Adult Health Nursing Answer Key

Correct Answer: C

Rationale: In situations where a patient's family member is expressing anxiety about their loved one's condition, it is important for the nurse to provide clear and accurate information about the patient's status. By explaining the nature of the injury and reassuring the wife that her husband's condition is stable, the nurse can help alleviate her anxiety and address her concerns in a meaningful way. This intervention focuses on open communication and providing emotional support, which are crucial in helping the family member cope with the situation. It is essential to establish trust and create a supportive environment for the family member during this stressful time.

Correct Answer: D

Rationale: It is important to check the medication label against the medication order before administering any medication to ensure accuracy.

Correct Answer: B

Rationale: The diagnostic test that could be useful in confirming the diagnosis of Dengue Fever is the ELISA test. ELISA stands for Enzyme-Linked Immunosorbent Assay. This test detects the presence of dengue virus-specific antibodies (IgM and IgG) in the blood of an individual suspected to have dengue fever. Elevated levels of these antibodies indicate a recent or ongoing dengue virus infection. ELISA is a standard and reliable test used in diagnosing dengue fever, along with clinical symptoms and other laboratory tests.

Correct Answer: C

Rationale: Meningomyelocele is a type of neural tube defect where there is a protrusion of the spinal cord, cerebrospinal fluid, and meninges through a defect in the vertebrae, forming a sac on the surface of the back. This condition occurs during fetal development when the neural tube fails to close completely, leading to the exposure of the spinal cord and its coverings. This herniation can result in a range of neurological deficits and complications, requiring surgical repair shortly after birth to prevent further damage and infections.

Correct Answer: C

Rationale: When controlling severe external bleeding from an extremity, the recommended action is to apply direct pressure with a sterile dressing. Direct pressure helps to stop the bleeding by promoting clot formation and reducing blood flow from the wound. This method is effective in most cases and should be the first response to control bleeding. Elevating the extremity above the level of the heart can be helpful in some cases, but direct pressure is the initial recommended action. Applying a tourniquet proximal to the injury site should only be done as a last resort when other methods are not successful, as it can lead to complications such as tissue damage. Removing any impaled objects can actually worsen the bleeding and should be avoided unless necessary for immediate life-saving measures.