Foundations and Adult Health Nursing Test Bank

Correct Answer: C

Rationale: A simple hysterectomy involves the removal of the uterus and cervix. It does not involve the removal of the fallopian tubes or ovaries. In some cases, the fallopian tubes may be removed along with the uterus, but this would be specified as a different type of hysterectomy (such as a total hysterectomy or a radical hysterectomy). The removal of the ovaries, if necessary, would be indicated as an oophorectomy.

Correct Answer: C

Rationale: The symptoms described are classic for amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease. ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord, leading to muscle weakness and atrophy. Patients typically present with weakness, muscle atrophy, fasciculations (muscle twitching), and eventually develop difficulty swallowing and breathing due to involvement of the muscles responsible for these functions. Parkinson's disease (Choice A) is a neurodegenerative disorder characterized by tremors, rigidity, and bradykinesia but does not typically present with muscle atrophy or fasciculations as described in the case. Guillain-Barré syndrome (GBS) (Choice B) is an acute inflammatory condition affecting peripheral nerves, leading to ascending paralysis, which is usually reversible. Myasthenia gravis (Choice D) is an autoimmune disorder that affects neu

Correct Answer: C

Rationale: Monitoring cardiac enzymes would be most helpful to Nurse Victor to confirm the underlying cause of cardiogenic shock. Cardiac enzymes are specific markers in the blood that indicate damage to the heart muscle, such as troponin and creatine kinase-MB (CK-MB). When a patient experiences cardiogenic shock, there is usually damage to the heart muscle which leads to the release of these enzymes into the bloodstream. Monitoring cardiac enzymes can help confirm if the cause of cardiogenic shock is related to myocardial infarction or another cardiac issue. This information is crucial for determining the appropriate treatment and management plan for the patient. Monitoring pulmonary artery pressure, mean arterial pressure, and central venous pressure may provide important hemodynamic information but may not directly confirm the underlying cause of cardiogenic shock.

Correct Answer: C

Rationale: Total Parenteral Nutrition (TPN) is a method of providing nutrition to patients who cannot or should not obtain their nutrition through regular oral intake. The primary goals of TPN include promoting weight gain, improving nutritional status, maintaining muscle mass, and establishing nitrogen balance. These goals are crucial to support the overall health and well-being of the patient receiving TPN. Enhancing the healing process is an important aspect of TPN as well, but it is not considered one of the primary goals as weight gain, nutritional status, muscle mass, and nitrogen balance are typically the immediate priorities when administering TPN.

Correct Answer: D

Rationale: The patient has the right to demand that information, records, and communications pertaining to their care be kept confidential under the Right to Privacy and Confidentiality as outlined in the Patient's Bill of Rights. However, financial status is generally not considered part of the confidential medical information and may not fall under the same level of protection as personal health information. Therefore, the patient cannot demand that their financial status be treated as confidential under this particular right.