbon dioxide is not a mechanism utilized by the kidneys for acid-base balance. Choices A, C, and D are correct mechanisms involved in acid-base balance regulation by the kidneys.

Correct Answer: A

Rationale: The correct answer is A: Failing to involve the client in the planning process. This is because involving the client in the planning process is crucial for promoting client-centered care and ensuring that the outcomes are realistic and aligned with the client's goals. By engaging the client, the nurse can better understand their preferences and values, leading to more effective planning and goal setting. Choice B is incorrect as collecting data to establish a database is related to assessment, not outcome identification and planning. Choice C is incorrect as stating specific and measurable outcomes based on nursing diagnoses is actually a key component of effective outcome identification and planning. Choice D is incorrect as writing clear nursing orders, although important, is more related to implementation rather than outcome identification and planning.