Adult Health Nursing First Chapter Quizlet

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A nurse is preparing to assist with a thoracentesis procedure for a patient with pleural effusion. What action should the nurse prioritize to ensure procedural safety?

  • A. Administering pre-procedure antibiotics to prevent infection
  • B. Ensuring the patient empties their bladder before the procedure
  • C. Positioning the patient upright with arms supported on a bedside table
  • D. Confirming the patient's informed consent before the procedure
Correct Answer: D

Rationale: Confirming the patient's informed consent before the procedure is the most crucial action for the nurse to prioritize to ensure procedural safety during a thoracentesis. Informed consent is a legal and ethical requirement that ensures the patient understands the purpose of the procedure, its potential risks, benefits, and alternatives. By confirming informed consent, the nurse ensures that the patient has the necessary information and has willingly agreed to undergo the procedure. This process promotes patient autonomy, prevents misunderstandings, and reduces the likelihood of legal issues related to the procedure. Additionally, verifying informed consent helps establish a foundation of trust between the healthcare team and the patient. While other actions like positioning the patient correctly and ensuring pre-procedure antibiotics may also contribute to the safety of the procedure, obtaining informed consent is the foundational step that must be prioritized.

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Which of the following is the PRIMARY goal of collaboration

  • A. Less numbebr of people is needed
  • B. Camaraderie
  • C. ACOMPLISH GOALS
  • D. Work is faster
Correct Answer: C

Rationale: The primary goal of collaboration is to accomplish shared goals and objectives. When individuals work together towards a common purpose, they can combine their different skills, perspectives, and resources to achieve outcomes that could not be accomplished by working alone. Collaborating enables team members to leverage each other's strengths and expertise, leading to more innovative and effective solutions. While camaraderie and efficiency are important aspects of collaboration, the ultimate aim is to successfully achieve the desired goals.

In admitting the injured patients, which of the following should be the FIRST that should be done by the emergency team? They should assess the patients ________.

  • A. Breathing
  • B. Circulation
  • C. Airway
  • D. Vital signs
Correct Answer: C

Rationale: Assessing the patient's airway is the first priority when admitting injured patients. A clear airway is crucial for effective breathing. If the airway is obstructed, the patient will not be able to breathe properly, leading to serious consequences. Therefore, ensuring a patent airway takes precedence over assessing breathing, circulation, or vital signs. Once the airway is secured, the emergency team can proceed with assessing breathing, circulation, and vital signs in order to provide appropriate treatment and care.

Which of the following actions is appropriate when managing a patient with a suspected heat stroke?

  • A. Administering warm intravenous fluids.
  • B. Applying ice packs to the patient's skin.
  • C. Encouraging the patient to drink cold water rapidly.
  • D. Removing the patient from the hot environment and cooling the body.
Correct Answer: D

Rationale: When managing a patient with a suspected heat stroke, the appropriate action is to remove the patient from the hot environment and start cooling the body. Heat stroke is a medical emergency that can be life-threatening if not promptly treated. Cooling the body is essential to lower the core body temperature as quickly as possible. Ice packs should not be directly applied to the skin as they can cause vasoconstriction and may actually hinder heat dissipation. Administering warm intravenous fluids and encouraging the patient to drink cold water rapidly are also not recommended in the initial management of a heat stroke. The priority is to cool the patient down and seek medical attention immediately.

A postpartum client with a history of gestational diabetes expresses concern about managing blood sugar levels while breastfeeding. What nursing intervention should be prioritized to address the client's concerns?

  • A. Educating the client about the importance of balanced nutrition and frequent monitoring of blood glucose levels
  • B. Recommending insulin supplementation to maintain target blood sugar levels
  • C. Encouraging the client to avoid breastfeeding to prevent fluctuations in blood sugar levels
  • D. Referring the client to a dietitian for a specialized postpartum meal plan
Correct Answer: A

Rationale: Educating the client about the importance of balanced nutrition and frequent monitoring of blood glucose levels should be prioritized to address the client's concerns about managing blood sugar levels while breastfeeding. This intervention helps empower the client to make informed choices about her diet and monitor her blood sugar levels effectively. By focusing on balanced nutrition and regular blood glucose monitoring, the client can better manage her blood sugar levels during the postpartum period and while breastfeeding, reducing the risk of complications associated with gestational diabetes. It also promotes overall health and well-being for both the mother and the baby.

Patients like Emmy who have experienced delayed hypersensivity to latex FREQUENTLY complains of ______.

  • A. flushing, bronchospasm
  • B. urticaria, laryngeal edema
  • C. rhinitis, conjunctivitis, blisters
  • D. papules, vesicles, pruritus
Correct Answer: C

Rationale: Patients like Emmy who have experienced delayed hypersensitivity to latex typically present with symptoms such as rhinitis (runny or stuffy nose) and conjunctivitis (inflammation of the eyes). In addition, delayed hypersensitivity reactions often involve skin manifestations, such as blisters. These symptoms are reflective of the inflammatory response triggered by exposure to latex in individuals with delayed hypersensitivity. Symptoms like flushing, bronchospasm, urticaria, laryngeal edema, papules, vesicles, and pruritus are more commonly associated with immediate-type hypersensitivity reactions rather than delayed hypersensitivity reactions in latex-sensitive individuals.

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