Adult Health Nursing Quizlet Final

Adult Health Nursing Quizlet Final Related

Review Adult Health Nursing Quizlet Final related questions and content

A postpartum client reports severe perineal pain and difficulty passing stools following a vaginal delivery. Which nursing intervention should be implemented?

  • A. Administering a stool softener as ordered
  • B. Encouraging the client to refrain from defecation until pain subsides
  • C. Applying ice packs to the perineum for pain relief
  • D. Providing education on proper perineal hygiene
Correct Answer: A

Rationale: Administering a stool softener as ordered is the most appropriate nursing intervention for a postpartum client experiencing severe perineal pain and difficulty passing stools following a vaginal delivery. Stool softeners help to soften the stool, making it easier for the client to pass without straining, which can exacerbate perineal pain. It is important to follow the healthcare provider's orders when administering medications to ensure proper dosing and effectiveness. Encouraging the client to refrain from defecation may lead to constipation and worsen the situation. Applying ice packs to the perineum can provide temporary pain relief, but addressing the underlying issue of constipation with a stool softener is more effective in the long term. Providing education on proper perineal hygiene is important for overall postpartum care, but addressing the immediate issue of constipation with a stool softener takes precedence in this scenario.

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Which of the following are essential components of informed consent? I. explanation of the procedure and alternatives to the procedure II. discussion of potential risks and benefits of the procedure III. confirmation that the patient understands the risks, benefits, and any alterations

  • A. I, III
  • B. II, III
  • C. I, II
  • D. I, II, III
Correct Answer: D

Rationale: All of the components -explanation of the procedure and alternatives to the procedure (I), discussion of potential risks and benefits of the procedure (II), and confirmation that the patient understands the risks, benefits, and any alterations (III) -are essential parts of informed consent. Providing information about the procedure and its alternatives, disclosing potential risks and benefits, and ensuring that the patient comprehends this information are crucial to obtaining valid informed consent prior to any medical procedure.

Which of the following BEST describe a strong team?

  • A. cohesive
  • B. driven
  • C. shared goa l
  • D. Sense of mission
Correct Answer: A

Rationale: A strong team is cohesive, meaning its members work well together, communicate effectively, and support each other. Cohesion helps the team to function smoothly and achieve its goals efficiently. While being driven, having shared goals, and a sense of mission are important characteristics of a strong team, cohesion is the foundation that holds the team together and allows these other factors to thrive.

Which of the following imaging modalities is most appropriate for evaluating suspected pulmonary embolism (PE) in a pregnant patient?

  • A. Chest X-ray
  • B. Ventilation-perfusion (V/Q) scan
  • C. Contrast-enhanced computed tomography (CT) pulmonary angiography
  • D. Transthoracic echocardiography
Correct Answer: C

Rationale: In a pregnant patient with suspected pulmonary embolism (PE), the most appropriate imaging modality for evaluation is contrast-enhanced computed tomography (CT) pulmonary angiography. This imaging technique has been shown to be safe for the fetus when necessary, especially if the benefits of making a diagnosis outweigh the minimal risks associated with radiation exposure. It provides quick and accurate detection of PE with high sensitivity and specificity.

A patient with terminal illness expresses a desire to spend quality time with their family but feels guilty for being a burden. How should the palliative nurse respond?

  • A. Dismiss the patient's feelings and reassure them that they are not a burden.
  • B. Encourage the patient to focus on their own needs rather than worrying about others.
  • C. Validate the patient's feelings of guilt and offer support to address their concerns.
  • D. Suggest involving family members in caregiving tasks to alleviate the patient's guilt.
Correct Answer: C

Rationale: In this situation, the most appropriate response for the palliative nurse is to validate the patient's feelings of guilt and offer support to address their concerns. It is important to acknowledge the patient's emotions and help them navigate through their guilt in a compassionate and understanding manner. By validating their feelings, the nurse can create a safe space for the patient to express their concerns and work towards finding solutions to alleviate their guilt. This approach fosters trust and a therapeutic relationship between the patient and the nurse, ultimately promoting emotional well-being and facilitating open communication.

A patient is exposed to the hepatitis B virus (HBV) and develops immunity against future infections. Which type of immunity is primarily responsible for this protection?

  • A. Passive immunity
  • B. Innate immunity
  • C. Humoral immunity
  • D. Cell-mediated immunity
Correct Answer: C

Rationale: Humoral immunity is primarily responsible for protecting against infections by pathogens like viruses. In the case of the hepatitis B virus (HBV), the individual is exposed to the virus and develops immunity, which is typically mediated by antibodies produced by B cells. These antibodies circulate in the blood and can neutralize the virus, preventing future infections. This type of immunity is known as humoral immunity, as it involves the production of antibodies that target specific antigens, such as those present on the surface of the hepatitis B virus. In contrast, passive immunity is when antibodies are transferred from an external source, innate immunity provides immediate, non-specific defenses against pathogens, and cell-mediated immunity involves the activation of T cells to combat intracellular pathogens.

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