Adult Health Nursing Study Guide Answers

Adult Health Nursing Study Guide Answers Related

Review Adult Health Nursing Study Guide Answers related questions and content

A patient admitted to the ICU develops acute renal failure requiring renal replacement therapy (RRT). What intervention should the healthcare team prioritize to initiate RRT?

  • A. Insertion of a temporary hemodialysis catheter.
  • B. Placement of a peritoneal dialysis catheter.
  • C. Initiation of continuous renal replacement therapy (CRRT).
  • D. Administration of loop diuretics to enhance urine output.
Correct Answer: C

Rationale: In a critically ill patient admitted to the ICU with acute renal failure requiring renal replacement therapy (RRT), the healthcare team should prioritize the initiation of continuous renal replacement therapy (CRRT). CRRT is preferred in critically ill patients with hemodynamic instability as it allows for slow and continuous removal of solutes and fluids, making it a safer option compared to intermittent hemodialysis. CRRT can also provide better control of volume status and electrolyte imbalances over a longer period, which is beneficial in critically ill patients who are hemodynamically unstable. Peritoneal dialysis is not commonly used in the ICU setting for acute renal failure requiring RRT, and loop diuretics are not effective in treating acute renal failure. Temporary hemodialysis catheters may also be used, but CRRT is generally preferred in critically ill patients for better hemodynamic tolerance and control of solute and fluid removal.

You may also like to solve these questions

If transient discoloration of Baby Sharon's skin is noted while under phototherapy, what is this phenomenon called?

  • A. Cyanosis
  • B. Hyperbilirubinemia
  • C. Jaundice
  • D. Bronze baby syndrome
Correct Answer: D

Rationale: Bronze baby syndrome is the term used to describe the transient discoloration of a baby's skin while undergoing phototherapy treatment for jaundice. This phenomenon typically occurs in preterm infants and is believed to be caused by the breakdown of bilirubin into colored pigments during phototherapy. The discoloration can range from a bronze or brownish color to a grayish-green hue. One key characteristic of bronze baby syndrome is that the discoloration is reversible once phototherapy is complete and does not indicate any underlying health concerns. It is important for healthcare providers to be aware of this phenomenon to avoid unnecessary interventions or alarm to the caregivers.

A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse do not prepare the patient right away and the patient dies. Which of the following the nurse is liable?

  • A. Malpractice
  • B. Murder
  • C. Assault
  • D. Battery
Correct Answer: A

Rationale: In this scenario, the nurse's failure to promptly prepare the patient for transfer to a tertiary hospital resulted in the patient's death. This situation falls under the category of malpractice, which refers to professional negligence or failure to provide a standard level of care that results in harm to a patient. The nurse had a duty to ensure the patient's timely transfer and by delaying the necessary actions, the nurse failed to uphold this duty, leading to a tragic outcome. Murder, assault, and battery are criminal offenses that do not fit the circumstances described in the scenario.

While preparing the operating room (OR) for a surgical procedure, the nurse notices that the surgical instrument tray is incomplete. What should the nurse do?

  • A. Proceed with the procedure using the available instruments
  • B. Document the missing instruments in the surgical count log
  • C. Inform the sterile processing department and request additional instruments
  • D. Borrow the missing instruments from another OR Professionalism and Fundamentals of Nursing
Correct Answer: C

Rationale: It is crucial to have a complete set of surgical instruments for any surgical procedure to ensure patient safety and the success of the surgery. If the nurse notices that the surgical instrument tray is incomplete, the best course of action is to inform the sterile processing department immediately. By doing so, the missing instruments can be promptly provided, ensuring that the surgical team has all the necessary tools for the procedure. Proceeding with the procedure using incomplete instruments can compromise patient safety and the quality of care provided. Documenting the missing instruments in the surgical count log is important for record-keeping purposes but should not delay the immediate action of requesting additional instruments. Borrowing instruments from another OR is not recommended as it can create confusion, potential cross-contamination, and disrupt the workflow of another surgical team.

WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING?

  • A. Quantify medication usage
  • B. Historical background
  • C. Archive
  • D. Quality health care
Correct Answer: D

Rationale: The purpose of record keeping in healthcare is primarily to ensure quality health care. Maintaining accurate and up-to-date records of patient information, including medical history, treatments, medications, and test results, allows healthcare providers to make informed decisions about patient care. Access to complete and organized records helps in providing timely and effective treatments, reducing errors, and ensuring continuity of care. By tracking and documenting patient care, healthcare professionals can assess outcomes, monitor progress, and improve overall quality of healthcare services. Additionally, thorough record keeping also supports communication between healthcare providers and facilitates coordination of care across different healthcare settings.

If a research study involves an intervention and "blinding" which research design is being referred to?

  • A. Non-descriptive
  • B. Experimental
  • C. Phenomenological
  • D. Descriptive
Correct Answer: B

Rationale: The research design being referred to in the question is an experimental design. An experimental study involves the manipulation of an independent variable, which is the intervention in this case, to determine its effect on a dependent variable. "Blinding" in research refers to the practice of withholding information about the intervention from certain individuals involved in the study, such as researchers, participants, or outcome assessors. Blinding is commonly used in experimental studies to reduce bias and ensure the integrity of the study results. This combination of intervention and blinding is a hallmark of experimental research designs.

Copyright © 2025 Nokea. All rights reserved.