Adult Health Nursing Quizlet Final

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.

Correct Answer: C

Rationale: The night nurse is expected to collect the patient charts from various departments every three nights. Among the tasks listed, binding the charts as they are is not typically a responsibility of the night nurse. This task is usually handled by administrative staff or professional medical records technicians who are trained to manage the organization and storage of patient charts. The night nurse's primary focus should be on ensuring the correct order of the charts, checking for completeness, and addressing any issues such as torn pages by taping or repairing them to maintain the integrity of the patient records.

Correct Answer: B

Rationale: Option B is the most appropriate response when addressing a postpartum client's concerns about resuming sexual activity after a vaginal delivery. Educating the client about the normal changes in sexual desire and response following childbirth can help alleviate anxiety and provide reassurance. It is crucial for the nurse to explain that it is common for women to experience changes in libido, physical discomfort, and emotional adjustments after giving birth. By discussing these normal postpartum changes, the nurse can support the client in understanding that her feelings are valid and that it may take time for her to feel ready to engage in sexual activity again. Furthermore, the nurse can provide information on ways to enhance comfort and intimacy when resuming sexual activity, such as communication with partners, using lubricants, and gradually easing back into sexual activity as desired.

Correct Answer: D

Rationale: Speaking up on behalf of the patient to ensure their needs are met is a key action that demonstrates advocacy by the nurse. Advocacy involves actively supporting and safeguarding the rights of the patient, ensuring that their best interests are being considered within the healthcare system. This may include advocating for appropriate treatment, services, resources, or respect for the patient's autonomy and decision-making. By speaking up for the patient, the nurse is acting as their voice and championing their well-being.

Correct Answer: C

Rationale: In a pregnant patient with suspected pulmonary embolism (PE), the most appropriate imaging modality for evaluation is contrast-enhanced computed tomography (CT) pulmonary angiography. This imaging technique has been shown to be safe for the fetus when necessary, especially if the benefits of making a diagnosis outweigh the minimal risks associated with radiation exposure. It provides quick and accurate detection of PE with high sensitivity and specificity.