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 D

Explanation

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

A. After showing the drug label to the client B. Before returning the drug container to the client’s medication drawer C. Before calling the pharmacy D. After checking the drug container with a colleague

Correct Answer is B

Explanation

Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.

Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.

Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.

Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Correct Answer is D

Explanation

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Correct Answer is B

Explanation

Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will the nurse administer?

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When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

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A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?