Pharmacology and the Nursing Process 9th Edition Test Bank

Questions 68

ATI RN

ATI RN Test Bank

Pharmacology and the Nursing Process 9th Edition Test Bank Questions

Question 1 of 5

The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She�s in her 30s and has two young children. Although she�s worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?

Correct Answer: D

Rationale: The correct answer is D: Refer the client to the American Cancer Society�s Reach for Recovery program or another support program. This choice is the best option as it provides the client with additional support and resources specifically tailored to individuals coping with cancer and mastectomy. The Reach for Recovery program offers emotional support, education, and practical assistance which can immensely benefit the client during this challenging time. A: Involving the client's spouse or partner is important, but support programs like Reach for Recovery can offer specialized assistance that may not be fully covered by the spouse's support alone. B: While proceeding with the next phase of treatment is important, emotional support and coping mechanisms are equally crucial, which support programs can provide. C: Asking the client to remain cheerful may put pressure on her and may not address her emotional needs adequately, unlike a support program that is designed to provide comprehensive support.

Question 2 of 5

Aling Iska, a 78-year old client consults with a hemoglobin and hematocrit levels of 11mg/dl and 32 % respectively. These finding indicates:

Correct Answer: B

Rationale: Rationale: Answer B is correct because a hemoglobin level of 11mg/dl and hematocrit level of 32% in a 78-year-old client are indicative of anemia. Conducting a thorough nutritional assessment is essential to identify potential causes of anemia such as iron deficiency or vitamin deficiencies. This assessment will help determine appropriate interventions to manage the anemia. Summary: A: Incorrect. These levels are indicative of anemia, not normal findings. C: Incorrect. Advising to repeat the test in three months may delay necessary interventions for the anemia. D: Incorrect. While anemia can be related to bone marrow degeneration, a nutritional assessment is needed to identify the specific cause in this case.

Question 3 of 5

The physician orders furosemide (Lasix) 40 mg IV STAT for an acutely fluid-overloaded patient. Why was the IV route likely chosen?

Correct Answer: B

Rationale: The correct answer is B: IV is the route of choice for rapid administration. IV route allows for quick onset of action, crucial in acutely fluid-overloaded patients needing immediate diuresis. Option A is incorrect as furosemide can be given orally too. Option C is less relevant in this urgent situation where speed is key. Option D is also incorrect as the side effects are not determined by route of administration.

Question 4 of 5

Which of the ff. statements, if made by a patient with hypertension, indicates to a nurse a need for more teaching?

Correct Answer: C

Rationale: Step-by-step rationale: 1. Statement C indicates a misunderstanding that medication can be stopped when feeling better, which is incorrect. 2. Hypertension is a chronic condition that often requires lifelong medication. 3. This demonstrates a lack of understanding regarding the necessity of long-term management. 4. Statements A, B, and D show knowledge about hypertension's effects, dietary management, and awareness, respectively. Summary: Statement C is incorrect as it suggests stopping medication, while statements A, B, and D show accurate understanding of hypertension.

Question 5 of 5

A client has been scheduled for a Schilling test. What instruction will the nurse give the client?

Correct Answer: B

Rationale: The correct answer is B: Collect his urine for 12 hours. This instruction is given because the Schilling test involves collecting urine over a specific time period to measure the absorption of vitamin B12. A is incorrect because fasting is not necessary. C is incorrect as enema is not required. D is incorrect as emptying the bladder is not part of the test procedure.

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