Adult Health Nursing Study Guide Answers

Correct Answer: B

Rationale: Cervical intraepithelial neoplasia (CIN) is a precancerous condition of the cervix characterized by the presence of abnormal cells on the surface of the cervix. These abnormal cells are often classified as low-grade squamous intraepithelial lesions (LSIL) on cytology. CIN is not yet cervical cancer but can progress to invasive cancer if left untreated. LSIL is indicative of mild dysplasia or cervical intraepithelial neoplasia 1 (CIN 1), which is considered a precancerous lesion. Therefore, the presence of abnormal cervical cells classified as LSIL is more likely to be associated with CIN rather than cervical cancer, cervicitis, or cervical polyps.

Correct Answer: C

Rationale: The most appropriate nursing action in this situation is to assess the client's blood pressure and other vital signs. The client's symptoms of severe headache, visual disturbances, and epigastric pain could be indicative of preeclampsia or eclampsia, which are serious conditions that require immediate medical attention. Checking the blood pressure and other vital signs will help determine if the client's symptoms are related to abnormal blood pressure levels, which is critical in identifying and managing hypertensive disorders in postpartum clients. Once the assessment is completed, appropriate medical interventions can be initiated promptly if necessary.

Correct Answer: B

Rationale: The most appropriate action for the nurse to take when noticing that the patient seems anxious and is avoiding eye contact is to ask the patient if they are feeling anxious and if they would like to talk about it. This approach shows empathy, concern, and openness to addressing the patient's emotional state. By directly acknowledging the patient's behavior and giving them the opportunity to express their feelings, the nurse can create a supportive and caring environment that promotes effective communication and trust between the patient and healthcare provider. It is important to consider the patient's emotional well-being alongside their physical health during consultations.

Correct Answer: D

Rationale: Insulinoma is a rare neuroendocrine tumor that arises from pancreatic beta cells, leading to excessive production and secretion of insulin. The symptoms described in the patient, such as weight loss, fatigue, nausea, vomiting, abdominal pain, hypoglycemia, and elevated insulin levels, are characteristic of insulinoma.

Correct Answer: C

Rationale: By endorsing a detergent product on a TV commercial wearing a mini skirt and a plunging neckline shirt, Ms. Sanchez is violating the code of ethics for nurses. The code of ethics for nurses includes provisions that promote professionalism, respect, and integrity in the nursing profession. As a new nursing graduate, Ms. Sanchez has a responsibility to uphold the dignity and reputation of the nursing profession, and endorsing a product in a manner that may compromise her professional image goes against these principles. Nurses are expected to maintain a professional appearance and behavior that reflects positively on the profession and does not undermine public trust in their abilities as healthcare providers. Therefore, Ms. Sanchez's actions in this scenario are in violation of the code of ethics for nurses.