Adult Health 1 Exam 1

Adult Health 1 Exam 1 Related

Review Adult Health 1 Exam 1 related questions and content

A client who fell 20 feet from the roof of his home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). The nurse observes that the suction control chamber is bubbling at the -10 cm H20 mark, with fluctuation in the water seal, and over the past hour, 75 mL of bright red blood is measured in the collection chamber. Which intervention should the nurse implement?

  • A. Increase wall suction to eliminate fluctuation in the water seal.
  • B. Give blood from the collection chamber as autotransfusion.
  • C. Add sterile water to the suction control chamber.
  • D. Manipulate blood in tubing to drain into chamber.
Correct Answer: C

Rationale: The correct intervention for the nurse to implement is to add sterile water to the suction control chamber. This action helps maintain the proper functioning of the chest tube system by regulating the negative pressure. Increasing wall suction is not recommended as it could lead to excessive negative pressure. Giving blood from the collection chamber as autotransfusion is inappropriate and poses a risk of complications such as air embolism. Manipulating blood in the tubing is also unsafe as it could introduce air into the system, increasing the risk of complications for the client.

You may also like to solve these questions

A client's daughter phones the charge nurse to report that the night nurse did not provide good care for her mother. What response should the nurse make?

  • A. Explain that all staff are doing their best
  • B. Ask for a description of what happened during the night
  • C. Tell the daughter to talk to the unit's nurse manager
  • D. Reassure the daughter that the mother will get better care
Correct Answer: B

Rationale: The correct response for the nurse in this situation is to ask for a description of what happened during the night. This allows the nurse to gather specific information about the care provided and address the complaint appropriately. Choice A is incorrect because dismissing the concern by stating that all staff are doing their best does not address the specific complaint. Choice C is not the best immediate response as the charge nurse should first gather information before escalating the issue to the nurse manager. Choice D is incorrect as it focuses on reassurance without addressing the reported issue.

The client with heart failure is prescribed furosemide (Lasix). What should the nurse include in the teaching plan?

  • A. Increase potassium-rich foods in the diet
  • B. Avoid foods high in sodium
  • C. Monitor fluid intake and adjust as needed
  • D. Take the medication in the morning
Correct Answer: A

Rationale: The correct answer is to instruct the client to increase potassium-rich foods in the diet. Furosemide is a loop diuretic that can cause potassium loss as a side effect. By increasing potassium-rich foods, the client can help prevent hypokalemia, a potential complication of furosemide therapy. Choice B is incorrect because while limiting sodium intake is generally advisable for heart failure, it is not directly related to furosemide use. Choice C is incorrect because fluid intake should be monitored and adjusted based on the individual's condition, but setting a specific limit of 1 liter per day is not a standard recommendation. Choice D is incorrect because furosemide is usually taken in the morning to prevent disturbances in sleep due to increased urination during the night.

A client is admitted with diabetic ketoacidosis. What is the most critical treatment to initiate?

  • A. Administer sodium bicarbonate IV
  • B. Start an insulin drip
  • C. Monitor glucose and ketone levels
  • D. Provide oral hydration
Correct Answer: B

Rationale: In the case of diabetic ketoacidosis, the most critical treatment to initiate is starting an insulin drip. Insulin therapy is crucial for reducing blood glucose levels by promoting glucose uptake in cells and inhibiting the production of ketones. Administering sodium bicarbonate IV is generally not recommended as it may lower the pH further and potentially worsen the condition. While monitoring glucose and ketone levels is important for assessing the response to treatment, initiating insulin therapy takes precedence. Providing oral hydration alone is insufficient to manage the metabolic derangements seen in diabetic ketoacidosis.

What is the function of the cervix in reproduction?

  • A. Accepts and interprets signals of sexual stimuli
  • B. Secretes mucus to facilitate sperm transport
  • C. Serves as the site for union of ovum and sperm
  • D. Receives the penis during intercourse
Correct Answer: B

Rationale: The cervix functions in reproduction by secreting mucus that facilitates the transport of sperm to the uterus. Choice A is incorrect because the cervix does not interpret signals of sexual stimuli. Choice C is incorrect as the site for the union of ovum and sperm is the fallopian tube. Choice D is incorrect as the cervix is not involved in receiving the penis during intercourse.

Before administration of a stat dose of potassium chloride IV for a client with hypokalemia, what is the most important action for the nurse?

  • A. Ensure the IV is flowing freely
  • B. Mix the medication thoroughly
  • C. Check the client's electrolyte levels
  • D. Obtain a baseline ECG
Correct Answer: A

Rationale: The most crucial action for the nurse before administering a stat dose of potassium chloride IV to a client with hypokalemia is to ensure the IV is flowing freely. A freely flowing IV is essential to safely and effectively deliver potassium chloride, helping to prevent infusion-related issues. Checking the client's electrolyte levels or obtaining a baseline ECG may be important but are not the most critical actions before administering the medication. Mixing the medication thoroughly is not applicable in this scenario as potassium chloride is typically provided ready to use.

Copyright © 2025 Nokea. All rights reserved.