Which patient would be a candidate for animal-assisted therapy?
A patient who has just undergone bone marrow transplantation
An elderly patient with Clostridium difficile diarrhea
A young patient with an acute asthma exacerbation and dyspnea
A forgetful, irritable patient with a history of Alzheimer's disease
The Correct Answer is D
Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.
Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.
Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.
Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bed rest increases clot risk and deconditioning; vasodilators lower pressure, but mobility is beneficial unless contraindicated, making this overly restrictive.
Choice B reason: Assisting ambulation helps, but it’s less proactive; it doesn’t address orthostatic hypotension risks at initiation of movement, where falls are most likely.
Choice C reason: Monitoring intake/output tracks fluid status, not directly addressing vasodilation’s hypotensive effects during position changes, missing the primary safety concern.
Choice D reason: Rising slowly counters orthostatic hypotension from vasodilation; it allows autoregulation to stabilize pressure, reducing fall risk in an active elderly patient.
Correct Answer is C
Explanation
Choice A reason: Four times (6:00 a.m., noon, 6:00 p.m., midnight) is QID, not TID; TID means three times daily, and this schedule overdoses the patient unnecessarily.
Choice B reason: Six times daily is every 4 hours, not TID; this exceeds the three-dose requirement, risking toxicity or side effects from excessive administration frequency.
Choice C reason: 9:00 a.m., 1:00 p.m., 5:00 p.m. is TID; spaced 8 hours apart, it aligns with standard three-times-daily dosing, ensuring consistent therapeutic levels safely.
Choice D reason: Meal and bedtime timing is vague; without fixed hours, it risks uneven dosing intervals, potentially disrupting pharmacokinetics and efficacy of the medication.
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