Pharmacology and the Nursing Process Test Bank Free

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.

Correct Answer: A

Rationale: The correct answer is A: To stimulate bone growth. Estrogen and progesterone are hormones that play a crucial role in maintaining bone density and promoting bone growth. In postmenopausal women or individuals with conditions like aplastic anemia, bone health can be compromised. Estrogen helps in preventing bone loss and maintaining bone strength, while progesterone also contributes to bone formation. Therefore, in this scenario, these medications are likely prescribed to help improve bone health in the woman with aplastic anemia. Incorrect choices: B: Estrogen and progesterone do not directly enhance sodium and potassium levels. C: Estrogen and progesterone do not regulate fluid balance absorption directly. D: Estrogen and progesterone do not specifically promote utilization and storage of fluids.

Correct Answer: C

Rationale: The correct answer is C: Tactile agnosia. When assessing a client with a parietal lobe brain tumor, the nurse would expect to assess for tactile agnosia as the parietal lobe is responsible for processing sensory information, including touch and spatial awareness. Tactile agnosia is the inability to recognize objects by touch. This impairment is commonly associated with parietal lobe lesions. Short-term memory impairment (A) is more commonly associated with temporal lobe lesions. Seizures (B) are more commonly associated with frontal lobe lesions. Contralateral homonymous hemianopia (D) is associated with occipital lobe lesions. In summary, the parietal lobe tumor would likely manifest as tactile agnosia due to its role in sensory processing, making it the most relevant assessment finding in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Pregnancy. During pregnancy, the need for iron increases significantly to support the growth of the fetus and to prevent maternal anemia. Iron is essential for the production of hemoglobin and for oxygen transport in the blood. In contrast, infants require iron for rapid growth and development, making choice B partially correct. Choice C (Old age) and choice D (Male reproductive years) are incorrect as the need for iron typically decreases in old age and remains relatively stable during male reproductive years.

Correct Answer: B

Rationale: The correct answer is B: Keep extremities at neutral position. This intervention promotes proper blood flow and reduces the risk of thrombophlebitis by preventing compression or restriction of blood vessels. Removing and reapplying elastic stockings (choice A) can disrupt circulation and increase the risk of thrombophlebitis. Changing the client's position (choice C) may not directly address hemostasis or thrombophlebitis. Using a flotation mattress (choice D) is not specifically focused on maintaining proper positioning of the extremities to promote circulation.