Adult Health Nursing First Chapter Quizlet

Questions 164

ATI RN

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Adult Health Nursing First Chapter Quizlet Questions

Question 1 of 5

When a patient has pneumothorax, the nurse's assessment findings will likely reveal _______. I. absent breadth sounds on the affected side II. Decreased chest expansion unilaterally III. Sharp chest pain IV. Burning chest pain

Correct Answer: A

Rationale: Pneumothorax is a condition characterized by the presence of air in the pleural space surrounding the lungs, which can lead to lung collapse. The nurse's assessment findings in a patient with pneumothorax are typically as follows:

Question 2 of 5

A pregnant woman presents with severe abdominal pain and syncope at 6 weeks gestation. On examination, she has signs of hypovolemic shock. Which of the following conditions is the most likely cause of these symptoms?

Correct Answer: A

Rationale: In a pregnant woman presenting with severe abdominal pain, syncope, signs of hypovolemic shock, and gestational age of 6 weeks, the most likely cause is an ectopic pregnancy. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, commonly in the fallopian tube. As the pregnancy grows and the tube stretches, it can lead to rupture, causing severe abdominal pain, internal bleeding, and signs of shock. This is a life-threatening emergency that requires prompt diagnosis and management. It is important to consider ectopic pregnancy in any pregnant woman presenting with abdominal pain and signs of shock, especially in the first trimester.

Question 3 of 5

Mang Emilio refuses to take his daily medication for hypertension. Which of the following actions should Nurse Pedrito take at this time?

Correct Answer: B

Rationale: The most appropriate action for Nurse Pedrito to take at this time is to explore the reason for Mang Emilio's refusal to take his daily medication for hypertension. By understanding the underlying cause of his refusal, Nurse Pedrito can address any concerns or barriers that may be preventing Mang Emilio from adhering to his medication regimen. This approach emphasizes the importance of patient-centered care and communication in promoting medication compliance and overall health outcomes. Additionally, it allows Nurse Pedrito to work collaboratively with Mang Emilio to find a solution that meets his needs and preferences.

Question 4 of 5

A patient with terminal cancer is experiencing dyspnea due to pleural effusion. What intervention should the palliative nurse prioritize to manage the patient's symptoms?

Correct Answer: B

Rationale: The palliative nurse should prioritize performing thoracentesis to drain the pleural fluid and relieve dyspnea in a patient with terminal cancer experiencing pleural effusion. Pleural effusion is a common complication in patients with advanced cancer and can cause significant respiratory distress. Drainage of the pleural fluid through thoracentesis can provide immediate relief by easing the pressure on the lungs and improving the patient's ability to breathe. This intervention is essential in managing dyspnea for comfort and quality of life in palliative care settings. Administering bronchodilator medications (option A) or recommending non-invasive positive pressure ventilation (option C) may not directly address the underlying cause of dyspnea in this case. While relaxation techniques (option D) can help with anxiety and overall well-being, they may not be sufficient in managing the physical symptom of dyspnea caused by pleural effusion.

Question 5 of 5

Upon interview, the patient reported the she often felt nauseated, restless, perspired a lot, felt fatigued, and was often hungry when she was younger. What do these signs indicate?

Correct Answer: B

Rationale: The signs reported by the patient, such as feeling nauseated, restless, sweating excessively, fatigue, and increased hunger, are indicative of hypoglycemia, which is characterized by low blood sugar levels. In individuals with hypoglycemia, these symptoms can occur when the blood glucose levels drop too low, leading to disturbances in the body's energy supply. This is common in individuals who may have experienced episodes of low blood sugar, especially if they have a history of diabetes or are taking medications that lower blood sugar levels. Diabetic nephropathy, hyperglycemia, and diabetic retinopathy are conditions associated with high blood sugar levels and are not consistent with the symptoms described by the patient.

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