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?

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Adult Health Nursing Test Bank Questions

Question 1 of 9

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?

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.

Question 2 of 9

Which of the following is the RATIONALE for instilling eye drops to patients who had eye surgery?

Correct Answer: A

Rationale: Correct Answer: A: To help control the intra-ocular pressure Rationale: 1. Eye surgery can lead to increased intra-ocular pressure. 2. Instilling eye drops can help reduce this pressure post-surgery. 3. Controlling intra-ocular pressure is crucial for proper healing and preventing complications. 4. Eye drops for infection (B) or pupil dilation/constriction (C, D) are not primary concerns post-eye surgery.

Question 3 of 9

This law allows every Filipino to avail of affordable medicines

Correct Answer: C

Rationale: Step 1: The Universal Health Care law aims to provide all Filipinos access to quality and affordable healthcare services, including medicines. Step 2: This law covers a broader scope compared to the other choices. Step 3: The Local Government Code focuses on local governance, not specifically on healthcare. Step 4: Primary Health Care is a concept rather than a specific law targeting affordable medicines. Step 5: The Generic Drug Act promotes the use of generic drugs but does not guarantee affordability for all Filipinos.

Question 4 of 9

What type of sampling wills Nurse Sandy adopts 11 when every third (3rd) patients with MI are selected after a random start?

Correct Answer: C

Rationale: The correct answer is C: Systematic sampling. Nurse Sandy is adopting systematic sampling by selecting every third patient with MI after a random start. This method ensures equal chance of selection for each patient and maintains randomness. In contrast, simple random sampling (A) entails each patient having an equal chance of being selected independently. Stratified sampling (B) divides patients into groups based on certain characteristics, which is not the case here. Cluster sampling (D) involves grouping patients and selecting entire groups, which is different from the individual selection in this scenario.

Question 5 of 9

Physiologically, what happens to the brain as Alzheimer progresses?

Correct Answer: C

Rationale: The correct answer is C: Cells die. In Alzheimer's disease, there is a progressive degeneration of brain cells, leading to cell death. This results in a loss of important brain functions such as memory, cognition, and eventually, bodily functions. The atrophy of the brain stem (choice A) is not a characteristic feature of Alzheimer's. Fluid buildup (choice B) is not a primary mechanism of the disease. Tissue swelling (choice D) is not typically associated with the progression of Alzheimer's; rather, there is a gradual loss of brain tissue due to cell death.

Question 6 of 9

A patient presents with recurrent episodes of brief, severe, stabbing pain in the distribution of the trigeminal nerve. Episodes are triggered by touch, chewing, or cold exposure. Which of the following neurological conditions is most likely responsible for these symptoms?

Correct Answer: D

Rationale: The correct answer is D: Trigeminal neuralgia. This condition is characterized by recurrent, severe, stabbing pain in the trigeminal nerve distribution triggered by touch, chewing, or cold exposure. The key feature is the characteristic lancinating pain, which is not typical of migraine (choice A), cluster headache (choice B), or tension-type headache (choice C). Migraine typically presents with pulsating, moderate to severe headache associated with nausea and sensitivity to light and sound. Cluster headache is characterized by severe, unilateral pain around the eye associated with autonomic symptoms. Tension-type headache presents with bilateral, pressing or tightening pain without specific triggers. Therefore, based on the description of the symptoms in the question, trigeminal neuralgia is the most likely diagnosis.

Question 7 of 9

Nurse has a complaint from a parent for administering gwrong dose of vaccine to the child. This act is a form of _______.

Correct Answer: B

Rationale: The correct answer is B: Negligence. Negligence refers to the failure to exercise the care that a reasonably prudent person would under similar circumstances. In this case, administering the wrong dose of a vaccine indicates a lack of proper care or attention to detail, which constitutes negligence. A: Battery involves intentional harmful or offensive contact without consent, which is not applicable in this situation. C: Assault involves the threat of harm or unwanted physical contact, which is also not relevant here. D: Malpractice typically refers to professional misconduct or negligence by a healthcare provider, which could be a broader term but not specific to the situation described.

Question 8 of 9

A patient with a history of stroke is prescribed clopidogrel (Plavix) for secondary prevention of thrombotic events. Which laboratory test should the nurse monitor closely during clopidogrel therapy?

Correct Answer: C

Rationale: The correct answer is C: Platelet count. Platelet count should be monitored closely during clopidogrel therapy because it works by inhibiting platelet aggregation, reducing the risk of clot formation. Monitoring platelet count helps assess the drug's effectiveness and prevent potential complications like bleeding or clotting events. Prothrombin time (A), activated partial thromboplastin time (B), and international normalized ratio (D) are tests that primarily assess the coagulation factors and are not directly affected by clopidogrel therapy, making them less relevant for monitoring this specific medication.

Question 9 of 9

When a person vaccinated with a Covid-19 vaccine produces antibodies to the disease, the immunity is termed:

Correct Answer: A

Rationale: The correct answer is A: Active artificial immunity. This is because the person's immune system is actively stimulated by the vaccine to produce antibodies against Covid-19. It is considered artificial because it is acquired through vaccination rather than natural exposure to the disease. B: Active natural immunity is incorrect because it refers to immunity acquired through natural exposure to the disease. C: Passive natural immunity is incorrect because it refers to temporary immunity passed from mother to baby through breast milk or placenta. D: Passive artificial immunity is incorrect because it refers to receiving pre-formed antibodies, such as through an injection of antibodies rather than the body producing them itself.

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