Pharmacology and the Nursing Process 10th Edition Test Bank

Questions 68

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Pharmacology and the Nursing Process 10th Edition Test Bank Questions

Question 1 of 5

Mr Santos is scheduled for CT SCAN for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse?

Correct Answer: A

Rationale: The correct answer is A because shampooing the hair thoroughly helps remove oil and dirt, which can interfere with the CT scan results. By having clean hair, the scan can produce clearer images. Choice B is incorrect because some preparation is needed for a CT scan, especially regarding cleanliness. Choice C is incorrect as giving a cleansing enema and fluids until 8 AM is not necessary for a CT scan of the head. Choice D is incorrect as shaving the scalp and attaching electrodes are not part of routine preparation for a CT scan.

Question 2 of 5

A client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provide by which type of white blood cell?

Correct Answer: D

Rationale: The correct answer is D: Lymphocyte. Lymphocytes are a type of white blood cell that play a crucial role in adaptive immunity. They include T cells and B cells, which are responsible for recognizing and attacking specific pathogens. T cells help regulate the immune response and directly attack infected cells, while B cells produce antibodies to target pathogens. Neutrophils (A), monocytes (B), and basophils (C) are important for innate immunity, not adaptive immunity. Neutrophils are phagocytic cells that engulf and destroy pathogens, monocytes differentiate into macrophages to engulf pathogens, and basophils are involved in allergic reactions. Therefore, the correct answer is D because lymphocytes are key players in adaptive immunity.

Question 3 of 5

A patient was diagnosed with hiatal hernia. She frequently has regurgitation and a sour taste on his mouth especially after eating large meals. Which action by the client shows understanding of her treatment regimen?

Correct Answer: D

Rationale: The correct answer is D: avoid caffeine, alcohol, and chocolate. This helps to reduce acid reflux symptoms associated with hiatal hernia. Caffeine, alcohol, and chocolate can relax the lower esophageal sphincter, leading to increased reflux. Elevating legs (choice A) does not address the underlying issue. Drinking more fluids (choice B) can exacerbate symptoms by increasing stomach volume. Increasing roughage (choice C) may worsen symptoms due to increased gastric distension. By avoiding triggers like caffeine, alcohol, and chocolate, the client can effectively manage her symptoms.

Question 4 of 5

A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse�s first best action?

Correct Answer: D

Rationale: The correct answer is D: Stop the infusion. This is the best action because the client is likely experiencing a transfusion reaction. Stopping the infusion immediately is crucial to prevent further complications. Reporting the signs and symptoms to the healthcare provider (A) can cause a delay in addressing the reaction. While monitoring vital signs (B) and assessing respiratory status (C) are important, stopping the infusion takes precedence to ensure the client's safety and prevent a severe reaction.

Question 5 of 5

A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?

Correct Answer: A

Rationale: The correct answer is A because stating feeling better after talking with family and friends demonstrates the use of healthy coping skills. This behavior indicates the patient is seeking and utilizing social support, which is crucial for managing stress and emotions effectively in diabetes management. Choices B, C, and D are incorrect because consuming high-carbohydrate foods when stressed can lead to poor blood sugar control, disliking support group meetings indicates avoidance of beneficial support resources, and spending most of the day in bed can contribute to physical and emotional deterioration, rather than effective coping.

Similar Questions

A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?
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The nurse understands that which of the ff. best describes the action of propanolol (Inderal)?
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