Adult Health Nursing Study Guide Answers

Correct Answer: A

Rationale: When planning for a client's care, a primary consideration is to prevent problems related to immobility. Immobility can lead to a range of complications such as pressure ulcers, muscle weakness, joint contractures, and decreased circulation. To maintain the client's overall health and well-being, it is essential to address mobility issues and implement strategies to prevent complications associated with immobility. By prioritizing interventions that promote movement and prevent immobility-related problems, the client's quality of life can be improved and potential health risks mitigated.

Correct Answer: B

Rationale: The type of pregnancy test is not a factor that should be considered by the nurse or the pregnant woman in interpreting the results of a pregnancy test. Factors such as the last menstrual period, previous pregnancy history, and menstrual cycle length play a crucial role in determining the reliability and accuracy of the pregnancy test results.

Correct Answer: A

Rationale: Beta-blockers are a class of medications commonly used to manage hypertension. One of the main mechanisms of action of beta-blockers is to reduce heart rate and contractility by blocking the beta-adrenergic receptors in the heart. As a result, one of the potential adverse effects of beta-blockers is bradycardia, which refers to a slower than normal heart rate. Therefore, the nurse should closely monitor the patient for signs and symptoms of bradycardia when starting or adjusting the dose of a beta-blocker. Symptoms of bradycardia may include dizziness, fainting, fatigue, or shortness of breath. If bradycardia is severe or symptomatic, it may require dose adjustments or discontinuation of the beta-blocker to prevent complications.

Correct Answer: C

Rationale: Used wet diapers and gloves should be disposed of in a black waste bin. Black waste bins are designated for general waste, which includes non-infectious materials that do not pose a risk of infection to others. Wet diapers and gloves fall under this category as they are considered non-infectious waste. Proper disposal in the black bin helps in maintaining cleanliness and hygiene in the healthcare setting.

Correct Answer: C

Rationale: In a missed abortion, the embryo has died, but the products of conception remain in the uterus, leading to the visualization of a gestational sac without an embryo on ultrasound. This is a type of missed miscarriage where the woman may not have any symptoms initially and the diagnosis is made during a routine ultrasound. The most common presenting symptom is painless vaginal bleeding. The absence of an embryo within the gestational sac can be confirmed through serial ultrasound examinations showing no fetal growth or cardiac activity. It is important for healthcare providers to provide appropriate counseling and management options to support the patient through this emotional experience.