Pharmacology and the Nursing Process 10th Edition Test Bank Quizlet

Pharmacology and the Nursing Process 10th Edition Test Bank Quizlet Related

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Which nursing interventions can help prevent falls in a patient with Parkinson’s disease? Choose all answers that are correct. i.Keep the patient’s call light within reach ii.Apply a soft vest restraint when the patient is in bed iii.Avoid use of throw rugs iv.Maintain the patient’s bed in a low position v.Encourage the patient to be independent for as long as possible vi.Provide a cane or walker for ambulation

  • A. 1, 4, 2005
  • B. 1, 3, 4, 6
  • C. 2, 3, 2006
  • D. 2, 4, 5, 6
Correct Answer: A

Rationale: The correct answers are i. Keep the patient’s call light within reach, iii. Avoid use of throw rugs, and iv. Maintain the patient’s bed in a low position.

1. Keeping the call light within reach ensures the patient can easily call for assistance, reducing the risk of falls.
2. Avoiding throw rugs prevents tripping hazards that can lead to falls.
3. Maintaining the bed in a low position reduces the risk of injury if the patient falls out of bed.

The incorrect choices:
- Choice B includes answer 3 (Avoid use of throw rugs), which is correct, but also includes answer 6 (Provide a cane or walker for ambulation), which is not specific to fall prevention.
- Choice C includes answer 2 (Apply a soft vest restraint when the patient is in bed), which can increase the risk of falls due to restricted movement.
- Choice D includes answers that are not directly related to fall prevention, such as 2 (Apply a soft vest

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A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse’s initial action in response to these observations?

  • A. Proceed to the next patient’s room to make rounds.
  • B. Determine the patient does not want any pain medicine.
  • C. Ask the patient about the facial grimacing with movement.
  • D. Administer the pain medication ordered for moderate to severe pain.
Correct Answer: C

Rationale: The correct initial action is to choose C: Ask the patient about the facial grimacing with movement. This is important as the patient's non-verbal cues (facial grimacing) contradict their verbal pain report. By directly addressing the discrepancy, the nurse can gather more accurate information about the patient's pain experience and potentially identify any underlying issues causing the discrepancy.

Proceeding to the next patient's room (A) without addressing the discrepancy would neglect the patient's needs. Assuming the patient does not want pain medicine (B) based solely on the verbal report without further assessment is premature. Administering pain medication (D) without clarifying the situation may lead to inappropriate or ineffective treatment. Therefore, option C is the most appropriate initial action to ensure comprehensive and individualized patient care.

Which of the ff vitamins does a client lack if there is a problem with the absorption of calcium?

  • A. Vitamin A
  • B. Vitamin B
  • C. Vitamin C
  • D. Vitamin D
Correct Answer: D

Rationale: The correct answer is D: Vitamin D. Vitamin D is essential for the absorption of calcium in the intestines. Without sufficient vitamin D, the body cannot effectively absorb calcium, leading to potential issues with calcium absorption. Vitamin A (choice A) is not directly involved in calcium absorption. Vitamin B (choice B) and Vitamin C (choice C) also do not play a significant role in calcium absorption. Therefore, the lack of Vitamin D is the most likely cause for problems with calcium absorption.

A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse’s initial action in response to these observations?

  • A. Proceed to the next patient’s room to make rounds.
  • B. Determine the patient does not want any pain medicine.
  • C. Ask the patient about the facial grimacing with movement.
  • D. Administer the pain medication ordered for moderate to severe pain.
Correct Answer: C

Rationale: The correct initial action for the nurse is to ask the patient about the facial grimacing with movement (Choice C). This is important because the patient may not accurately express their pain level verbally. By addressing the discrepancy between the patient's verbal report and non-verbal cues, the nurse can gather more information to assess the patient's pain accurately. By directly communicating with the patient, the nurse can ensure that the appropriate interventions are provided.

Choice A is incorrect because it disregards the need to address the patient's pain assessment. Choice B assumes the patient's preference without further clarification. Choice D jumps to administering pain medication without fully assessing the situation, which could lead to inappropriate treatment.

During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement?

  • A. “The head of your bed must remain flat for 24 hours after surgery.”
  • B. “You should avoid deep breathing and coughing after surgery.”
  • C. “You won’t be able to swallow for the first day or two.”
  • D. “You must avoid hyperextending your neck after surgery.”
Correct Answer: D

Rationale: The correct answer is D: “You must avoid hyperextending your neck after surgery.” This is because hyperextending the neck can put strain on the surgical incision site and increase the risk of complications. A: Incorrect, as the head of the bed should be elevated to reduce swelling and promote drainage. B: Incorrect, as deep breathing and coughing are important to prevent pneumonia and promote lung expansion. C: Incorrect, as swallowing may be difficult initially but should improve gradually.

A client with suspected lung cancer is scheduled for thoracentesis as part of the diagnostic workup. The nurse reviews the client’s history for conditions that might contraindicate this procedure. Which condition is a contraindication for thoracentesis?

  • A. A seizure disorder
  • B. Anemia
  • C. Chronic obstructive pulmonary disease
  • D. A bleeding disorder
Correct Answer: D

Rationale: The correct answer is D: A bleeding disorder. Thoracentesis involves inserting a needle into the pleural space to remove fluid. A bleeding disorder increases the risk of excessive bleeding during the procedure. This can lead to complications such as hematoma formation, pneumothorax, or even life-threatening bleeding. It is crucial to assess and address bleeding disorders before performing thoracentesis to ensure the safety of the client.

A: A seizure disorder is not a contraindication for thoracentesis unless uncontrolled seizures could compromise the safety of the procedure.
B: Anemia alone is not a contraindication for thoracentesis, as it does not directly increase the risk of complications during the procedure.
C: Chronic obstructive pulmonary disease is not a contraindication for thoracentesis unless it is severe and compromises the client's ability to tolerate the procedure.

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