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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Respiratory depression from high morphine doses signals toxicity; opioids suppress the brainstem’s respiratory center, exceeding safe therapeutic levels at this extent.

Choice B reason: Allergic reactions involve immunity (e.g., rash, anaphylaxis); slowed breathing isn’t allergic, but a dose-dependent opioid effect on respiration.

Choice C reason: Idiosyncratic means unexpected (e.g., paradoxical excitement); respiratory depression is a predictable morphine overdose sign, not an unusual reaction.

Choice D reason: Therapeutic effects relieve pain; 8 breaths/minute is dangerously low, beyond intended analgesia, indicating a harmful, not beneficial, outcome.

A. Verbally tell the patient about what to report to the doctor. B. Ensure the medications are secured with childproof caps. C. Arrange the medication in a user-friendly pill organizer. D. Leave outdated medications in the medicine cabinet for future use.

Correct Answer is C

Explanation

Choice A reason: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence.

Choice B reason: Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration.

Choice C reason: A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient.

Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.

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Which patient would be a candidate for animal-assisted therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine. Which term accurately describes the patient's reaction to the morphine?

Correct Answer is A

Explanation

An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:

Correct Answer is C

Explanation

The patient has Levaquin 500 mg ordered once daily. The Levaquin is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 60 gtt/mL drop factor, how many drops per minute should the Levaquin be infused?

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

A nurse is preparing to administer an intramuscular injection for a client of average weight. At what angle would the nurse insert the needle?

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to:

Which patient would be a candidate for animal-assisted therapy?

The nurse administering medications to a client is aware that the primary reason that most drugs are administered orally is because the oral route:

Which statement is correct about patient tolerance to medications?

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.