Foundations and Adult Health Nursing Study Guide Answers

Correct Answer: C

Rationale: In cases of persistent fetal malpresentation, such as a transverse lie position, a cesarean section is often the safest and most effective intervention to address the abnormal labor presentation. Delivering a baby in a transverse lie position vaginally is associated with high risks, including fetal complications such as umbilical cord prolapse and head entrapment. Therefore, to ensure the safety of both the mother and the baby, a cesarean section is usually the most appropriate and timely intervention to address this situation. It is crucial to prioritize the immediate preparation and facilitation of a cesarean section in cases of persistent fetal malpresentation to prevent potential complications and ensure the best outcome for the mother and the baby.

Correct Answer: C

Rationale: The public health nurse's participation in the essential services that are relevant and accessible to the family and the community includes informing, educating, and empowering the people about health. This is a critical aspect of the role of a public health nurse as it involves engaging with individuals and communities to provide them with accurate information about health promotion, disease prevention, and access to healthcare services. By informing, educating, and empowering the people about health, public health nurses can help individuals and communities make informed decisions about their health and well-being, leading to improved health outcomes and overall community health.

Correct Answer: B

Rationale: Antipsychotic medications can cause metabolic side effects, including hyperglycemia (high blood sugar). Patients with bipolar disorder who are prescribed antipsychotic medications are at risk for developing new-onset diabetes or exacerbating preexisting diabetes. Monitoring blood glucose levels is essential to detect hyperglycemia early and prevent complications such as diabetic ketoacidosis. While hypertension, hypotension, and hypernatremia are possible side effects of certain medications, they are not typically associated with antipsychotic medications commonly used in the management of bipolar disorder. Hyperglycemia is a serious concern in this population due to the risk of developing diabetes or worsening of existing diabetes.

Correct Answer: A

Rationale: The Professional Regulation Commission (PRC) in the Philippines requires nurses like Nurse Merle to comply with 45 units of Continuing Professional Development (CPD) in order to renew their license and continually practice nursing. This is a mandatory requirement to ensure that nurses stay updated with the latest advancements, skills, and knowledge in the field of nursing. By completing the required CPD units, Nurse Merle can enhance her competency, maintain her license, and provide quality care to her patients.

Correct Answer: A

Rationale: In a patient with acute kidney injury (AKI) secondary to sepsis in the ICU, the healthcare team should prioritize initiating continuous veno-venous hemofiltration (CVVH) for renal replacement therapy. CVVH is a form of continuous renal replacement therapy that helps support renal function by removing waste products, excess fluids, and electrolytes from the blood while providing hemodynamic stability. This intervention is crucial in managing fluid overload, electrolyte disturbances, and uremia associated with AKI in critically ill patients. It can also help improve overall outcomes and prevent further complications related to renal dysfunction in this setting. Administering diuretics, implementing fluid restriction, or performing a renal biopsy may not directly address the acute renal failure and may not provide the necessary renal support needed in this urgent situation.