Pharmacology and the Nursing Process 10th Edition Test Bank

Pharmacology and the Nursing Process 10th Edition Test Bank Related

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A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?

  • A. “I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear.”
  • B. “I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal.”
  • C. “I will receive parenteral vitamin B12 therapy monthly for 6 months to a year.”
  • D. “I will receive parenteral vitamin B12 therapy for the rest of my life.”
Correct Answer: D

Rationale: The correct answer is D: “I will receive parenteral vitamin B12 therapy for the rest of my life.” This statement is correct because pernicious anemia is a lifelong condition requiring ongoing vitamin B12 supplementation. Patients with pernicious anemia lack intrinsic factor, which is needed to absorb vitamin B12 from food. Therefore, they need lifelong B12 therapy to prevent complications such as anemia and neurological damage.

Choices A, B, and C are incorrect because they suggest a limited duration of therapy. Pernicious anemia is a chronic condition that necessitates continuous treatment. Choice A implies therapy until signs and symptoms disappear, which may not address the underlying cause of the deficiency. Choice B mentions therapy until vitamin B12 levels normalize, which may not prevent recurrence. Choice C suggests monthly therapy for a fixed period, which may not be sufficient for lifelong management.

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A nurse adds a nursing diagnosis to a patient’s care plan. Which information did the nurse document?

  • A. Decreased cardiac output related to altered myocardial contractility.
  • B. Patient needs a low-fat diet related to inadequate heart perfusion. NursingStoreRN
  • C. Offer a low-fat diet because of heart problems.
  • D. Acute heart pain related to discomfort.
Correct Answer: A

Rationale: The correct answer is A because it follows the correct format of a nursing diagnosis: "Problem related to Etiology." In this case, "Decreased cardiac output" is the problem, and "altered myocardial contractility" is the cause. This format helps identify the specific issue and its underlying cause, allowing for targeted interventions. Choice B is incorrect as it doesn't follow the problem-etiology format and lacks specificity. Choice C is also incorrect as it lacks a clear nursing diagnosis and specific etiology. Choice D is incorrect as it presents a symptom rather than a nursing diagnosis with an associated cause. Overall, choice A is the best option as it provides a clear, specific nursing diagnosis that guides appropriate nursing interventions.

What name is given to tools that are used to communicate a standardized interdisciplinary plan of care for clients within a case management health care delivery system?

  • A. Kardex care plans
  • B. Computerized plans of care
  • C. Clinical pathways
  • D. Student care plans
Correct Answer: C

Rationale: The correct answer is C: Clinical pathways. Clinical pathways are standardized, evidence-based interdisciplinary plans of care used in case management to guide the treatment and management of clients. They outline the expected course of treatment, interventions, and outcomes for specific health conditions. Kardex care plans (A) are outdated paper-based patient information systems, not specifically for interdisciplinary care plans. Computerized plans of care (B) may refer to electronic health records but do not necessarily imply standardized interdisciplinary plans. Student care plans (D) are educational tools for students and not typically used in case management for clients.

At a public health fair, a nurse discusses the dangers of sun exposure. Prolonged sun exposure has been blamed for which form of cancer?

  • A. Malignant melanoma
  • B. Basal cell epithelioma
  • C. Squamous cell carcinoma
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D: All of the above. Malignant melanoma, basal cell epithelioma, and squamous cell carcinoma are all forms of skin cancer associated with prolonged sun exposure. Melanoma is the deadliest form, originating in melanocytes; basal cell and squamous cell carcinomas are more common but less aggressive. All three types can develop due to cumulative UV radiation exposure. Therefore, all options are correct in this context.

While completing an admission database, the nurse is interviewing a patient who states “I am allergic to latex.” Which action will the nurse take first?

  • A. Immediately place the patient in isolation.
  • B. Ask the patient to describe the type of reaction.
  • C. Proceed to the termination phase of the interview.
  • D. Document the latex allergy on the medication administration record.
Correct Answer: B

Rationale: The correct answer is B: Ask the patient to describe the type of reaction. First, the nurse needs to assess the severity of the latex allergy to determine the appropriate interventions. Understanding the type of reaction can help guide treatment and prevent future exposure. Isolating the patient (choice A) is not necessary unless there is a severe reaction. Terminating the interview (choice C) prematurely is not appropriate as crucial information may be missed. Documenting the allergy (choice D) is important but not as urgent as assessing the reaction type.

Mr. Dela Isla said he cannot comprehend what the nurse was saying. He suffers from:

  • A. Insomnia
  • B. Agnosia
  • C. Aphraxia
  • D. Aphasia
Correct Answer: D

Rationale: The correct answer is D: Aphasia. Aphasia is a language disorder that affects a person's ability to communicate and understand speech. In this case, Mr. Dela Isla's difficulty in comprehending what the nurse was saying indicates a problem with language processing, which aligns with the symptoms of aphasia. Insomnia (A) is a sleep disorder, not related to language comprehension. Agnosia (B) is a perception disorder where someone cannot recognize objects or people, not related to language. Apraxia (C) is a motor disorder affecting the ability to perform purposeful movements, not related to language comprehension.

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