Adult Health Nursing Study Guide Answers

Correct Answer: C

Rationale: Primary health care encompasses a wide range of essential health services. While services such as the use of appropriate technology, safe water supply, and maternal child care are components of primary health care, providing free medicines is not typically considered a core element. Primary health care emphasizes accessibility, affordability, and basic health services, but free medicines may not always be sustainable or feasible in every healthcare setting. Patients may be required to pay for medications, utilize health insurance, or receive medications through public health programs, rather than always receiving them for free.

Correct Answer: B

Rationale: The nurse should monitor the International Normalized Ratio (INR) closely during anticoagulant therapy for the prevention of VTE. The INR measures the clotting ability of the blood and is used to monitor the effectiveness of anticoagulant therapy, such as warfarin. Maintaining the INR within the target therapeutic range is crucial to prevent both excessive bleeding due to over-anticoagulation and clotting events due to under-anticoagulation. Close monitoring of the INR helps healthcare providers adjust the anticoagulant dosage as needed to ensure optimal therapeutic outcomes and minimize risks. Platelet count, serum sodium levels, and blood urea nitrogen (BUN) are important laboratory parameters to monitor for other medical conditions but are not specific to anticoagulant therapy.

Correct Answer: C

Rationale: Uterine rupture is a severe obstetric complication that requires prompt and decisive management to prevent adverse outcomes for both the mother and the baby. In cases of uterine rupture leading to fetal distress and maternal hemorrhage, performing an emergency cesarean section is crucial. This intervention allows for rapid delivery of the baby, relieving the distress on the fetus and enabling immediate access to manage the maternal hemorrhage. By performing a timely cesarean section, healthcare providers can expedite the delivery process and effectively address both the fetal and maternal complications associated with uterine rupture. This intervention is essential in saving lives and reducing the risk of further complications in such a critical obstetric emergency.

Correct Answer: A

Rationale: Total patient care model of nursing is focused on the task-oriented approach to client care. In this model, the nurse is responsible for all aspects of care for a group of patients during their shift. It involves providing direct care, coordinating with other healthcare team members, and overseeing the patients' overall well-being. This approach emphasizes a comprehensive and holistic view of the patient's needs, where the nurse is actively involved in all aspects of care delivery.

Correct Answer: A

Rationale: The described presentation of a pruritic, annular rash with central clearing and a raised, scaly border that spreads outward in a centrifugal pattern is characteristic of tinea corporis, commonly known as ringworm. This fungal infection affects the skin and is typically ring-shaped, with a well-defined, slightly raised, and scaly border. The central area often clears as the lesion enlarges peripherally, resembling a ring. It is important to note that ringworm is not caused by a worm but by a fungus. Treatment typically involves antifungal medications applied topically or taken orally, depending on the severity of the infection.