Pharmacology and the Nursing Process 9th Edition Test Bank

Correct Answer: C

Rationale: The correct answer is C: "You may feel a burning sensation when the dye is injected." This is important preprocedure teaching for carotid angiography because it prepares the patient for a common sensation during the procedure, helping to manage their expectations and reduce anxiety. This information is crucial for informed consent. Choice A is incorrect because carotid angiography is usually done under local anesthesia, not general anesthesia. Choice B is incorrect as carotid angiography typically takes about 1-2 hours, not several hours. Choice D is incorrect because all medical procedures, including carotid angiography, carry potential risks and complications, which should be discussed with the patient.

Correct Answer: B

Rationale: The correct answer is B because it is important for the nurse to communicate directly with the patient, especially when the patient is alert and oriented. Speaking only to the patient's daughter may undermine the patient's autonomy and dignity. It is crucial for the nurse to establish rapport and build a therapeutic relationship with the patient. Making eye contact with the patient (choice A) is a good nonverbal communication technique. Leaning forward while talking with the patient (choice C) shows attentiveness and engagement. Nodding periodically while the patient is speaking (choice D) demonstrates active listening and encourages the patient to continue sharing. However, speaking only to the patient's daughter (choice B) is the incorrect choice as it neglects the patient's role in the conversation and may lead to potential issues in communication and patient-centered care.

Correct Answer: D

Rationale: The correct answer is D because airborne pollens and molds are common triggers for allergic rhinitis. Understanding these triggers helps in avoiding exposure and managing symptoms. Choices A, B, and C are incorrect as they do not specifically relate to allergic rhinitis triggers, focusing instead on other forms of medication or topical applications. By understanding airborne triggers, the patient can take appropriate preventive measures.

Correct Answer: C

Rationale: The correct answer is C: Serum calcitonin level. Smoking can elevate serum calcitonin levels due to the effect of nicotine. However, an elevated serum calcitonin level is not a general indicator of cancer. Step 1: Understand that smoking can increase serum calcitonin levels. Step 2: Recognize that elevated serum calcitonin levels are not specific to cancer and can be influenced by other factors. Step 3: Differentiate between a marker that is specific to cancer (such as carcinoembryonic antigen) and one that can be affected by smoking but not necessarily indicative of cancer (serum calcitonin). Thus, while smoking can elevate serum calcitonin levels, it is not a reliable indicator of cancer.

Correct Answer: C

Rationale: The correct answer is C: limit daily alcohol intake. This is crucial for clients with cirrhosis as alcohol can exacerbate liver damage. Limiting alcohol intake helps prevent further harm to the liver and promotes overall health. Supplementation with multivitamins (choice A) can be beneficial, but not as essential as avoiding alcohol. Taking sleeping pills (choice B) may worsen liver function and is not recommended. Limiting contact at all times (choice D) is irrelevant to managing cirrhosis.