Adult Health Nursing Quizlet Final

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A patient admitted to the ICU develops acute gastrointestinal bleeding requiring urgent intervention. What intervention should the healthcare team prioritize to manage the patient's bleeding?

  • A. Perform endoscopic hemostasis with mechanical or thermal techniques.
  • B. Administer proton pump inhibitors (PPIs) to reduce gastric acid secretion.
  • C. Implement strict bed rest to minimize physical exertion and bleeding risk.
  • D. Recommend transfusion of fresh frozen plasma to correct coagulopathy.
Correct Answer: A

Rationale: In a patient with acute gastrointestinal bleeding requiring urgent intervention, the healthcare team should prioritize performing endoscopic hemostasis with mechanical or thermal techniques. Endoscopy allows for direct visualization of the source of bleeding in the gastrointestinal tract, enabling targeted interventions such as clipping, cauterization, or injection of epinephrine to achieve hemostasis. This approach is effective in managing acute bleeds and can help stop the bleeding quickly, reducing the need for more invasive procedures or surgeries. Administering proton pump inhibitors (PPIs) may be considered for acid-related bleeding, but it is not the primary intervention for acute bleeding requiring urgent management. Strict bed rest may not be necessary and can increase the risk of complications such as deep vein thrombosis. Transfusion of fresh frozen plasma may be indicated if there is evidence of coagulopathy, but addressing the bleeding source should be the initial priority to

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To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures?

  • A. Bathing the newborn
  • B. Doing first aid
  • C. Proper bandaging
  • D. Doing makeup
Correct Answer: B

Rationale: Attending a lecture-demonstration on doing first aid is essential for the growth of a student nurse as it equips them with crucial knowledge and skills to respond effectively in emergency situations. First aid training teaches basic life-saving techniques and how to provide immediate care until medical professionals arrive. This knowledge is vital in the healthcare field, allowing the student nurse to provide immediate assistance and potentially save lives. By learning first aid procedures, the student nurse can enhance their skills, confidence, and overall capability to care for patients in various settings. This continuous learning and improvement are key to personal growth and professional development in the healthcare industry.

It mandates the compulsory Immunization of children below 8 years

  • A. PD 996
  • B. RA 11223
  • C. RA 9173
  • D. RA 10912
Correct Answer: C

Rationale: Republic Act 9173, also known as the Philippine Nursing Act of 2002, mandates the compulsory immunization of children below 8 years. This law ensures that young children receive necessary vaccines to protect them from preventable diseases and promote public health. RA 9173 is a significant legislation that highlights the importance of immunization in safeguarding the well-being of children in the Philippines.

Select nurses action in keeping with principle of confidentiality

  • A. Hides identity of patient
  • B. Shares information from patients chart in public
  • C. Keeps all matters about the patient as a secret
  • D. Discuss the case of the patient with others.
Correct Answer: C

Rationale: Maintaining patient confidentiality is a foundational principle in healthcare ethics. Nurses are obligated to keep all information about patients confidential, which means not disclosing any patient-related information to unauthorized individuals. This includes refraining from discussing patient cases with others who are not directly involved in the care of the patient. Sharing patient information without consent can be a breach of trust and privacy, which can have legal and ethical implications. Therefore, in order to uphold the principle of confidentiality, nurses must keep all matters about the patient as a secret.

The patient began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the IMMEDIATE action of the nurse?

  • A. Recheck the unit of blood for compatibility.
  • B. Call the physician.
  • C. Check the patient 's temperature.
  • D. Stop the infusion.
Correct Answer: D

Rationale: The symptoms described by the patient indicate a potential transfusion reaction, such as a hemolytic reaction or allergic reaction. The immediate action the nurse should take in such a situation is to stop the infusion of the packed red blood cells. This will help prevent further complications and ensure the safety of the patient. After stopping the infusion, the nurse should assess the patient's condition, monitor vital signs, and inform the healthcare team, including the physician, regarding the situation. Once the patient is stable, further investigations can be conducted to determine the cause of the reaction.

A patient appears confused and disoriented during a consultation. What is the nurse's priority?

  • A. Assume the patient is not capable of understanding and proceed with the consultation.
  • B. Provide clear and simple explanations and assess for any underlying causes of confusion.
  • C. Ignore the patient's confusion and proceed with the consultation.
  • D. Dismiss the patient's confusion as insignificant and focus solely on the medical information.
Correct Answer: B

Rationale: The nurse's priority when a patient appears confused and disoriented during a consultation is to provide clear and simple explanations and assess for any underlying causes of confusion. It is essential to ensure that the patient understands the information being provided and to address any potential reasons for the confusion, such as medication side effects, medical conditions, or cognitive impairment. Ignoring the patient's confusion or assuming they cannot understand can lead to misunderstandings, errors in care, and ultimately jeopardize the patient's well-being. It is crucial to approach the situation with empathy, patience, and a focus on ensuring effective communication and understanding between the nurse and the patient.

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