Adult Health Nursing Quizlet Final

Correct Answer: C

Rationale: Republic Act 9173, also known as the Philippine Nursing Act of 2002, mandates the compulsory immunization of children below 8 years. This law ensures that young children receive necessary vaccines to protect them from preventable diseases and promote public health. RA 9173 is a significant legislation that highlights the importance of immunization in safeguarding the well-being of children in the Philippines.

Correct Answer: A

Rationale: Multiple myeloma is a type of cancer that develops in plasma cells, which are a type of white blood cells involved in the body's immune response. As a result, multiple myeloma primarily affects the hematologic system, which includes the blood and blood-forming tissues. This cancer typically arises in the bone marrow and can lead to an overproduction of abnormal plasma cells, which can crowd out healthy blood cells. Symptoms of multiple myeloma can include anemia, bone pain, recurrent infections, fatigue, and kidney problems, all of which are related to the hematologic system.

Correct Answer: A

Rationale: The presentation described, involving multiple grouped vesicles on an erythematous base in the genital area, is classic for herpes simplex genitalis. This condition is caused by the herpes simplex virus (HSV) and is characterized by recurrent outbreaks of painful vesicles in the genital or perianal area. The history of similar lesions occurring during periods of stress is also suggestive of herpes simplex virus reactivation. Genital warts (condyloma acuminata) typically present as painless, fleshy growths in the genital area caused by human papillomavirus (HPV). Syphilis manifests as a painless ulcer known as a chancre, which is not described in the presentation. Molluscum contagiosum presents with pearly, dome-shaped papules with central umbilication, rather than vesicles.

Correct Answer: D

Rationale: All of the components -explanation of the procedure and alternatives to the procedure (I), discussion of potential risks and benefits of the procedure (II), and confirmation that the patient understands the risks, benefits, and any alterations (III) -are essential parts of informed consent. Providing information about the procedure and its alternatives, disclosing potential risks and benefits, and ensuring that the patient comprehends this information are crucial to obtaining valid informed consent prior to any medical procedure.

Correct Answer: A

Rationale: In this case, the patient is experiencing respiratory acidosis as indicated by the low pH (7.28), elevated PaCO2 (65 mmHg), and elevated HCO3- (30 mEq/L). The primary acid-base disturbance is respiratory acidosis due to the retention of carbon dioxide (PaCO2 >45 mmHg) leading to an increase in HCO3- as a compensatory mechanism to maintain pH within normal limits. The elevated HCO3- levels (metabolic compensation) are trying to counterbalance the increased PaCO2 levels (respiratory acidosis) by increasing bicarbonate to attempt to normalize the pH. Overall, the ABG analysis shows respiratory acidosis with metabolic compensation in this COPD patient with an acute exacerbation and severe dyspnea.