Pharmacology and the Nursing Process Test Bank

Questions 68

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ATI RN Test Bank

Pharmacology and the Nursing Process Test Bank Questions

Question 1 of 5

A nurse has been examining the vital signs of the client for the past 2 days. On a particular day, she observe a sudden change in the vital signs of the client. Which of the ff steps should the nurse take immediately?

Correct Answer: A

Rationale: The correct answer is A: Inform the physician. This is essential because a sudden change in vital signs may indicate a critical condition that requires immediate medical attention. The physician needs to be informed promptly to assess the situation and provide appropriate interventions. Summary: - B: Changing environmental settings is not a priority when dealing with sudden changes in vital signs. - C: Altering diet intake is not an immediate response to sudden changes in vital signs. - D: Decreasing physical activity may not address the underlying cause of the sudden change in vital signs.

Question 2 of 5

Which of the ff is the diagnostic sign for pericarditis?

Correct Answer: B

Rationale: The correct answer is B: Pericardial friction rub. This is a key diagnostic sign of pericarditis due to the inflammation of the pericardial layers causing a rough, grating sound heard upon auscultation. Precordial pain (A) is a common symptom but not a specific diagnostic sign. Hypotension (C) and rapid/labored respirations (D) are not typically associated with pericarditis. Therefore, the presence of a pericardial friction rub is crucial in confirming the diagnosis of pericarditis.

Question 3 of 5

Why does emotional counselling or helping the client perform common daily activities become important nursing care interventions in clients with Parkinson�s or Huntington�s diseases, or even epilepsy?

Correct Answer: A

Rationale: The correct answer is A because clients with Parkinson's, Huntington's diseases, or epilepsy often experience emotional challenges such as depression and anxiety due to the impact of their conditions on their daily lives. Emotional counseling helps address these issues. Additionally, these clients may struggle with basic self-care activities due to motor and cognitive deficits, making it crucial for nurses to assist them in performing daily tasks. Choice B is incorrect as clients with these conditions may experience paralysis or motor impairments, but it is not a universal symptom. Choice C is incorrect because the question does not mention bone issues in Parkinson's, Huntington's diseases, or epilepsy. Choice D is incorrect as aggression and violence are not common symptoms in clients with these neurologic deficits.

Question 4 of 5

A client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis site for cancer cells?

Correct Answer: A

Rationale: The correct answer is A: Liver. The liver is a common site for metastasis because it receives blood from various organs, making it a prime location for cancer cells to travel and establish secondary tumors. Additionally, the liver has a rich blood supply and provides a favorable environment for cancer cells to thrive. In contrast, B (Reproductive tract) and C (Colon) are not as common sites for metastasis compared to the liver. Choice D (White blood cells) is incorrect as metastasis involves the spread of cancer cells to distant organs, not within the blood cells themselves.

Question 5 of 5

For a client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?

Correct Answer: C

Rationale: The correct answer is C because it focuses on the client actively engaging in reducing tension, which is essential in managing anxiety. This outcome is measurable and client-centered. A: Verbalizing feelings is important, but it does not necessarily lead to reduction in anxiety. B: Not guessing prognosis is helpful, but it does not address the active management of anxiety. D: Stopping seeking information may not be beneficial as knowledge can empower the client in coping with the diagnosis.

Similar Questions

For a client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?
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