A patient’s spouse asks a nurse, “Why are they wasting money doing all these tests on my spouse? The hallucinations and delusions make the mental illness obvious!” The best reply would be:

Correct Answer: C

Rationale: The correct answer is C because it addresses the spouse's concern about the necessity of tests by explaining that physical illnesses can manifest as psychiatric symptoms. By ruling out physical causes, the healthcare team can accurately diagnose and treat the patient. Option A is dismissive and lacks a substantive explanation. Option B acknowledges the cost concern but does not address the underlying reason for the tests. Option D is invalidating and does not provide a logical reason for the testing. Thus, option C is the most appropriate response as it educates the spouse on the importance of ruling out physical illnesses in the diagnostic process.

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. Removing the old ointment ensures proper absorption and effectiveness of the new dose. 2. Residual ointment can lead to an overdose if not removed. 3. Mixing old and new ointment can alter the desired therapeutic effect. Summary of Other Choices: A: Incorrect. The ointment should be applied on a specific area, not just anywhere on the skin. B: Incorrect. Nitroglycerin ointment is used for prevention and treatment, not just during angina episodes. D: Incorrect. Massaging the ointment can alter absorption, and covering with plastic wrap can increase absorption and risk of side effects.

Correct Answer: D

Rationale: The correct answer is D: Liver dysfunction. Antilipemic therapy can impact liver function due to the role of the liver in metabolizing lipids. Monitoring for liver dysfunction is crucial to prevent potential complications. Neutropenia (A) is unrelated to antilipemic therapy. Pulmonary problems (B) are not typically associated with this therapy. Vitamin C deficiency (C) is not a common concern in antilipemic treatment. In summary, monitoring for liver dysfunction is essential due to the potential impact of antilipemic therapy on liver function.

Correct Answer: C

Rationale: The correct answer is C: Black, tarry stools. Iron supplements commonly cause gastrointestinal side effects, including constipation and dark-colored stools. The black, tarry stools indicate the presence of iron in the stool. Palpitations (A) are not a common side effect of oral iron supplements. Drowsiness and dizziness (B) are not typically associated with iron supplementation. Orange-red discoloration of the urine (D) is a side effect of medications like phenazopyridine, not iron supplements. It is important to monitor for black, tarry stools as it may indicate gastrointestinal bleeding.

Correct Answer: A

Rationale: The correct answer is A. Drugs with high glomerular filtration rate are quickly filtered into the renal tubules, and those actively secreted enhance elimination. Furthermore, not being passively reabsorbed prevents reabsorption into the bloodstream, leading to rapid elimination. Choice B is incorrect because it contradicts the concept of rapid drug elimination based on renal processes. Choice C is incorrect as it does not provide any information. Choice D is incorrect because not all drugs have high glomerular filtration rate, active secretion, and lack of passive reabsorption, which are key factors for rapid elimination.