ATI RN
Pharmacology and the Nursing Process 10th Edition Test Bank Quizlet Questions
Question 1 of 5
Barbiturate anticonvulsants are effective in treating all of these seizure types, except:
Correct Answer: D
Rationale: The correct answer is D: absence seizures. Barbiturate anticonvulsants are not effective in treating absence seizures because they can worsen this type of seizure by suppressing brain activity. Barbiturates are typically used to treat tonic-clonic seizures and partial seizures, but not absence seizures. Febrile seizures are typically managed without barbiturate anticonvulsants. In summary, barbiturate anticonvulsants are effective in treating partial seizures and tonic-clonic seizures, but not absence seizures or febrile seizures due to their mechanisms of action and potential side effects.
Question 2 of 5
For a client diagnosed with idiopathic thrombocytopenic purpura (ITP), which nursing intervention is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Administering platelets, as ordered to maintain an adequate platelet count. In ITP, the client has low platelet count leading to risk of bleeding. Administering platelets helps raise platelet levels and prevent bleeding complications. Teaching coughing and deep-breathing techniques (
A) is important for preventing respiratory infections but not directly related to ITP. Giving aspirin (
C) is contraindicated as it can further decrease platelet count. Administering stool softeners (
D) is important for preventing straining but not specific to managing ITP.
Question 3 of 5
A client has type1 diabetes. Her husband finds her unconscious at home and administers glucagons, 0.5 mg S.C. She awakens in 5 minutes .Why her husband offer a complex carbohydrate snack to her as soon as possible?
Correct Answer: B
Rationale: The correct answer is B. After administering glucagon for hypoglycemia, the body may deplete its glycogen stores from the liver. Offering a complex carbohydrate snack will help restore liver glycogen, preventing secondary hypoglycemia. This is crucial for maintaining blood glucose levels in individuals with type 1 diabetes.
Choices A, C, and D are incorrect because offering a complex carbohydrate snack is primarily aimed at restoring liver glycogen to prevent further hypoglycemic episodes, not to address nausea/vomiting, stimulate appetite, or decrease glycogen levels.
Question 4 of 5
Mr. Chua has developed liver cirrhosis. Nurse Bea expects alteration in which laboratory values?
Correct Answer: B
Rationale: The correct answer is B: prothrombin time. In liver cirrhosis, the liver's ability to produce clotting factors is impaired, leading to prolonged prothrombin time. This indicates an increased risk of bleeding.
Choice A is incorrect as carbon dioxide levels are not typically affected by liver cirrhosis.
Choice C, gastric pH, is unrelated to liver function.
Choice D, white blood cell count, is not directly affected by liver cirrhosis.
Therefore, the alteration in prothrombin time is the most relevant laboratory value to monitor in this case.
Question 5 of 5
The nurse is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:
Correct Answer: B
Rationale: The correct answer is B: Fine needle aspiration. This is because fine needle aspiration involves extracting cells from the lump in the breast for examination under a microscope to determine if they are cancerous. This procedure provides a definitive diagnosis of breast cancer. Breast self-examination (
A) is a screening tool for detecting lumps but does not confirm a diagnosis. Mammography (
C) is used for screening and detecting abnormalities but requires further testing for confirmation. Chest x-ray (
D) is not useful for diagnosing breast cancer.