Pharmacology and the Nursing Process Test Bank Free

Correct Answer: D

Rationale: The correct answer is D: Understands discharge instructions. This is crucial for patient safety and recovery post-surgery. Understanding discharge instructions ensures patients know how to care for themselves at home, manage medications, recognize warning signs, and follow-up instructions. Choice A is incorrect as patients should not drive after surgery due to potential impairment. Choice B is incorrect as IV narcotics administration timing is not a discharge criterion. Choice C is irrelevant to the patient's readiness for discharge. Understanding discharge instructions is the key factor in ensuring the patient's well-being and recovery after ambulatory surgery.

Correct Answer: A

Rationale: The correct answer is A: potassium chloride. In Addisonian crisis, the adrenal glands do not produce enough cortisol and aldosterone. Potassium levels are typically elevated in Addisonian crisis due to decreased aldosterone. Administering potassium chloride can further increase potassium levels, leading to life-threatening cardiac arrhythmias. Hydrocortisone (B) is essential to replace cortisol, normal saline solution (C) helps with volume resuscitation, and fludrocortisone (D) replaces aldosterone. Administering potassium chloride would exacerbate the hyperkalemia in Addisonian crisis.

Correct Answer: D

Rationale: The correct answer is D: Whole grains and meats. Zinc is found in high amounts in these foods. Meats, especially red meats and seafood, are rich sources of zinc. Whole grains like wheat, rice, and oats also contain significant amounts of zinc. Other choices are incorrect because fruits and vegetables are not typically good sources of zinc. Yeast and legumes are good sources of other minerals but not specifically zinc. It is important for the cancer patient to consume zinc-rich foods to support their immune system and overall health during recovery.

Correct Answer: A

Rationale: The correct answer is A: Bladder control. This is the major early problem for Mr. Gabatan because urinary retention is a common complication post-surgery, especially for older males like him. Bladder control is essential for preventing urinary tract infections and maintaining overall health. Quadriceps setting (B) and client education (C) are important but not as critical early on. Use of aids for ambulation (D) is important but not the major early problem compared to bladder control in this case.

Correct Answer: C

Rationale: Step 1: Patients with Grave's disease who undergo thyroidectomy require regular follow-up care for monitoring thyroid hormone levels and overall health. Step 2: Regular follow-up care ensures early detection of any complications or recurrence of the disease. Step 3: Monitoring helps in adjusting medication doses and managing any potential side effects. Step 4: Choice A is important but not specific to thyroidectomy for Grave's disease. Choice B is not typically used post-thyroidectomy. Choice D may be beneficial but not a priority compared to regular follow-up care.