Adult Health Nursing Study Guide Answers

Correct Answer: C

Rationale: In a primiparous patient who complains of unrelieved perineal pain on the first postpartum day, Nurse Kayla should assess for a perineal hematoma. A perineal hematoma is a collection of blood in the perineal tissues and can cause significant pain and discomfort. It can be a result of trauma during delivery or due to a blood vessel rupture. This condition requires prompt assessment and intervention to prevent complications such as infection or excessive bleeding. Vaginal laceration would typically be identified during the delivery process and would have been repaired by the healthcare provider. History of drug abuse, while important to know for overall patient care, is not as relevant in this immediate postpartum pain assessment. Puerperal infection usually presents with other signs such as fever, foul-smelling discharge, and uterine tenderness, which are not mentioned in this scenario.

Correct Answer: A

Rationale: Patients with nephrotic syndrome who are ordered corticosteroids need to avoid close contact with individuals who have infections or illnesses, as corticosteroids can suppress the immune system and increase the risk of infections. Therefore, it is important to prioritize the safety and well-being of the patient by minimizing potential sources of infection. While diabetes itself does not pose a direct risk to the patient with nephrotic syndrome, individuals with diabetes may have a compromised immune system or be at higher risk for infections, which could potentially be transmitted to the patient. This precaution helps to minimize the risk of infection and maximize the effectiveness of the treatment for nephrotic syndrome.

Correct Answer: A

Rationale: The patient's presentation of fatigue, weakness, jaundice, elevated indirect bilirubin levels, reticulocytosis, and positive Coombs test is consistent with hemolytic anemia. Among the options provided, hereditary spherocytosis is the most likely condition to cause these findings.

Correct Answer: B

Rationale: The research design being referred to in the question is an experimental design. An experimental study involves the manipulation of an independent variable, which is the intervention in this case, to determine its effect on a dependent variable. "Blinding" in research refers to the practice of withholding information about the intervention from certain individuals involved in the study, such as researchers, participants, or outcome assessors. Blinding is commonly used in experimental studies to reduce bias and ensure the integrity of the study results. This combination of intervention and blinding is a hallmark of experimental research designs.

Correct Answer: D

Rationale: Consistent limit setting is an effective nursing intervention for managing impulsive and aggressive behaviors in individuals with conduct disorder. By establishing clear and consistent boundaries, rules, and consequences, individuals with conduct disorder can learn self-control and appropriate behavior. Consistent limit setting provides structure and predictability, helping to reduce impulsive and aggressive reactions in these individuals. It also teaches them accountability for their actions and reinforces appropriate behavior. Additionally, setting limits helps to establish a sense of safety and security for both the individual and those around them. Therefore, consistent limit setting is a crucial intervention to help manage impulsive and aggressive behaviors associated with conduct disorder.