Adult Health Nursing Test Banks

Adult Health Nursing Test Banks Related

Review Adult Health Nursing Test Banks related questions and content

A patient receiving palliative care for end-stage liver cancer experiences severe nausea and vomiting despite antiemetic therapy. What should the palliative nurse consider when addressing the patient's symptoms?

  • A. Increase the dosage of the current antiemetic medication.
  • B. Switch to a different antiemetic medication with a different mechanism of action.
  • C. Discontinue antiemetic therapy and explore non-pharmacological interventions.
  • D. Administer intravenous fluids to alleviate dehydration associated with vomiting.
Correct Answer: B

Rationale: When a patient receiving palliative care for end-stage cancer experiences severe nausea and vomiting despite current antiemetic therapy, the palliative nurse should consider switching to a different antiemetic medication with a different mechanism of action. This approach is based on the concept of individual variability in response to medications, as well as the potential development of tolerance to a particular drug. Switching to a different antiemetic with a new mechanism of action can provide the patient with a fresh chance at better symptom control by targeting different receptors or pathways involved in nausea and vomiting. It is important to consult the healthcare team and consider the patient's overall condition and medication history before making any changes in the treatment plan.

You may also like to solve these questions

Which of the following is the PRIORITY action of the nurse for Sonny who is on Oxygen therapy?

  • A. Check the flow.
  • B. Connect the flow meter to the pipe in oxygen outlet
  • C. Turn on the oxygen .
  • D. Attach the humidifier and connecting tubing to the oxygen delivery device.
Correct Answer: A

Rationale: Checking the flow of oxygen is the priority action because it ensures that Sonny is receiving the correct amount of oxygen prescribed by the healthcare provider. Before connecting the flow meter to the oxygen outlet, turning on the oxygen, or attaching the humidifier, it is crucial to verify that the flow rate is appropriate for Sonny's condition. Monitoring and adjusting the oxygen flow will help maintain the desired oxygen saturation levels and prevent potential complications related to oxygen therapy.

In handling all information about the famiilies in the community, which of the following principles should the nurse consider ethical?

  • A. Confidentialty
  • B. Justice
  • C. Fair treatment
  • D. Beneficence
Correct Answer: A

Rationale: When handling information about families in the community, the nurse should consider the principle of confidentiality as ethical. Confidentiality refers to the obligation of healthcare providers to safeguard the privacy of patient information. By maintaining confidentiality, the nurse upholds trust and respect in the nurse-family relationship. This principle ensures that sensitive information shared by families is kept secure and not disclosed without permission, thus respecting their autonomy and promoting open communication in healthcare settings.

Radical abdominal hysterectomy involves the removal of which structure(s)?

  • A. uterus and vagina
  • B. uterus and fallopian tubes
  • C. uterus and ovaries
  • D. uterus, ovaries,ligaments and fallopian tubes
Correct Answer: D

Rationale: Radical abdominal hysterectomy involves the removal of the uterus, ovaries, ligaments (including round ligaments and uterosacral ligaments), and fallopian tubes. This extensive procedure is typically done for cases of invasive gynecologic cancers, most commonly cervical or ovarian cancer. The goal of radical hysterectomy is to remove as much of the cancerous tissue as possible to improve the chances of successful treatment and reduce the risk of cancer recurrence.

Because Mr. Steve cannot pay for his medical bills, he is referred to the social worker. which of the following rights is applicable in this case the right to_______.

  • A. Considerate and respectful care and respectful care irrespective of his socio-economics status.
  • B. Expect reasonable continuity of care
  • C. Examine and receive an explanation of his medical bills regardless of the source of payment
  • D. Know what hospital rules and regulation apply to his conduct as a client.
Correct Answer: A

Rationale: The right to considerate and respectful care irrespective of socio-economic status is applicable in this case because Mr. Steve is facing financial difficulties in paying for his medical bills. This right ensures that all patients receive proper treatment and care regardless of their ability to pay. It emphasizes that every individual deserves to be treated with dignity and respect, regardless of their financial situation. In Mr. Steve's case, being referred to a social worker due to inability to pay should not impact the quality of care and respect he receives from healthcare providers.

Identify the MOST appropriate diagnostic examination that confirms the iincidence of hypertension amongg residents.

  • A. Chest xray
  • B. Ultrasound
  • C. Electrocardiogram
  • D. BP monitoring
Correct Answer: D

Rationale: The most appropriate diagnostic examination to confirm the incidence of hypertension among residents is blood pressure (BP) monitoring. Hypertension is defined by elevated blood pressure readings consistently measured over time. Monitoring of blood pressure is essential for diagnosing hypertension and determining the severity of the condition. Chest x-ray, ultrasound, and electrocardiogram are not specific tests for diagnosing hypertension. While these tests may be useful in assessing potential complications or causes of hypertension, they do not directly confirm the presence of high blood pressure. Regular BP monitoring with the use of a sphygmomanometer or automated blood pressure device is crucial in diagnosing and managing hypertension.

Copyright © 2025 Nokea. All rights reserved.