ATI RN
Adult Health Nursing First Chapter Quizlet Questions
Question 1 of 9
A postpartum client who experienced a traumatic birth expresses concerns about breastfeeding difficulties and emotional distress. What nursing intervention should be prioritized to address the client's concerns?
Correct Answer: A
Rationale: Providing emotional support and empathy for the client's experience should be prioritized to address concerns of a postpartum client who experienced a traumatic birth. Emotional support can help the client feel validated and heard, which can be instrumental in starting the healing process. By acknowledging the client's emotions and experiences, the nurse can establish trust and create a safe space for the client to express their feelings. This can also help in building a therapeutic relationship that can positively impact the client's emotional well-being. Providing a supportive environment is essential for addressing breastfeeding difficulties and emotional distress in this situation.
Question 2 of 9
Nurse Crissel also asked the participants if they got to know the transmission of HIV based from her lecture? Which is NOT correct?
Correct Answer: B
Rationale: Nurse Crissel likely informed the participants that HIV is not casually transmitted through activities like kissing. HIV transmission primarily occurs through activities that involve the exchange of bodily fluids, such as blood, semen, vaginal fluids, and breast milk. Accidental blood exposure, unprotected sex, and mother to child transmission are known routes of HIV transmission due to the direct exchange of bodily fluids containing the virus. However, the virus is not spread through saliva, including activities like kissing, which do not involve the exchange of significant amounts of bodily fluids.
Question 3 of 9
The nurse is developing a plan of care for the client with multiple myeloma. The nurse includes which priority intervention in the plan of care?
Correct Answer: B
Rationale: A priority intervention for a client with multiple myeloma is to include coughing and deep breathing exercises in the plan of care. Multiple myeloma can affect the bone marrow's ability to produce healthy blood cells, including red blood cells, which can lead to anemia. Anemia can cause fatigue and shortness of breath. By encouraging coughing and deep breathing exercises, the nurse can help improve lung function, enhance oxygenation, and prevent potential respiratory complications in the client with multiple myeloma. This intervention is crucial in promoting respiratory health and overall well-being for the client.
Question 4 of 9
As public health nurse Nurse erica makes sure all the supplies and medicines needed for the care of community are available. This is an example of the principle of
Correct Answer: D
Rationale: The principle of beneficence emphasizes the duty to do good and act in the best interest of others. By ensuring that all necessary supplies and medicines are available for the care of the community, Nurse Erica is practicing beneficence. She is fulfilling her obligation to promote the health and well-being of the community members by providing them with the resources they need for their care. This demonstrates her commitment to doing good and acting in a way that benefits those under her care, which aligns with the principle of beneficence in nursing practice.
Question 5 of 9
A pregnant woman presents with sudden onset of severe lower abdominal pain and syncope. On examination, she appears pale, and her abdomen is distended and tense. Which of the following conditions is the most likely cause of these symptoms?
Correct Answer: C
Rationale: Placenta previa is a condition in pregnancy where the placenta implants low in the uterus, partially or completely covering the cervix. This can lead to painless, bright red vaginal bleeding in the third trimester. However, in some cases, placenta previa can also present with sudden onset of severe lower abdominal pain and signs of shock, such as syncope, pallor, and abdominal distention due to concealed bleeding. In severe cases, the bleeding can be significant and life-threatening for both the mother and the baby. It is important to promptly diagnose and manage placenta previa to prevent complications.
Question 6 of 9
During surgery, the nurse notices a discrepancy between the surgical count and the number of instruments on the sterile field. What should the nurse do?
Correct Answer: D
Rationale: If a nurse notices a discrepancy between the surgical count and the number of instruments on the sterile field during surgery, it is crucial to inform the surgical team immediately and initiate a thorough search. Patient safety is of utmost importance, and any missing instruments could potentially pose a risk to the patient. By informing the team and conducting a thorough search, the missing instrument can be located promptly to ensure it is not inadvertently left inside the patient's body. Continuing with the procedure or ignoring the discrepancy without further investigation could lead to serious consequences for the patient's well-being. It is always better to address any discrepancies or concerns during surgery proactively to maintain a high standard of patient care and safety.
Question 7 of 9
A patient presents with sudden-onset unilateral headache, along with ipsilateral ptosis, miosis, and anhidrosis. Which of the following neurological conditions is most likely responsible for these symptoms?
Correct Answer: D
Rationale: The presentation described in the question – sudden-onset unilateral headache along with ipsilateral ptosis, miosis, and anhidrosis – is characteristic of Horner syndrome. Horner syndrome is caused by disruption of the sympathetic nerve pathway and can occur in trigeminal neuralgia. Trigeminal neuralgia is a painful condition affecting the trigeminal nerve commonly characterized by sudden and severe facial pain that can be triggered by various stimuli. The involvement of the sympathetic pathway in trigeminal neuralgia can lead to Horner syndrome symptoms such as ptosis (drooping eyelid), miosis (constricted pupil), and anhidrosis (lack of sweating) on the affected side of the face. Cluster headaches usually involve severe unilateral pain around the eye, but they do not typically present with Horner syndrome symptoms. Migraine and tension-type headaches also do not typically present with Horner syndrome symptoms.
Question 8 of 9
Patient's health teaching for Lamotrigine (Lamictal} should include which of the following?
Correct Answer: C
Rationale: Lamotrigine (Lamictal) is known to cause a serious rash, such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which can be life-threatening. Therefore, it is crucial for patients taking Lamotrigine to be aware of this potential side effect and report any skin rashes to their healthcare provider promptly. Early detection and appropriate management are essential in preventing serious complications related to these rashes.
Question 9 of 9
Which nursing diagnosis is NOT RELEVANT to sexual health?
Correct Answer: B
Rationale: In the given situation, the nursing diagnosis that is NOT RELEVANT to sexual health is option B, Health-seeking behaviors related to reproductive functioning. This diagnosis focuses on the patient's proactive approach to seeking healthcare services related to reproductive health matters. However, in the situation presented of a pregnant patient with sickle cell anemia experiencing fever, painful swelling, and in labor pain, the immediate priority lies in addressing the health issues related to sickle cell disease and the current pregnancy. Sexual health is not the primary concern in this scenario compared to managing the complications of sickle cell anemia during pregnancy. Therefore, the diagnosis related to health-seeking behaviors related to reproductive functioning is not as pertinent in this specific case.