Adult Health Exam 1 Chamberlain

Adult Health Exam 1 Chamberlain Related

Review Adult Health Exam 1 Chamberlain related questions and content

A client is scheduled for a sigmoidoscopy and expresses anxiety about the procedure. What should the nurse do first?

  • A. Offer information about the procedure steps
  • B. Administer an anxiolytic before the procedure
  • C. Encourage the client to discuss their fears
  • D. Reassure the client that the procedure is common and safe
Correct Answer: C

Rationale: The correct first action for the nurse when a client expresses anxiety about a procedure is to encourage the client to discuss their fears. By allowing the client to express their concerns, the nurse can provide personalized support, address specific worries, and offer tailored information. This approach helps to establish trust, reduce anxiety, and promote a therapeutic nurse-client relationship. Offering information about the procedure steps (Choice A) may be helpful but should come after addressing the client's fears. Administering an anxiolytic (Choice B) should not be the first action as it focuses on symptom management rather than addressing the underlying cause of anxiety. Reassuring the client that the procedure is common and safe (Choice D) is important but should follow active listening and addressing the client's fears.

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The client with hypertension is being taught about lifestyle modifications. What topic is most important?

  • A. Stress management
  • B. Salt intake reduction
  • C. Regular physical activity
  • D. Weight loss
Correct Answer: B

Rationale: Reducing salt intake is crucial for managing hypertension. Excessive salt consumption can lead to fluid retention, increasing blood pressure. While stress management, regular physical activity, and weight loss are beneficial for overall health, reducing salt intake is the most important lifestyle modification for controlling hypertension. Stress management may help reduce overall stress levels but does not directly impact blood pressure as salt intake does. Regular physical activity and weight loss can also benefit blood pressure control, but the immediate impact of reducing salt intake is more significant.

The nurse is caring for a client postoperatively following a thyroidectomy. Which assessment finding should be reported to the healthcare provider immediately?

  • A. Hoarseness of the voice.
  • B. Slight swelling at the incision site.
  • C. Tingling around the mouth.
  • D. Mild fever.
Correct Answer: C

Rationale: Tingling around the mouth should be reported to the healthcare provider immediately as it may indicate hypocalcemia, a potential complication after thyroidectomy. Hoarseness of the voice is common postoperatively due to surgical manipulation, slight swelling at the incision site is a normal response, and a mild fever can be expected after surgery. However, tingling around the mouth suggests a potential calcium imbalance, which requires prompt attention to prevent serious complications.

A client with chronic obstructive pulmonary disease (COPD) is using a metered-dose inhaler (MDI). What technique should the nurse emphasize?

  • A. The importance of using a spacer
  • B. How to synchronize breaths with inhaler activation
  • C. Regular cleaning of the inhaler
  • D. All of the above
Correct Answer: D

Rationale: In managing COPD with a metered-dose inhaler (MDI), the nurse should emphasize all of the techniques mentioned. Using a spacer can help improve drug delivery and reduce the risk of oral thrush. Synchronizing breaths with inhaler activation ensures proper medication delivery to the lungs. Regular cleaning of the inhaler prevents blockages and ensures optimal functioning. Therefore, all these techniques are important for effective COPD management, making 'All of the above' the correct answer. Choices A, B, and C are all crucial components of proper MDI technique in COPD, so they are not individually sufficient without the others.

The nurse is preparing to administer a tuberculin skin test (TST). Which area of the body is the preferred site for this injection?

  • A. Deltoid muscle
  • B. Inner forearm
  • C. Abdomen
  • D. Thigh
Correct Answer: B

Rationale: The inner forearm is the preferred site for administering a tuberculin skin test (TST) due to its easy accessibility, minimal hair interference, and good visibility of the injection site, allowing for accurate interpretation of the test results. The deltoid muscle, abdomen, and thigh are not preferred sites for a TST as they may not provide the optimal conditions required for the test. The deltoid muscle is commonly used for intramuscular injections, the abdomen may have varying subcutaneous fat thickness affecting the test, and the thigh may not provide the necessary visibility for accurate reading.

The healthcare provider is preparing to administer an IM injection to an adult client. Which site is the preferred location for this injection?

  • A. Deltoid muscle
  • B. Vastus lateralis muscle
  • C. Ventrogluteal muscle
  • D. Dorsogluteal muscle
Correct Answer: C

Rationale: The ventrogluteal site is the preferred site for IM injections in adults due to its muscle mass and low risk of nerve injury. The deltoid muscle, although commonly used for vaccines in adults due to easy accessibility, has a smaller muscle mass making it less ideal for IM injections. The vastus lateralis muscle is typically used in infants and young children, not in adults. The dorsogluteal site has a higher risk of injury to the sciatic nerve and is no longer recommended for IM injections in any age group.

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