Test Bank Pharmacology and the Nursing Process

Test Bank Pharmacology and the Nursing Process Related

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A patient tells his nurse that he has delayed having TURP because he is afraid it will affect his sexual function. Which response by the nurse is most appropriate?

  • A. “Don’t worry about sterility; sperm production is not affected by this surgery.”
  • B. “Would you like some information about implants used for impotence?”
  • C. “This type of surgery rarely affects the ability to have an erection or ejaculation.”
  • D. “There are many methods of sexual expression that are alternatives to sexual intercourse.”
Correct Answer: C

Rationale: The correct answer is C: “This type of surgery rarely affects the ability to have an erection or ejaculation.” This response is appropriate because it provides accurate information that addresses the patient's concern about sexual function without making any false claims. TURP (Transurethral Resection of the Prostate) typically does not impact a patient's ability to have an erection or ejaculate. This reassurance can help alleviate the patient's fears and provide him with accurate information to make an informed decision.

Explanation for why the other choices are incorrect:
A: “Don’t worry about sterility; sperm production is not affected by this surgery.” - This is incorrect as the concern is more about sexual function than sterility.
B: “Would you like some information about implants used for impotence?” - This is incorrect as it jumps to a solution without addressing the patient's specific concern about TURP affecting sexual function.
D: “There are many methods of sexual expression that are alternatives to sexual intercourse

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What part of the nursing diagnosis statement suggests the nursing interventions to be included in the plan of care?

  • A. Problem statement
  • B. Defining characteristics
  • C. Etiology of the problem
  • D. Outcomes criteria
Correct Answer: C

Rationale: The correct answer is C: Etiology of the problem. In a nursing diagnosis statement, the etiology describes the underlying cause or contributing factors to the identified problem. This is crucial as it guides the selection of appropriate nursing interventions aimed at addressing the root cause of the issue. By addressing the etiology, nurses can implement interventions that will effectively treat the problem.

Choice A (Problem statement) simply identifies the issue without providing insight into its cause. Choice B (Defining characteristics) lists the signs and symptoms of the problem but doesn't directly inform the interventions needed. Choice D (Outcomes criteria) outlines the expected results of the interventions but doesn't directly suggest which interventions to implement. Thus, C is the correct choice as it directly influences the selection of appropriate nursing interventions.

The most significant form of meningitis is:

  • A. Bacterial
  • B. Septic
  • C. Aseptic
  • D. Viral
Correct Answer: A

Rationale: The correct answer is A: Bacterial meningitis. Bacterial meningitis is the most significant form due to its potential severity and rapid progression, requiring urgent medical intervention with antibiotics. Bacterial meningitis can lead to serious complications such as brain damage or death if left untreated. Septic meningitis (choice B) refers to meningitis caused by a systemic infection spreading to the meninges. Aseptic meningitis (choice C) is typically viral or non-bacterial in origin, usually milder than bacterial meningitis. Viral meningitis (choice D) is less severe than bacterial meningitis and often resolves on its own without specific treatment.

Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient? The nurse determines to remove a wound dressing when the patient reveals the time

  • A. of the last dressing change and notices old and new drainage. The nurse administers pain medicine due at 1700 at 1600 because the patient reports
  • B. increased pain and the family wants something done. The nurse immediately asks the health care provider for an order of potassium when a
  • C. patient reports leg cramps.
  • D. The nurse elevates a leg cast when the patient reports decreased mobility.
Correct Answer: A

Rationale: The correct answer is A because it demonstrates data validation in nursing clinical decision-making. In this scenario, the nurse considers the patient's self-reported information (time of last dressing change and observation of old and new drainage) as key data points to validate the need for changing the wound dressing. This aligns with the principles of evidence-based practice and ensures that the decision is based on accurate and relevant information.

Choices B, C, and D are incorrect because they do not involve the systematic validation of data to inform the nursing decision-making process. Choice B relies on family input rather than objective data, Choice C jumps to a treatment decision without confirming the underlying cause, and Choice D does not involve validating the patient's reported symptom before taking action.

Which iron-rich foods should the nurse encourage an anemic client requiring iron therapy to eat?

  • A. Shrimp and tomatoes
  • B. Cheese and bananas
  • C. Lobster and squash
  • D. Lamb and peaches
Correct Answer: A

Rationale: The correct answer is A: Shrimp and tomatoes. Shrimp is a good source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Tomatoes are rich in Vitamin C, which helps enhance iron absorption. Cheese, bananas, lobster, squash, lamb, and peaches do not provide significant amounts of iron essential for an anemic client. The combination of shrimp and tomatoes offers a balanced approach to increase iron levels effectively.

Antihistamines are used cautiously in older men with prostatic hypertrophy for which of the ff reasons?

  • A. Because the clients may experience increased drowsiness
  • B. Because these clients may experience difficulty voiding
  • C. Because these clients face a greater risk of cardiac arrest
  • D. Because these clients have a lower autoimmune response CARING FOR CLIENTS WITH AIDS
Correct Answer: B

Rationale: The correct answer is B: Because these clients may experience difficulty voiding. Antihistamines can worsen urinary symptoms in men with prostatic hypertrophy by causing urinary retention. This is due to the anticholinergic effects of antihistamines, which can lead to decreased bladder contraction and difficulty in voiding. Increased drowsiness (choice A) is a common side effect of antihistamines but is not specific to older men with prostatic hypertrophy. Choice C, greater risk of cardiac arrest, is not directly related to the use of antihistamines in older men with prostatic hypertrophy. Choice D, lower autoimmune response in clients with AIDS, is unrelated to the use of antihistamines in older men with prostatic hypertrophy.

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