Adult Health Nursing Test Banks

Adult Health Nursing Test Banks Related

Review Adult Health Nursing Test Banks related questions and content

A postpartum client who delivered a macrosomic infant expresses concerns about breastfeeding difficulties due to the baby's size. What nursing intervention should be prioritized to support successful breastfeeding in this situation?

  • A. Providing education on techniques to improve latch and milk transfer
  • B. Recommending supplemental formula feedings to ensure adequate nutrition
  • C. Encouraging the client to avoid breastfeeding to prevent discomfort
  • D. Referring the client to a lactation consultant for specialized support
Correct Answer: A

Rationale: Providing education on techniques to improve latch and milk transfer should be prioritized to support successful breastfeeding in this situation. Newborns who are macrosomic (large for gestational age) may have difficulties latching due to their size and may require additional support to effectively breastfeed. By educating the postpartum client on proper latch techniques and milk transfer, the nurse can help optimize the breastfeeding experience for both the mother and baby. This intervention focuses on addressing the specific concerns related to the infant's size and aims to promote successful breastfeeding despite potential challenges. As such, recommending supplemental formula feedings, encouraging the client to avoid breastfeeding, or immediately referring to a lactation consultant may not directly address the immediate need for support in improving breastfeeding in this situation.

You may also like to solve these questions

Nurse Roberto is aware that a client who has experienced cardiac arrest is MOST at risk for which of the following imbalances?

  • A. Metabolic alkalosis
  • B. Metabolic acidosis
  • C. Respiratory alkalosis
  • D. Respiratory acidosis
Correct Answer: D

Rationale: When a client experiences cardiac arrest, their breathing may become insufficient, leading to inadequate elimination of carbon dioxide (CO2) from the body. With reduced CO2 elimination, the level of CO2 in the bloodstream increases, causing respiratory acidosis. This imbalance is characterized by a decrease in blood pH along with an increase in CO2 levels in the blood, resulting in an acidic environment. Respiratory acidosis is the most common imbalance seen in clients who have experienced cardiac arrest, as impaired gas exchange impacts the body's ability to maintain proper acid-base balance.

Ramon died at 10:00 PM. His father cried much and refused to move Ramon 's body. What is the APPROPRIATE approach of the nurse?

  • A. Talk about the reality of death.
  • B. Leave the mother and the child for the last time.
  • C. Silence to allow the mother to grieve.
  • D. Cry with the mother as you remember your own experience of death in family.
Correct Answer: A

Rationale: The appropriate approach of the nurse in this situation would be to talk about the reality of death with the father. It is important to provide appropriate and compassionate communication, acknowledging the father's grief while also gently guiding him towards accepting the reality of the situation. By discussing the reality of death and offering support, the nurse can help the father start the grieving process and eventually come to terms with the loss of his son. It is important to provide emotional support and guidance in a sensitive and respectful manner during such a difficult time.

In CO-PAR, which is the MOST important role of the public health nurse?

  • A. Caregiver
  • B. Financer
  • C. Expert
  • D. Adviser
Correct Answer: C

Rationale: In the context of CO-PAR (Community Organizing Participatory Action Research), the most important role of the public health nurse is being an expert. Public health nurses are expected to have specialized knowledge and skills in the field of public health, allowing them to provide evidence-based guidance and interventions to support community health initiatives. As an expert, the public health nurse can assess community needs, develop appropriate interventions, educate community members on health promotion and disease prevention, and evaluate the effectiveness of implemented programs. By utilizing their expertise, public health nurses can effectively contribute to improving the health outcomes and well-being of the community they serve.

A nurse is preparing to perform an intracranial pressure (ICP) monitoring procedure for a patient with traumatic brain injury. What action should the nurse prioritize to ensure procedural accuracy?

  • A. Ensuring proper zeroing and calibration of the ICP monitoring system
  • B. Positioning the patient in a high-Fowler's position during the procedure
  • C. Administering prophylactic antibiotics to prevent infection
  • D. Placing the ICP monitor in the subarachnoid space via lumbar puncture
Correct Answer: A

Rationale: The nurse should prioritize ensuring proper zeroing and calibration of the ICP monitoring system to ensure procedural accuracy and reliability of the measurements obtained. Proper zeroing involves setting the transducer at the level of the patient's external auditory meatus (ear), which serves as a reference point for accurate ICP readings. Calibration is necessary to establish accurate pressure measurements. Incorrect zeroing or calibration can lead to inaccurate ICP readings, which can impact clinical decision-making for patients with traumatic brain injury. Positioning the patient in a high-Fowler's position, administering prophylactic antibiotics, or placing the ICP monitor in the subarachnoid space via lumbar puncture are not directly related to ensuring the accuracy of the ICP monitoring procedure.

Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting?

  • A. Ask staff members of their opinion on the natter.
  • B. Modifies his own behavior favoring the needs of individual staff .
  • C. Gives equal consideration to each staff members
  • D. Plans and organizes group activities of staff members.
Correct Answer: A

Rationale: While it is important for nurse leaders to seek input and feedback from staff members, the inappropriate aspect of this action lies in the lack of clarity. The option contains a typographical error "natter" instead of "matter," which may lead to confusion and hinder effective communication. Additionally, the word choice of "opinion" instead of a more structured and strategic approach like "feedback" or "input" could be improved for professional communication in the workplace. Therefore, this action may not be considered appropriate in a work setting due to potential misunderstandings that can arise from the lack of clarity in communication.

Copyright © 2025 Nokea. All rights reserved.