Adult Health Nursing Study Guide Answers

Adult Health Nursing Study Guide Answers Related

Review Adult Health Nursing Study Guide Answers related questions and content

A postpartum client with a history of breast augmentation expresses concerns about breastfeeding difficulties. What nursing intervention should be prioritized to support successful breastfeeding in this situation?

  • A. Providing education on techniques to promote milk production and let-down
  • 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: D

Rationale: Referring the client to a lactation consultant for specialized support should be prioritized to support successful breastfeeding in this situation. Breast augmentation surgery may impact milk production, let-down reflex, and proper latch due to alterations in breast tissue and nerve pathways. A lactation consultant can provide individualized guidance and support to address these specific challenges. Additionally, the consultant can assist in establishing a breastfeeding plan tailored to the client's unique needs, helping to optimize the breastfeeding experience for both the mother and the baby. It is crucial to seek expert assistance in navigating any potential difficulties that may arise from breastfeeding after breast augmentation to promote successful breastfeeding outcomes.

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A patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium bromide inhaler. Which instruction should the nurse provide to the patient regarding ipratropium inhaler use?

  • A. Shake the inhaler before each use.
  • B. Inhale deeply and rapidly through the mouthpiece.
  • C. Hold breath for 10 seconds after inhalation.
  • D. Rinse mouth after each use.
Correct Answer: C

Rationale: The nurse should instruct the patient to hold their breath for at least 10 seconds after inhaling the medication from the ipratropium bromide inhaler. This allows the medication to reach deep into the lungs and be more effective. Holding the breath also helps reduce the risk of side effects such as throat irritation. It is essential for optimal drug delivery and therapeutic effect.

If transient discoloration of Baby Sharon's skin is noted while under phototherapy, what is this phenomenon called?

  • A. Cyanosis
  • B. Hyperbilirubinemia
  • C. Jaundice
  • D. Bronze baby syndrome
Correct Answer: D

Rationale: Bronze baby syndrome is the term used to describe the transient discoloration of a baby's skin while undergoing phototherapy treatment for jaundice. This phenomenon typically occurs in preterm infants and is believed to be caused by the breakdown of bilirubin into colored pigments during phototherapy. The discoloration can range from a bronze or brownish color to a grayish-green hue. One key characteristic of bronze baby syndrome is that the discoloration is reversible once phototherapy is complete and does not indicate any underlying health concerns. It is important for healthcare providers to be aware of this phenomenon to avoid unnecessary interventions or alarm to the caregivers.

Which of the following conditions is characterized by the presence of abnormal cervical cells that are classified as low-grade squamous intraepithelial lesions (LSIL) on cytology?

  • A. Cervical cancer
  • B. Cervical intraepithelial neoplasia (CIN)
  • C. Cervical polyps
  • D. Cervicitis
Correct Answer: B

Rationale: Cervical intraepithelial neoplasia (CIN) is a precancerous condition of the cervix characterized by the presence of abnormal cells on the surface of the cervix. These abnormal cells are often classified as low-grade squamous intraepithelial lesions (LSIL) on cytology. CIN is not yet cervical cancer but can progress to invasive cancer if left untreated. LSIL is indicative of mild dysplasia or cervical intraepithelial neoplasia 1 (CIN 1), which is considered a precancerous lesion. Therefore, the presence of abnormal cervical cells classified as LSIL is more likely to be associated with CIN rather than cervical cancer, cervicitis, or cervical polyps.

Which among the following is TRUE about mother and child health in the Philippines (among ASEAN) that can be addressed by the Universal Health Law? I. Fastest decline in maternal mortality rate II. Number one highest in infant mortality rate III. Fastest rising HIV/AIDS IV. Highest TB burden

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

Rationale: The options provided focus on specific health indicators related to mother and child health in the Philippines among ASEAN countries that can be addressed by the Universal Health Law.

In problem solving the head nurse must know what is the MAJOR characteristic of negotiation?

  • A. Be positive in your approach since optimism gives further favorable results.
  • B. Harmony is possible even when strategies are not well planned.
  • C. It is not important to get anything in writing since the truth will prevail.
  • D. Resources tend to involve too many individuals in decision-making process .
Correct Answer: A

Rationale: The MAJOR characteristic of negotiation is being positive in your approach since optimism typically leads to more favorable results. Negotiation involves communication, compromise, and finding mutually beneficial solutions. Approaching negotiations with a positive mindset can help in maintaining a constructive atmosphere, enhancing communication, and increasing the likelihood of reaching a successful agreement. Being positive can also contribute to building relationships and trust with the other party, leading to better long-term outcomes.

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