Adult Health Med Surg Nursing Test Banks

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A patient receiving palliative care for end-stage pancreatic cancer experiences severe abdominal pain. What intervention should the palliative nurse prioritize to manage the patient's symptoms?

  • A. Administer opioid analgesics to alleviate pain.
  • B. Initiate enteral nutrition to support nutritional needs.
  • C. Recommend hot compresses or heating pads for abdominal comfort.
  • D. Refer the patient to a gastroenterologist for evaluation and treatment.
Correct Answer: A

Rationale: In a patient with severe abdominal pain due to end-stage pancreatic cancer, the priority intervention to manage their symptoms would be to provide adequate pain relief. Opioid analgesics are the cornerstone of pain management for cancer patients experiencing severe pain. They work by binding to opioid receptors in the central nervous system, thereby reducing the perception of pain. Opioids are highly effective in managing cancer pain, including abdominal pain, and can significantly improve the patient's quality of life by providing relief from distressing symptoms. Therefore, administering opioid analgesics should be the nurse's primary intervention in this case to address the patient's severe abdominal pain. Initiating enteral nutrition, recommending hot compresses, or referring to a gastroenterologist may be relevant interventions depending on the patient's overall care plan but addressing the pain should be the immediate priority in this scenario.

You may also like to solve these questions

The Right to Information does not include _________.

  • A. Any change in the plan of care before the change is made
  • B. Extent to which payment maybe expected from Philhealth
  • C. Discount for the professional fee of the attending doctor(s)
  • D. Result of the evaluation of the nature and extent of his/her disease
Correct Answer: B

Rationale: The Right to Information pertains to the patient's right to be informed about their condition, treatment plan, and to have access to relevant medical information. It does not include specific details about payment or insurance coverage, such as the extent to which payment may be expected from PhilHealth. While financial information is important for patients, it does not fall under the scope of the Right to Information in a healthcare context, which focuses more on medical information and decision-making processes.

Which of the following is caused by the markedly distended uterus and intermittent uterine contractions within 2 to 3 days after birth?

  • A. Retained placenta
  • B. Uterine atony
  • C. Afterpains
  • D. Boggy uterus
Correct Answer: B

Rationale: Uterine atony is caused by the markedly distended uterus and intermittent uterine contractions within 2 to 3 days after birth. It is characterized by the inability of the uterus to contract after delivery, leading to excessive bleeding postpartum. This condition is a significant risk factor for postpartum hemorrhage. Treatment may involve massage of the uterus, administration of uterotonics, and in severe cases, surgical interventions such as a hysterectomy. Retained placenta refers to incomplete expulsion of the placenta after delivery. Afterpains are the discomfort felt by some women as their uterus contracts and returns to its normal size after childbirth. A boggy uterus is another term for a uterus that feels soft, lax, or lack firm tone, which can be a sign of uterine atony.

Human chorionic gonadotropin (HCG), the biologic marker on which pregnancy tests are based, can be detected in the BLOOD as early as which nber of DAYS after the last menstrual period?

  • A. 15
  • B. 10
  • C. 20
  • D. 5
Correct Answer: B

Rationale: Human chorionic gonadotropin (HCG) can be detected in the blood as early as 10 days after the last menstrual period. This hormone is produced by the placenta shortly after the embryo attaches to the uterine lining. Pregnancy tests detect HCG levels to determine pregnancy status, and the hormone can be detected earlier in the blood compared to urine tests. Detecting HCG in the blood at around 10 days post ovulation is often the earliest point when a blood test can confirm pregnancy.

In the tertiary hospital where the patient is referred , he was considered an emergency case. The nurse immediately call for a specialist who is ______.

  • A. Neurologist
  • B. Plebotomist
  • C. Urologist
  • D. Nephrologist
Correct Answer: A

Rationale: In the scenario described, the patient was considered an emergency case upon referral to the tertiary hospital. Since a specialist was immediately called for by the nurse, the most likely specialist needed in an emergency situation is a neurologist. Neurologists are physicians who specialize in diagnosing and treating disorders of the nervous system, including the brain, spinal cord, and nerves. In an emergency case where a patient's neurological condition needs urgent attention, a neurologist would be the most appropriate specialist to address the situation promptly and effectively.

After five days of hospitalization, the physician said Mr. Steeve can be discharged. He ordered medications to be taken at home. The client is still weak and symptomatic, which of the following rights could be violated in this case? Right to _______.

  • A. Know hospital rules
  • B. Refuse treatment
  • C. Privacy
  • D. Continuity of care
Correct Answer: B

Rationale: The right to refuse treatment is a fundamental patient right. In this case, the physician ordering medications for the client to take at home without the client's input or agreement could possibly violate the client's right to refuse treatment. It is important for patients to have the autonomy to make decisions regarding their own treatment, especially when they are still weak and symptomatic. Patients should have the opportunity to discuss their treatment plan with their healthcare provider and express any concerns or preferences they may have.

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