ATI RN
Pharmacology and the Nursing Process 10th Edition Test Bank Questions
Question 1 of 5
With pulmonary edema, there is usually an alteration in:
Correct Answer: D
Rationale: Pulmonary edema causes an increase in pressure in the pulmonary circulation, leading to an alteration in afterload due to increased resistance. It also causes fluid accumulation in the pulmonary vessels, affecting preload. Additionally, the heart may compensate by increasing contractility.
Therefore, all of the above choices are altered in pulmonary edema. The incorrect choices are A, B, and C individually as they only represent one aspect of the alterations seen in pulmonary edema, while the correct answer D encompasses all three factors affected in this condition.
Question 2 of 5
A nurse is collecting information from a client with dementia. The client’s daughter accompanies the client. Which of the following statements by the nurse would recognize the client’s value as an individual?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the client's value as an individual by directly addressing them and asking about their own self-care practices, which respects their autonomy and personhood.
Choice A focuses on the client's father rather than the client themselves.
Choice B addresses the daughter, not the client, and implies a lack of prioritization of the client's needs.
Choice D is dismissive and does not recognize the client's capacity to communicate, undermining their dignity.
Question 3 of 5
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?
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A) are outdated paper-based patient information systems, not specifically for interdisciplinary care plans.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.
Question 4 of 5
A client has squamous cell cancer of the right lung that has metastasized to the brain. In addition to chemotherapy for lung cancer, the physician prescribes lomustine (CeeNU), 100 mg/m2 as a single dose, to treat the brain metastasis. What are the major administration and excretion routes of lomustine?
Correct Answer: B
Rationale: The correct answer is B: I.V. administration and urinary excretion. Lomustine is typically administered intravenously, allowing for rapid systemic distribution. The drug is metabolized in the liver and excreted primarily through the kidneys, thus the urinary route. This choice is correct as lomustine's pharmacokinetics align with this pattern.
A: Oral administration and urinary - While some drugs are administered orally, lomustine is not typically given orally due to poor bioavailability.
C: I.V. administration and fecal excretion - Lomustine is not primarily excreted via the feces, making this choice incorrect.
D: Oral administration and fecal excretion - Lomustine is not primarily excreted via the feces, making this choice incorrect.
Question 5 of 5
A patient returns from surgery ff. a TURP with a three-way Foley catheter and continuous bladder irrigation. Postoperative orders include Meperidine (Demerol) 75 mg IM q3h as needed for pain, belladonna and opium (B&O) suppository q4h as needed, and strict I&O. the patient complains of painful bladder spasms, and the nurse observes blood-tinged urine on the sheets. Which action should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to notify the physician stat (choice
D). Firstly, the patient presents with painful bladder spasms and blood-tinged urine, indicating a potential complication post-TURP. This warrants immediate medical attention to assess for possible bladder injury or hemorrhage. Giving Demerol (choice
A) or B&O suppository (choice
B) may provide symptomatic relief but does not address the underlying issue. Warming the irrigation solution (choice
C) is not a priority in this situation and does not address the potential serious complications. Notifying the physician immediately allows for prompt evaluation and appropriate intervention to address the patient's condition effectively.