ATI RN
Test Bank Pharmacology and the Nursing Process Questions
Question 1 of 5
For which of the ff conditions would the use of salt tablets be considered?
Correct Answer: A
Rationale:
Rationale:
- Salt tablets are used for mild deficits of serum sodium to help restore electrolyte balance.
- Sodium is crucial for fluid balance, nerve function, and muscle contraction.
- Severe deficits of serum magnesium, potassium, and calcium require specific electrolyte replacement therapy, not salt tablets.
Summary:
-
Choice A is correct because salt tablets are used for mild deficits of serum sodium.
-
Choices B, C, and D are incorrect because they involve severe deficits of different electrolytes that require specific replacement therapy.
Question 2 of 5
How can the nurse help monitor effectiveness of therapy for the patient with a pneumothorax and chest-drainage system?
Correct Answer: C
Rationale: The correct answer is C: Auscultate lung sounds. By auscultating lung sounds, the nurse can assess for changes in breath sounds which can indicate improvement or deterioration in the patient's condition. This helps monitor the effectiveness of therapy for a pneumothorax and chest-drainage system. Palpating for crepitus (
A) is not directly related to monitoring therapy effectiveness. Documenting sputum color and amount (
B) is important but does not specifically monitor therapy effectiveness. Monitoring suction level (
D) is crucial but does not directly assess the patient's response to therapy.
Question 3 of 5
A 16 y.o. girl is diagnosed with genital herpes. She is tearful and as she asks what she can do to prevent complications of the disease. Based on the data provided, which nursing diagnosis is appropriate for her plan of care?
Correct Answer: A
Rationale: The correct answer is A: Risk for transmission of infection. This is appropriate because the girl has genital herpes, which is a sexually transmitted infection (STI) that can be transmitted to others through sexual contact.
Therefore, the main concern is preventing the spread of the infection to others. Pain (
B) is a symptom of herpes but not the primary concern here. Health-seeking behaviors (
C) may be relevant for education and prevention, but not the immediate focus. Ineffective sexuality pattern (
D) is not directly related to the risk of transmission of infection in this case.
Question 4 of 5
A client with supraglottic cancer undergoes a partial laryngectomy. Postoperatively, a cuffed tracheostomy tube is in place. When removing secretions that pool above the cuff, the nurse should instruct the client to:
Correct Answer: D
Rationale: The correct answer is D: Exhale deeply as the nurse re-inflates the cuff.
Rationale:
1. When the cuff of the tracheostomy tube is deflated, the client should be instructed to exhale deeply to prevent aspiration of secretions.
2. Exhaling helps to clear the airway by pushing secretions out of the trachea, reducing the risk of aspiration.
3. Inhaling or holding the breath while the cuff is being re-inflated can increase the risk of inhaling secretions.
4. Coughing as the cuff is being deflated (choice
A) may not be as effective in clearing secretions as exhaling deeply.
5. Taking a deep breath as the nurse deflates the cuff (choice
C) may not be as effective as exhaling deeply in preventing aspiration.
In summary, choice D is the correct answer because exhaling deeply helps clear secretions and reduce the risk of aspiration, while the other choices may
Question 5 of 5
A nurse is providing education to a client with newly diagnosed hypertension about the importance of adhering to prescribed medications. Which phase of the nursing process does this activity represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. In the nursing process, implementation involves carrying out the care plan, interventions, and education that were determined during the planning phase. Providing education to a client about the importance of adhering to prescribed medications falls under this phase as it involves putting the plan into action to promote positive health outcomes. Assessment (
A) involves collecting data about the client's condition, Planning (
B) involves developing a care plan based on the assessment findings, and Evaluation (
D) involves assessing the effectiveness of the interventions implemented.