ATI RN
Adult Health Nursing Quizlet Final Questions
Question 1 of 5
A patient presents with a thyroid nodule and signs of hyperthyroidism. Fine-needle aspiration biopsy reveals granulomatous inflammation and multinucleated giant cells. Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: C
Rationale: Subacute thyroiditis is an inflammatory disorder of the thyroid gland that causes gland destruction and release of pre-formed thyroid hormone leading to hyperthyroidism. The fine-needle aspiration biopsy findings of granulomatous inflammation and multinucleated giant cells are characteristic of subacute thyroiditis. This condition typically presents with a painful, tender thyroid gland and may be preceded by a viral illness. Unlike Graves' disease, which is an autoimmune disorder resulting in hyperthyroidism with diffuse goiter and positive thyroid stimulating immunoglobulins, subacute thyroiditis is typically self-limited and resolves spontaneously without the need for long-term treatment.
Question 2 of 5
The statements of the findings of the study that will be formulated by Myra should be by_
Correct Answer: D
Rationale: The correct approach for formulating statements of findings in a study is to extract meanings and themes from significant statements. This involves analyzing the data collected, identifying patterns or themes that emerge from the responses, and then formulating statements that encapsulate these findings. By doing so, the researcher can accurately capture the essence of the data and present meaningful conclusions based on the analysis. This process goes beyond merely summarizing or describing the responses and delves deeper into the interpretations and implications of the findings.
Question 3 of 5
A patient presents with chest pain, dyspnea, and syncope. An electrocardiogram (ECG) shows a wide QRS complex with absence of P waves. Which cardiovascular disorder is most likely responsible for these symptoms?
Correct Answer: C
Rationale: Ventricular tachycardia (VT) is a potentially life-threatening arrhythmia characterized by wide QRS complexes and absence of P waves on electrocardiogram (ECG). Patients with VT may present with symptoms such as chest pain, dyspnea, and syncope due to reduced cardiac output and ineffective pumping of the heart. VT is a serious condition that requires prompt treatment to prevent hemodynamic compromise and potential cardiac arrest. Stable angina typically presents with chest pain that is provoked by exertion and relieved by rest or nitroglycerin. Atrial fibrillation is characterized by an irregularly irregular rhythm with absent P waves on ECG. Supraventricular tachycardia typically presents with a narrow QRS complex on ECG.
Question 4 of 5
Nurse Rona and her team has been utilizing the EEPIDEMIOLOGIC TRIAD model - identifying causative factors of diseases. Which of the following is not relevant this, model?
Correct Answer: B
Rationale: The Epidemiologic Triad model focuses on identifying the causative factors of diseases, particularly infectious diseases. The three components of the triad are the external agent, the susceptible host, and the environment. These factors interact to result in the occurrence of disease. Treatment Regimen, on the other hand, is not one of the causative factors but rather a response to manage and treat the disease once it has occurred. While treatment is essential, it is not part of the factors that contribute to the initial development of the disease within the Epidemiologic Triad model.
Question 5 of 5
A patient with a history of type 2 diabetes mellitus is prescribed metformin therapy. Which adverse effect is associated with metformin use and requires immediate medical attention?
Correct Answer: B
Rationale: Metformin is a commonly prescribed medication for the treatment of type 2 diabetes mellitus. One of the rare but serious adverse effects associated with metformin use is lactic acidosis. Lactic acidosis results from the buildup of lactic acid in the bloodstream, leading to symptoms such as weakness, rapid breathing, abdominal pain, and muscle pain. Lactic acidosis can be life-threatening and requires immediate medical attention. It is important for patients taking metformin to be aware of the signs and symptoms of lactic acidosis and seek immediate medical help if they experience any of these symptoms. Regular monitoring of kidney function is crucial in patients taking metformin to reduce the risk of lactic acidosis.
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