Adult Health Nursing Test Bank

Adult Health Nursing Test Bank Related

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A patient presents with fever, chills, headache, and myalgia after returning from a trip to sub-Saharan Africa. Laboratory tests reveal intraerythrocytic ring forms and trophozoites on blood smear examination. Which of the following is the most likely causative agent?

  • A. Plasmodium falciparum
  • B. Trypanosoma cruzi
  • C. Borrelia burgdorferi
  • D. Leishmania donovani
Correct Answer: A

Rationale: The correct answer is A: Plasmodium falciparum. Plasmodium falciparum is the most likely causative agent because the patient's symptoms of fever, chills, headache, and myalgia, along with the presence of intraerythrocytic ring forms and trophozoites on blood smear, are characteristic of malaria, particularly caused by P. falciparum in sub-Saharan Africa.

Summary of other choices:
B: Trypanosoma cruzi causes Chagas disease, which presents with symptoms like fever, rash, and swelling at the site of entry, not consistent with the patient's presentation.
C: Borrelia burgdorferi causes Lyme disease, which typically presents with a characteristic rash (erythema migrans) and arthritis, not matching the patient's symptoms.
D: Leishmania donovani causes visceral leishmaniasis, which presents with symptoms like weight loss, hepatosplen

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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 postpartum client who delivered via cesarean section expresses concerns about breastfeeding positions and comfort. What nursing intervention should be prioritized to address the client's concerns?

  • A. Demonstrating breastfeeding positions that minimize pressure on the incision site
  • B. Recommending the use of a breast pump instead of direct breastfeeding
  • C. Encouraging the client to avoid breastfeeding until the incision is fully healed
  • D. Referring the client to a lactation consultant for assistance
Correct Answer: A

Rationale: Demonstrating breastfeeding positions that minimize pressure on the incision site should be the nursing intervention prioritized to address the client's concerns. This is important because it ensures that the client can breastfeed comfortably while also protecting the healing incision. By showing the client appropriate positions, such as the football hold or side-lying position, the nurse can help minimize discomfort and promote successful breastfeeding without compromising the cesarean incision's healing process. It is crucial to support the client in establishing a good latch and positioning to encourage proper milk transfer and bonding while being mindful of the incision site.

Which of the following directly VIOLATES the Patient's Bill of Rights?

  • A. Informing patients about the billing policies of the hospital.
  • B. Disclosing the HIV result to members of the patient's family.
  • C. Honestly telling the patient about his current condition.
  • D. Immediately referring results of laboratory to the physician.
Correct Answer: B

Rationale: The correct answer is B because disclosing a patient's HIV status to family members violates the patient's right to privacy and confidentiality. Patient confidentiality is a fundamental aspect of the Patient's Bill of Rights, ensuring that personal health information is protected. The other choices (A, C, D) do not directly violate the Patient's Bill of Rights. Choice A relates to transparency in billing, choice C is about honesty in communication, and choice D is about timely communication with the physician, all of which are in line with patient rights and quality care.

In nursing, Nurse Trining explained that the MAIN goal of conducting research is to______.

  • A. Justify the role of nurses as health care provider
  • B. establish a credit body of evidence to support and improve the delivery of care .
  • C. identify research priorities that will justify the Oversupply of nurses
  • D. develop a body of knowledge to address non-nursing problems
Correct Answer: B

Rationale: The correct answer is B: establish a credit body of evidence to support and improve the delivery of care. Conducting research in nursing aims to generate a robust evidence base to inform and enhance the quality of care provided to patients. This evidence helps in identifying best practices, improving patient outcomes, and advancing the nursing profession as a whole. Choice A is incorrect because the main goal of research is not to solely justify the role of nurses, but rather to improve care delivery. Choice C is incorrect as the goal is not to justify an oversupply of nurses, but to address healthcare needs effectively. Choice D is incorrect because the focus of nursing research is on nursing-related issues, not non-nursing problems.

Which of the indicators BEST describes an effective outcome of school nursing programs and initiatives.

  • A. Zero absenteeism and tardiness of pupils.
  • B. Teachers are observers of school health program.
  • C. Limited information in school health initiatives
  • D. constant visits and phone calls of parents.
Correct Answer: A

Rationale: The correct answer is A because zero absenteeism and tardiness of pupils indicate that the school nursing programs are effectively promoting student health and well-being. This outcome shows that students are healthy, engaged, and present in school, which is a key goal of school nursing initiatives.
Choice B is incorrect as teachers being observers does not directly measure the effectiveness of the nursing programs.
Choice C is incorrect as limited information hinders the success and impact of school health initiatives.
Choice D is incorrect as constant visits and phone calls from parents may not necessarily reflect the success of the nursing programs.

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