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 receiving palliative care for end-stage amyotrophic lateral sclerosis (ALS) experiences difficulty swallowing and expresses concerns about choking. What intervention should the palliative nurse prioritize to address the patient's concerns?

  • A. Encourage the patient to avoid eating solid foods to prevent choking.
  • B. Refer the patient to a speech therapist for swallowing exercises and techniques.
  • C. Administer sedative medications to reduce anxiety related to choking fears.
  • D. Recommend inserting a feeding tube for nutritional support.
Correct Answer: B

Rationale: The most appropriate intervention for a patient with difficulty swallowing due to end-stage ALS and concerns about choking is to refer the patient to a speech therapist for swallowing exercises and techniques (Choice B). Speech therapists are trained to assess and manage swallowing difficulties in patients, especially those with neurodegenerative diseases like ALS. They can provide specific exercises and strategies to help the patient swallow safely and reduce the risk of choking. This intervention focuses on addressing the underlying issue causing the difficulty swallowing and aims to improve the patient's quality of life by enhancing their ability to eat and drink. The other options are not as effective or appropriate in addressing the patient's concerns.

You may also like to solve these questions

The nurse specialist explains the characteristics of Hodgkin`s disease. Which of the following is NOT a characteristics of Hodgkin`s disease?

  • A. There is presence of Reed-Sternberg cells
  • B. The disease occurs the most often in the older adult
  • C. The lymph nodes, spleen, and liver are involved
  • D. The prognosis depends on the stage of the disease
Correct Answer: B

Rationale: Hodgkin's disease commonly affects young adults between the ages of 15 to 35 and older adults over the age of 50. It is not a disease that occurs most often in older adults. In fact, Hodgkin's disease has a bimodal distribution, meaning it peaks in young adults and again in older adults. It is important to consider the age distribution when suspecting Hodgkin's disease and not exclusively associate it with older adults.

Which of the following conditions is characterized by chronic hypoxemia, pulmonary hypertension, and right heart failure?

  • A. Chronic obstructive pulmonary disease (COPD)
  • B. Idiopathic pulmonary fibrosis (IPF)
  • C. Pulmonary embolism (PE)
  • D. Cor pulmonale
Correct Answer: D

Rationale: Cor pulmonale is a condition characterized by right heart failure secondary to pulmonary hypertension, which is often caused by chronic hypoxemia. Chronic hypoxemia occurs in conditions such as chronic obstructive pulmonary disease (COPD) where there is limited airflow in and out of the lungs, leading to low oxygen levels in the blood. However, the specific characteristic of pulmonary hypertension leading to right heart failure distinguishes cor pulmonale from COPD. Other conditions like idiopathic pulmonary fibrosis (IPF) and pulmonary embolism (PE) may also lead to hypoxemia but are not primarily associated with pulmonary hypertension and right heart failure as in cor pulmonale.

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: The patient's symptoms of watery diarrhea, abdominal cramps, and nausea after consuming contaminated water from a stream during a camping trip suggest an infection caused by Cryptosporidium parvum. Cryptosporidium is a protozoan parasite that is commonly transmitted through contaminated water sources. Laboratory tests detecting oocysts in the stool sample are characteristic of Cryptosporidium infection.

A patient presents with weight loss, fatigue, nausea, vomiting, and abdominal pain. Laboratory tests reveal hypoglycemia and elevated insulin levels. Which endocrine disorder is most likely responsible for these symptoms?

  • A. Hyperthyroidism
  • B. Hypothyroidism
  • C. Diabetes mellitus
  • D. Insulinoma
Correct Answer: D

Rationale: Insulinoma is a rare neuroendocrine tumor that arises from pancreatic beta cells, leading to excessive production and secretion of insulin. The symptoms described in the patient, such as weight loss, fatigue, nausea, vomiting, abdominal pain, hypoglycemia, and elevated insulin levels, are characteristic of insulinoma.

A confused client who fell out of bed because side rails were not used is an example of which type of liability?

  • A. Felony
  • B. Battery
  • C. Assault
  • D. Negligence
Correct Answer: D

Rationale: Negligence is the failure to take proper care in doing something, which results in harm or injury to someone else. In this scenario, the client falling out of bed because side rails were not used indicates a lack of proper care or attention by the staff or caregiver responsible for the client. It shows a failure to protect the client from harm, which aligns with the definition of negligence. This situation does not fit the definitions of a felony, battery, or assault.

Copyright © 2025 Nokea. All rights reserved.