Adult Health Nursing Test Bank

Adult Health Nursing Test Bank Related

Review Adult Health Nursing Test Bank related questions and content

A postpartum client who delivered via cesarean section expresses discomfort when ambulating and performing activities of daily living. What nursing intervention should be prioritized to promote optimal recovery?

  • A. Encouraging early ambulation and progressive activity as tolerated
  • B. Administering oral analgesics on a fixed schedule around the clock
  • C. Restricting movement to prevent disruption of the incision site
  • D. Applying heat packs to the incision site for pain relief
Correct Answer: A

Rationale: Encouraging early ambulation and progressive activity as tolerated is the most appropriate nursing intervention to promote optimal recovery for a postpartum client who delivered via cesarean section. Early ambulation helps prevent complications such as blood clots, pneumonia, and constipation. It also promotes circulation and facilitates healing by reducing the risk of postoperative complications. Progressive activity helps the client regain strength, mobility, and independence, which are essential for a speedy recovery. Restoring normal movement will also help decrease discomfort and improve the client's overall well-being. In contrast, restricting movement may lead to complications and delayed recovery. Administering oral analgesics as needed is important for pain management, but promoting early ambulation is essential for optimal recovery. Heat packs should not be applied to the incision site as they can increase the risk of infection and interfere with proper wound healing.

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There is an outbreak of measles in some areas of the community where Nurse Rona is assigned. Which of the following-steps of an outbreak investigation should Nurse Rona and her team begin ?

  • A. Identify and count cases.
  • B. Define and identify cases.
  • C. Verify diagnosis
  • D. Prepare for field work.
Correct Answer: A

Rationale: The correct answer is A: Identify and count cases. In the initial stages of an outbreak investigation, it is crucial to identify and count cases to understand the scope and magnitude of the outbreak. By counting cases, Nurse Rona and her team can track the spread of the disease, identify common characteristics among those affected, and determine the extent of the outbreak. This step helps in guiding further investigation and control measures.

Summary of other choices:
B: Define and identify cases - While defining cases is important, it is not the initial step in outbreak investigation.
C: Verify diagnosis - Verifying diagnosis is important but comes after identifying and counting cases.
D: Prepare for field work - Field work is important in outbreak investigations, but it typically comes after the initial step of identifying and counting cases.

In the presentation of results of qualitative research, the nurse researcher uses as a reference in the write-up the

  • A. first
  • B. fourth
  • C. second
  • D. third
Correct Answer: C

Rationale: The correct answer is C: second. In qualitative research, the nurse researcher typically uses the second person as a reference in the write-up to maintain objectivity and convey findings accurately. Using "first" may introduce bias, "fourth" is irrelevant, and "third" is too far removed from the perspective of the researcher. By referencing the second person, the researcher can present the results in a clear and unbiased manner, enhancing the credibility of the study.

A patient presents with muscle weakness and fatigue. Upon further examination, it is revealed that the patient has decreased acetylcholine receptors at the neuromuscular junction. Which of the following conditions is most likely responsible for this presentation?

  • A. Myasthenia gravis
  • B. Amyotrophic lateral sclerosis (ALS)
  • C. Guillain-Barre syndrome
  • D. Muscular dystrophy
Correct Answer: A

Rationale: The correct answer is A: Myasthenia gravis. In myasthenia gravis, there is a decrease in acetylcholine receptors at the neuromuscular junction, leading to muscle weakness and fatigue. This occurs due to autoimmune destruction of these receptors. ALS (B) affects motor neurons, not acetylcholine receptors. Guillain-Barre syndrome (C) is an autoimmune disorder affecting peripheral nerves, not neuromuscular junctions. Muscular dystrophy (D) is a genetic disorder causing muscle degeneration, not affecting acetylcholine receptors.

Korino has been using meperidine and codeine for personal consumption. Which of the following does the nurse understand as the physiologic effect of these drugs?

  • A. Increases sexual stimulation.
  • B. Relieves pain by increasing pain threshold.
  • C. Decrease craving for alcoholic intake.
  • D. Heightens concentration and alertness
Correct Answer: B

Rationale: The correct answer is B: Relieves pain by increasing pain threshold. Meperidine and codeine are opioid analgesics that work by binding to opioid receptors in the brain and spinal cord, thus increasing the pain threshold and reducing the perception of pain. This leads to pain relief without necessarily affecting sexual stimulation (choice A), craving for alcohol (choice C), or concentration/alertness (choice D). The primary physiological effect of these drugs is to modulate the perception of pain, making choice B the most appropriate answer in this context.

1HIV transmission from mother to infant occur at post natal period during ________

  • A. Bathing
  • B. Bottlefeeding
  • C. Washing of vagina
  • D. Breastfeeding
Correct Answer: D

Rationale: The correct answer is D: Breastfeeding. HIV transmission from mother to infant can occur through breast milk due to the presence of the virus in breast milk. Other choices such as A: Bathing, B: Bottlefeeding, and C: Washing of vagina do not involve direct contact with potentially infected body fluids like breast milk, making them less likely to transmit the virus. Breastfeeding is a well-documented mode of HIV transmission from mother to infant, hence it is the correct choice in this scenario.

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