Adult Health Nursing First Chapter Quizlet

Adult Health Nursing First Chapter Quizlet Related

Review Adult Health Nursing First Chapter Quizlet related questions and content

A patient presents with sudden-onset, severe eye pain, headache, nausea, and vomiting. On examination, the affected eye appears red, with a steamy cornea and mid-dilated, non-reactive pupil. Which of the following conditions is most likely responsible for this presentation?

  • A. Acute angle-closure glaucoma
  • B. Central retinal artery occlusion
  • C. Optic neuritis
  • D. Corneal ulcer
Correct Answer: A

Rationale: The presentation described is characteristic of acute angle-closure glaucoma. This condition typically presents with sudden-onset severe eye pain, headache, nausea, and vomiting. On examination, the affected eye may appear red due to conjunctival injection, and there may be a steamy cornea due to corneal edema. The mid-dilated, non-reactive pupil is a key finding in angle-closure glaucoma, as the iris bombe (forward movement of the peripheral iris) blocks the drainage angle, leading to increased intraocular pressure. If left untreated, acute angle-closure glaucoma can result in irreversible vision loss. Immediate intervention is crucial to lower the intraocular pressure and prevent further damage to the optic nerve. Prompt referral to an ophthalmologist for definitive treatment is necessary in cases of suspected acute angle-closure glaucoma.

You may also like to solve these questions

Public health services are provided by government facilities. What is the most appropriate response of a public health nurse to the statement: The government should give these health services free of charge to people?

  • A. "Yes and for that reason, we should choose our government officials wisely during elections".
  • B. "Yes, I agree. But right now, the government does not have enough resources to do that".
  • C. "That is an ideal situation that our government does not have enough resources to do that".
  • D. "Many of the health services are given free, but we people pay for them just the same through our taxes".
Correct Answer: D

Rationale: The most appropriate response is "Many of the health services are given free, but we people pay for them just the same through our taxes." This response acknowledges the fact that public health services are funded by taxpayers, even though they may be perceived as free by the public. It highlights the connection between government funding and the provision of health services, emphasizing that these services are not truly free but are paid for through taxes. It also addresses the misconception that these services are entirely free without any costs involved.

During surgery, the nurse notices a discrepancy between the surgical count and the number of instruments on the sterile field. What should the nurse do?

  • A. Re-count the instruments on the sterile field
  • B. Document the discrepancy in the surgical count log
  • C. Continue with the procedure as planned
  • D. Inform the surgical team and initiate a thorough search
Correct Answer: D

Rationale: If a nurse notices a discrepancy between the surgical count and the number of instruments on the sterile field during surgery, it is crucial to inform the surgical team immediately and initiate a thorough search. Patient safety is of utmost importance, and any missing instruments could potentially pose a risk to the patient. By informing the team and conducting a thorough search, the missing instrument can be located promptly to ensure it is not inadvertently left inside the patient's body. Continuing with the procedure or ignoring the discrepancy without further investigation could lead to serious consequences for the patient's well-being. It is always better to address any discrepancies or concerns during surgery proactively to maintain a high standard of patient care and safety.

The nurse obtains a sample of a client's arterial blood gas (ABGs). Which of the following statements is NOT true about ABGs?

  • A. Interpretation of the clients ABGs involves evaluation of pH, PCO2 and HCO3; components of the ABGs.
  • B. ABGs assess the client oxygenation status and acid base status.
  • C. ABGs provide information on blood parameters.
  • D. ABGs asses the client electrolyte and fluid balance.
Correct Answer: D

Rationale: Arterial blood gases (ABGs) do not directly assess the client's electrolyte and fluid balance. ABGs primarily evaluate the client's acid-base balance and oxygenation status by measuring levels of pH, partial pressure of carbon dioxide (PCO2), and bicarbonate (HCO3) in the arterial blood. While ABGs can provide some information about blood parameters, such as oxygen saturation, they do not comprehensively assess electrolyte levels or fluid balance. To specifically assess electrolytes and fluid balance, additional tests like basic metabolic panels or comprehensive metabolic panels would be required.

A woman in active labor presents with a prolonged latent phase, characterized by irregular and infrequent contractions. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?

  • A. Maternal dehydration
  • B. Pelvic outlet obstruction
  • C. Maternal exhaustion
  • D. Fetal macrosomia
Correct Answer: A

Rationale: Maternal dehydration can contribute to a prolonged latent phase during labor. Dehydration can lead to reduced blood volume and electrolyte imbalances, which can result in ineffective uterine contractions. Without adequate hydration, the uterus may not contract effectively, causing irregular and infrequent contractions. It is important for the nurse to assess the woman's hydration status and encourage her to stay hydrated during labor to help regulate contractions and progress labor.

A patient is prescribed an antipsychotic medication for the management of schizophrenia. Which adverse effect should the nurse monitor closely in the patient?

  • A. Hypertension
  • B. Hypoglycemia
  • C. Extrapyramidal symptoms
  • D. Hypercalcemia
Correct Answer: C

Rationale: Antipsychotic medications, especially first-generation antipsychotics, can cause extrapyramidal symptoms (EPS) as an adverse effect. EPS include symptoms such as muscle rigidity, tremors, akathisia (restlessness), and tardive dyskinesia (involuntary movements of the face and body). These symptoms are due to the medications' effects on the dopamine system in the brain. It is crucial for the nurse to monitor the patient closely for EPS because they can be uncomfortable, distressing, and may impact the patient's quality of life and medication adherence. Early recognition and management of EPS are essential to prevent further complications and improve the patient's overall well-being.

Copyright © 2025 Nokea. All rights reserved.