Adult Health Nursing Answer Key

Adult Health Nursing Answer Key Related

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A patient presents with watery diarrhea, abdominal cramps, and nausea after consuming contaminated water from a stream during a camping trip. Laboratory tests reveal oocysts in the stool sample. Which of the following parasites is most likely responsible for this infection?

  • A. Giardia lamblia
  • B. Entamoeba histolytica
  • C. Cryptosporidium parvum
  • D. Cyclospora cayetanensis
Correct Answer: C

Rationale: Cryptosporidium parvum is a parasite commonly found in contaminated water sources such as streams or lakes. It causes an infection called cryptosporidiosis, which often presents with symptoms like watery diarrhea, abdominal cramps, and nausea. The oocysts of Cryptosporidium parvum can be identified in stool samples, making it the likely culprit in this scenario. Giardia lamblia, another common waterborne parasite, can also cause similar symptoms but is characterized by trophozoites rather than oocysts in stool samples. Entamoeba histolytica is associated with amoebic dysentery and does not typically present with watery diarrhea. Cyclospora cayetanensis is another parasite causing gastrointestinal symptoms but is not as commonly associated with contaminated water sources as Cryptosporidium parvum.

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Which of the following statements indicates that the client needs further teaching?

  • A. "I will have to avoid drinking nonalcoholic beer."
  • B. "I will be able to eat cottage cheese without worrying."
  • C. "I can eat green beans on this diet."
  • D. I'm so glad I can have pizza as long as I don't order pepperoni."
Correct Answer: A

Rationale: The statement "I will have to avoid drinking nonalcoholic beer" indicates a potential misunderstanding as nonalcoholic beer is generally permitted on most diets. The client may need further teaching to clarify this misconception. The other statements indicate a good understanding of the dietary guidelines and do not raise concerns about misunderstanding.

A retired nurse stops to help in an emergency at the scene of an accident, if the injured party files suit and the, the nurse would probably be covered by

  • A. Her homeowner's insurance
  • B. National Care Act
  • C. Her automobile insurance
  • D. The Good Samaritan Law
Correct Answer: D

Rationale: The Good Samaritan Law offers legal protection to individuals who voluntarily provide assistance at the scene of an emergency or accident. These laws vary by state, but generally, they grant immunity from civil liability for the individual providing aid as long as they act in good faith and without expectation of compensation. In this case, the retired nurse who stopped to help in the emergency at the scene of an accident would likely be covered by the Good Samaritan Law, protecting her from being sued by the injured party for any unintended consequences of her efforts to assist.

Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient Ellie with oxytocin drip?

  • A. Know, how to recognize potential adverse reactions:
  • B. Administer oxytocin drug with caution
  • C. Monitor patient closely when infusing oxytocin
  • D. Inform patient about potential complications.
Correct Answer: D

Rationale: While all of the nursing measures listed are important considerations when managing a patient receiving oxytocin drip, the nurse would least consider informing the patient about potential complications. The reason for this is that it is the responsibility of the healthcare provider (such as the physician or advanced practice nurse) to inform the patient about potential complications of a medication or treatment. Nurses are instrumental in providing education and support to patients, but in the case of informing patients about potential complications, this task typically falls under the purview of the prescribing provider. The primary focus of the nurse in this situation would be to assess, administer, monitor, and educate the patient as appropriate, ensuring safe and effective care delivery.

The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do?

  • A. Relate to each twin individually to, enhance the attachment process .
  • B. Avoid assistance from other family members and support groups.
  • C. Bottle-feed the twins to prevent maternal exhaustion.
  • D. Plan for each parent to spend equal amounts of time with each twin.
Correct Answer: A

Rationale: The nurse should encourage the parents to relate to each twin individually to enhance the attachment process. Building a strong attachment between the parents and each twin individually is vital for their emotional and psychological development. By spending quality one-on-one time with each twin, the parents can foster a unique bond with them, which can positively impact their relationship and overall development. This approach also helps prevent favoritism and ensures that each twin receives the attention and care they need to thrive.

which is the 'MAIN' goal of ethical practice of the nursing profession including the community setting?

  • A. To protect the nurse and co workers
  • B. To prevent reprimand from physician
  • C. For the patients Family satisfaction
  • D. Centered on the welfare of clients and protect their rights
Correct Answer: D

Rationale: The main goal of ethical practice in the nursing profession, including in the community setting, is centered on the welfare of clients and protecting their rights. Nurses have a professional and ethical obligation to prioritize the well-being and best interests of their patients. This includes providing high-quality care, advocating for their patients, supporting their autonomy, and upholding their rights. Ethical nursing practice is not focused on protecting the nurse or co-workers, preventing reprimand from physicians, or solely meeting the satisfaction of patients' families. Ensuring the welfare and rights of clients is the fundamental ethical principle that guides nursing practice.

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