Adult Health Nursing Quizlet Final

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A postpartum client exhibits signs of anxiety, restlessness, and palpitations. Which nursing intervention should be prioritized?

  • A. Providing education on relaxation techniques
  • B. Encouraging the client to practice deep breathing exercises
  • C. Notifying the healthcare provider immediately
  • D. Administering a benzodiazepine for anxiety relief
Correct Answer: C

Rationale: In a postpartum client exhibiting signs of anxiety, restlessness, and palpitations, it is essential to prioritize notifying the healthcare provider immediately. These symptoms could indicate a serious condition such as postpartum preeclampsia, postpartum hemorrhage, or postpartum cardiomyopathy, which require urgent medical attention. It is crucial to rule out any life-threatening conditions and ensure the client receives appropriate treatment promptly. While relaxation techniques and deep breathing exercises can be helpful for anxiety management in some cases, in this situation, the priority is to ensure the client's safety and well-being by seeking medical evaluation and intervention. Administering a benzodiazepine without consulting the healthcare provider first could potentially mask symptoms or interact with other medications the client may be taking, making it unsafe to proceed without professional guidance.

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A pregnant woman presents with fever, chills, and abdominal pain localized to the right lower quadrant. On examination, she has rebound tenderness and guarding. Which of the following conditions is the most likely cause of these symptoms?

  • A. Ectopic pregnancy
  • B. Pelvic inflammatory disease
  • C. Acute appendicitis
  • D. Ovarian torsion
Correct Answer: C

Rationale: Acute appendicitis is the most likely cause of the symptoms described in the pregnant woman. The classic presentation of acute appendicitis includes fever, chills, abdominal pain localized to the right lower quadrant, rebound tenderness, and guarding. Pregnant women are at a slightly higher risk of developing appendicitis due to anatomic changes and increased abdominal pressure during pregnancy, which can lead to an atypical presentation of symptoms. Prompt diagnosis and surgical intervention are crucial to prevent complications such as perforation, which can be detrimental for both the mother and the fetus.

Upon data collection he had been failing three times in his math class and Korino was known for substance dependent for three years. What is the MOST APPROPRIATE nursing diagnosis for him?

  • A. Alteration in perception.
  • B. Ineffective individual coping.
  • C. Alteration in social interaction.
  • D. Impaired judgment.
Correct Answer: B

Rationale: The most appropriate nursing diagnosis for the individual described is "Ineffective individual coping." This is because the individual has been facing challenges in both academic (failing math class) and personal (substance dependence) aspects of his life. The repeated failures in his math class and the substance dependence for three years indicate that he might be struggling to cope with stressors and challenges in his life effectively. By identifying this nursing diagnosis, the nurse can focus on helping the individual develop effective coping strategies to manage and overcome these difficulties.

For the students better understanding about the anatomy of the breast, the CI shares ________.

  • A. various pictures of the breast, external and internal Views
  • B. pictures of different types of mastectomies
  • C. the experiences of breastfeeding mothers
  • D. artistic drawings of the breasts
Correct Answer: A

Rationale: To help the students better understand the anatomy of the breast, it is crucial to provide visual aids that display both external and internal views of the breast. By sharing various pictures of the breast, students can visually learn about the structure, shape, location of different components, such as lobes, ducts, glands, and lymph nodes. Visual aids enhance the learning experience by providing a clear representation of the complex anatomical features of the breast, aiding in retention and comprehension. This approach can effectively supplement theoretical knowledge with practical visual references, facilitating a comprehensive understanding of breast anatomy.

Which of the following gives cues to the nurse that the patient may be grieving for loss?

  • A. Thoughts, feelings , behavior, and physiologic complaints
  • B. Hallucination, panic 1evel of anxiety, sense of impending doom
  • C. Sad affect, anger anxiety, and sudden change of mood
  • D. Complaints of abdominal pain, diarrhea, loss of appetite
Correct Answer: A

Rationale: A grieving individual may show a range of cues across different aspects of their life. Thoughts may include constant preoccupation with the loss, difficulties in concentrating, or intrusive thoughts. Feelings may involve sadness, anger, guilt, confusion, or relief. Behavioral cues may include changes in sleep patterns, appetite, energy levels, social withdrawal, or the use of substances. Physiologic complaints can manifest as headaches, stomach issues, fatigue, or other physical symptoms. Therefore, when a nurse observes cues related to thoughts, feelings, behavior, and physiologic complaints in a patient, it can suggest that the patient is grieving for a loss.

The MOST common reported abuse experienced by nurses in their workplace is

  • A. Physical abuse
  • B. Financial abuse
  • C. Verbal abuse
  • D. Sexual abuse
Correct Answer: C

Rationale: Verbal abuse is the most common form of abuse experienced by nurses in their workplace. This may include insults, yelling, threats, or intimidation directed towards the nurse. Verbal abuse can have a significant impact on the nurse's mental and emotional well-being, leading to stress, anxiety, and burnout. It is important for healthcare institutions to address and prevent verbal abuse to create a safe and respectful work environment for nurses and other healthcare professionals.

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