Adult Health Nursing Answer Key

Correct Answer: C

Rationale: RA 9173, also known as the Philippine Nursing Act of 2002, is the law that declares the State policy to promote and upgrade the practice of the nursing profession in the Philippines. This law provides for the regulation and maintenance of high standards of nursing education and practice in the country. It aims to ensure the welfare and professional growth of Filipino nurses and to safeguard the health of the public by maintaining competency and professionalism in the nursing profession. Therefore, RA 9173 is the correct choice that reflects the State's policy to promote and upgrade the practice of the nursing profession in the Philippines.

Correct Answer: D

Rationale: The context of a verbal communication is the environment or situation in which the communication takes place. It includes factors such as the physical setting, the social or cultural background, the relationship between the speaker and the listener, and any other relevant conditions that may impact the understanding of the message. Understanding the context is essential for effective communication as it helps to interpret the meaning behind the words spoken and ensures that the message is appropriately received.

Correct Answer: D

Rationale: Following an amniotomy procedure during labor, Nurse Hope's priority should be to assess the fetal heart rate (FHR) pattern. This assessment is crucial to ensure the well-being and safety of the fetus. Changes in the FHR can provide valuable information about fetal distress or complications, allowing for timely interventions if needed. Monitoring the FHR pattern is a standard practice during labor and delivery to track the fetus's response to the changes in uterine activity. Therefore, assessing the FHR pattern should be the first priority after a labor progress and amniotomy.

Correct Answer: B

Rationale: Enamel hypoplasia is a common oral manifestation of celiac disease characterized by defects in the enamel of the teeth. These defects can appear as horizontal or vertical grooves on the teeth. Enamel hypoplasia is caused by disruptions in the formation of enamel during tooth development, leading to thin enamel or localized pitting. It can affect the appearance and strength of the teeth, making them more prone to sensitivity and breakdown. In individuals with celiac disease, enamel hypoplasia may occur due to malabsorption of essential nutrients like calcium and vitamin D. Therefore, when observing oral manifestations such as enamel defects with grooves, it is important to consider the possibility of celiac disease as an underlying cause.

Correct Answer: D

Rationale: While all of the nursing measures listed are important considerations when managing a patient receiving oxytocin drip, the nurse would least consider informing the patient about potential complications. The reason for this is that it is the responsibility of the healthcare provider (such as the physician or advanced practice nurse) to inform the patient about potential complications of a medication or treatment. Nurses are instrumental in providing education and support to patients, but in the case of informing patients about potential complications, this task typically falls under the purview of the prescribing provider. The primary focus of the nurse in this situation would be to assess, administer, monitor, and educate the patient as appropriate, ensuring safe and effective care delivery.