Nurse Pedrito sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________.

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Adult Health Nursing Quizlet Final Questions

Question 1 of 9

Nurse Pedrito sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________.

Correct Answer: B

Rationale: Unilateral neglect is a common condition following a stroke where the individual fails to attend to one side of their body or to the space on that side. In this case, Mang Jose exhibiting signs of unilateral neglect by only shaving one side of his face, neglecting the other side. This behavior demonstrates a lack of awareness or attention to the affected side of his body, indicating a classic symptom of unilateral neglect.

Question 2 of 9

A patient with chronic obstructive pulmonary disease (COPD) is prescribed albuterol (salbutamol) inhaler as a rescue medication. Which of the following best describes the pharmacological action of albuterol?

Correct Answer: B

Rationale: Albuterol, also known as salbutamol, is a beta-adrenergic agonist medication commonly used for the treatment of conditions such as asthma and COPD. As a beta-adrenergic agonist, albuterol binds to beta-2 adrenergic receptors in the lungs, causing bronchodilation, which helps to relieve bronchospasms and improve airflow to the lungs. This action leads to the relaxation of smooth muscle in the airways, thus making breathing easier for patients with COPD or asthma. Anticholinergics, corticosteroids, and methylxanthines have different mechanisms of action and are not directly related to the pharmacological action of albuterol in COPD treatment.

Question 3 of 9

The patient seems indecisive whether to breastfeed her baby or not. Which is the desired nursing action of Nurse Vera to help the pregnant patient make a decision on breastfeeding?

Correct Answer: D

Rationale: The desired nursing action to help the pregnant patient make a decision on breastfeeding is to assist in identifying a breastfeeding goal and plan. When patients are indecisive about breastfeeding, it is essential for the nurse to support them in setting specific goals and creating a plan that aligns with their values and circumstances. This approach can help the patient feel empowered and confident in their decision-making process. Providing pamphlets and books (choice A) may be helpful, but personalized assistance in identifying a breastfeeding goal and plan is more likely to address the patient's individual needs and concerns. Providing ample time for the patient to decide (choice B) is important, but guidance and support in setting a clear goal can facilitate the decision-making process. Referring the patient to a nutritionist (choice C) may be beneficial for dietary concerns but may not directly address the decision-making process regarding breastfeeding.

Question 4 of 9

A patient receiving palliative care for end-stage dementia experiences agitation and restlessness. What intervention should the palliative nurse prioritize to address the patient's symptoms?

Correct Answer: C

Rationale: The most appropriate intervention for a patient with end-stage dementia experiencing agitation and restlessness is to create a calm and soothing environment to promote relaxation. Patients with dementia often respond positively to a familiar and tranquil setting, which can help reduce their symptoms of agitation and restlessness. This approach is preferred over administering antipsychotic medications or recommending physical exercise, as these may not be feasible or beneficial for patients in the advanced stages of dementia. Referring the patient to a psychiatrist may not address the immediate need for symptom management and can be considered if other interventions are ineffective. Creating a calm environment, such as dim lighting, soft music, and familiar objects, can help provide comfort and reduce distress for the patient.

Question 5 of 9

Upon further assessment, you notices that she had any scratches on her right ankle, a resulting infection, and cellulitis. When you asked her about the scratches, the patient states, "Oh, my cat might have been using my leg as a scratiching post again and I did not even feel it." Which diabetic complicatons suspect the patient to have?

Correct Answer: A

Rationale: The patient's lack of sensation in her right leg, allowing her cat to scratch her without her noticing, is indicative of neuropathy. Neuropathy is a common diabetic complication characterized by nerve damage that can result in loss of sensation or altered sensation in different parts of the body, including the extremities. In this case, neuropathy has likely affected the patient's right lower extremity, leading to her inability to feel the cat scratching her leg and resulting in the unnoticed scratches, infection, and subsequent cellulitis.

Question 6 of 9

A patient presents with tremors, rigidity, bradykinesia, and postural instability. On examination, the patient demonstrates a shuffling gait, stooped posture, and a masked facies. Which of the following neurological conditions is most likely responsible for these symptoms?

Correct Answer: B

Rationale: The symptoms described in the patient, such as tremors, rigidity, bradykinesia (slow movement), and postural instability, along with the presence of a shuffling gait, stooped posture, and masked facies, are classic features of Parkinson's disease. These motor symptoms are primarily caused by the degeneration of dopamine-producing neurons in the substantia nigra region of the brain. This results in an imbalance of neurotransmitters, particularly dopamine, leading to motor dysfunction and characteristic movement abnormalities seen in Parkinson's disease.

Question 7 of 9

For the students better understanding about the anatomy of the breast, the CI shares ________.

Correct Answer: A

Rationale: To help the students better understand the anatomy of the breast, it is crucial to provide visual aids that display both external and internal views of the breast. By sharing various pictures of the breast, students can visually learn about the structure, shape, location of different components, such as lobes, ducts, glands, and lymph nodes. Visual aids enhance the learning experience by providing a clear representation of the complex anatomical features of the breast, aiding in retention and comprehension. This approach can effectively supplement theoretical knowledge with practical visual references, facilitating a comprehensive understanding of breast anatomy.

Question 8 of 9

Which of the following interventions is appropriate for managing a conscious patient with a severe nosebleed (epistaxis)?

Correct Answer: B

Rationale: When managing a conscious patient with a severe nosebleed (epistaxis), the appropriate intervention is to have the patient sit upright and lean slightly forward to prevent blood from flowing into the throat and causing choking or swallowing. Pinching the soft part of the nose just below the bony part can help apply pressure to the bleeding vessel and stop the bleeding. This maneuver also helps compress the blood vessels in the nose, promoting clot formation and stopping the bleeding. It is important not to tilt the head back as this can cause blood to flow into the throat and potentially lead to swallowing, choking, or aspiration. Packing the nose with cotton gauze should be done by medical professionals if the bleeding does not stop with direct pressure. Applying direct pressure to the forehead is not effective for managing nosebleeds; pressure should be applied to the nostrils instead.

Question 9 of 9

Patient Josephine asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE?

Correct Answer: B

Rationale: The statement "Multigravida patient has shorter labor" is the best response to Patient Josephine's question about her shorter labor compared to previous deliveries. In obstetrics, it is commonly observed that labor tends to be shorter in patients who have had previous pregnancies (multigravida patients) due to factors such as prior cervical changes and previous stretching of the birth canal. This phenomenon is known as "multigravida cervical efficiency," and it can lead to faster and more efficient labors in subsequent pregnancies for women who have had previous deliveries.

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