ATI RN
Test Bank Pharmacology and the Nursing Process Questions
Question 1 of 5
The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
Correct Answer: C
Rationale: The correct answer is C: Use the smallest needle possible for injections. In a client with thrombocytopenia (low platelet count), there is an increased risk of bleeding and bruising. Using the smallest needle possible for injections reduces the risk of causing injury to blood vessels and tissues, minimizing bleeding complications. Limiting visits by family members (choice
A) is not directly related to protecting the client's safety. Encouraging wheelchair use (choice
B) is not necessary unless indicated for mobility reasons. Maintaining accurate fluid intake and output records (choice
D) is important for overall client care but does not directly address the risk of bleeding in thrombocytopenia.
Question 2 of 5
A client receives a sealed radiation implant to treat cervical cancer. When caring for this client, the nurse should:
Correct Answer: A
Rationale: The correct answer is A because bodily fluids and excretions (urine, feces, vomitus) can become contaminated with radiation from the implant.
Therefore, they should be considered highly radioactive and handled appropriately.
Choice B is incorrect because the client may remain radioactive for a longer period than 10 days post-implant removal.
Choice C is incorrect because soiled linens should be handled according to radiation safety protocols and removed promptly.
Choice D is incorrect because bed rest is not necessary unless specifically indicated by the healthcare provider; the client should be encouraged to move around as tolerated to prevent complications.
Question 3 of 5
Mr. Go had a post-kidney transplant. What should the nurse immediately assess?
Correct Answer: A
Rationale: The correct answer is A because post-kidney transplant patients are at high risk for fluid and electrolyte imbalances due to the impact of the surgery on renal function. The nurse should assess for signs of fluid overload or depletion and monitor electrolyte levels closely.
Choice B, hepatotoxicity, is less immediate and not directly related to kidney transplant.
Choice C, infection, is important but not the immediate priority.
Choice D, respiratory complications, are also significant but not the most immediate concern post-kidney transplant.
Question 4 of 5
On the third day after a partial thyroidectomy, a client exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a life- threatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?
Correct Answer: A
Rationale:
Rationale:
1. Following thyroid surgery, there is a risk of damaging the parathyroid glands, leading to hypocalcemia.
2. Symptoms of hypocalcemia include muscle twitching, hyperirritability, numbness, and tingling.
3. These symptoms align with the client's presentation, indicating a probable electrolyte imbalance.
4. Hypocalcemia is a common complication post-thyroidectomy due to parathyroid gland damage.
5. Prompt recognition and treatment of hypocalcemia are essential to prevent severe complications.
Summary:
B: Hyperkalemia - Not typically associated with thyroid surgery, symptoms differ.
C: Hyponatremia - Unlikely post-thyroidectomy, symptoms don't match presentation.
D: Hypermagnesemia - Rare post-thyroidectomy, symptoms and electrolyte disturbance don't align.
Question 5 of 5
Which of the ff. actions would the nurse include in the plan of care to reduce the symptoms of the patient who has vertigo?
Correct Answer: C
Rationale: The correct answer is C: Avoid sudden movements. Vertigo is a type of dizziness where a person feels like they're spinning or the world around them is spinning. Sudden movements can worsen vertigo symptoms. By avoiding sudden movements, the nurse can help reduce the patient's vertigo symptoms.
Avoiding noises (
A) may help with other conditions like migraines, but it is not specifically helpful for vertigo. Encouraging fluid intake (
B) is important for overall health but does not directly address vertigo symptoms. Administering analgesics (
D) may help with pain but will not address the underlying cause of vertigo.
Therefore, choosing option C is the most appropriate action to include in the plan of care for reducing vertigo symptoms.