Adult Health Nursing Study Guide Answers

Adult Health Nursing Study Guide Answers Related

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On the first postpartum day, a primiparous patient complains of perineal pain that was unrelieved by Ibuprofen 400 mg given two hours ago. Nurse Kayla should assess for which of the following?

  • A. Vaginal laceration
  • B. History of Drug Abuse
  • C. Perineal hematoma
  • D. Puerperal infection
Correct Answer: C

Rationale: In a primiparous patient who complains of unrelieved perineal pain on the first postpartum day, Nurse Kayla should assess for a perineal hematoma. A perineal hematoma is a collection of blood in the perineal tissues and can cause significant pain and discomfort. It can be a result of trauma during delivery or due to a blood vessel rupture. This condition requires prompt assessment and intervention to prevent complications such as infection or excessive bleeding. Vaginal laceration would typically be identified during the delivery process and would have been repaired by the healthcare provider. History of drug abuse, while important to know for overall patient care, is not as relevant in this immediate postpartum pain assessment. Puerperal infection usually presents with other signs such as fever, foul-smelling discharge, and uterine tenderness, which are not mentioned in this scenario.

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A nurse is preparing to administer a nasogastric (NG) tube feeding for a patient. What action should the nurse prioritize before initiating tube feeding?

  • A. Verifying the NG tube placement by auscultating for bowel sounds
  • B. Securing the NG tube to prevent dislodgement during feeding
  • C. Checking the patency of the NG tube by aspirating gastric contents
  • D. Elevating the head of the bed to a semi-Fowler's position
Correct Answer: C

Rationale: The nurse should prioritize checking the patency of the NG tube by aspirating gastric contents before initiating tube feeding. This is important to ensure that the NG tube is in the correct position and that it is functioning properly. By aspirating gastric contents, the nurse can confirm that the tube is in the stomach and not in the lungs or surrounding tissues. If no gastric contents are obtained upon aspiration, it may indicate that the tube is not properly placed or may be occluded, which would require further assessment and intervention before proceeding with tube feeding. Checking the patency of the NG tube is a crucial step in ensuring the safety and effectiveness of enteral nutrition delivery.

Chief Nurse cirila formulates strategies to address the short staffing in her hospital. Which of the following strategies s the BEST?

  • A. Continuing Professional Development such as post-graduate study
  • B. Entry salary of nurses to at par with that of government nurses
  • C. Research engagement
  • D. Evaluation and recognition for good performances thru reward system
Correct Answer: A

Rationale: Continuing Professional Development such as post-graduate study is the best strategy among the options provided for addressing short staffing in the hospital. By encouraging nurses to pursue post-graduate studies, Chief Nurse Cirila is investing in the long-term growth and development of her nursing workforce. Post-graduate studies can enhance the knowledge, skills, and expertise of nurses, making them more competent in their roles. This can lead to improved patient care outcomes, increased job satisfaction among nurses, and ultimately help in retaining and attracting talent in the hospital. Additionally, supporting nurses in their professional development can boost morale and motivation, which are crucial factors in addressing short staffing issues.

Which of the following is a primary consideration in planning for her care?

  • A. To prevent problems related to immobility
  • B. To prevent infection
  • C. Planning for client`s eventual inability communicate
  • D. To prevent complications
Correct Answer: A

Rationale: When planning for a client's care, a primary consideration is to prevent problems related to immobility. Immobility can lead to a range of complications such as pressure ulcers, muscle weakness, joint contractures, and decreased circulation. To maintain the client's overall health and well-being, it is essential to address mobility issues and implement strategies to prevent complications associated with immobility. By prioritizing interventions that promote movement and prevent immobility-related problems, the client's quality of life can be improved and potential health risks mitigated.

Which of the following IS TRUE about osteoporosis

  • A. it is a silent disease
  • B. It is more common in men
  • C. it is not that alarming
  • D. It is only discovered after a fracture
Correct Answer: A

Rationale: Osteoporosis is known as a "silent disease" because it develops slowly over time without any symptoms. Many people with osteoporosis are unaware of their condition until they experience a fracture. The loss of bone density and strength in osteoporosis occurs without any obvious warning signs, making it important for individuals at risk to undergo bone density testing to identify the condition early and prevent further bone loss.

In caring for this patient suffering from anorexia nervous, which task can be delegated to the nursing assistant?

  • A. Obtaining special food for the patient when she request it
  • B. Sitting with the patient during meals and for about an hour after/meals
  • C. Weighing the patient daily and reinforcing that she is underweight
  • D. Observing for reporting ritualistic behaviors related to food
Correct Answer: A

Rationale: Task A, obtaining special food for the patient when she requests it, can be delegated to the nursing assistant. This task involves simple assistance with gathering food items and does not require specific medical knowledge or interventions. Tasks B, C, and D involve more direct patient care and assessment, which should be performed by the nursing staff who have the necessary training and expertise to address the complexities of anorexia nervosa.

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