Foundations and Adult Health Nursing Study Guide Answers

Correct Answer: B

Rationale: The epigastrium is the upper middle region of the abdomen, lying above the umbilical region and between the hypochondriac regions. It contains several organs including the duodenum, pancreas, portion of the liver, and the pyloric end of the stomach. The duodenum is the first part of the small intestine, the pancreas is a crucial organ for digestion and hormone regulation, the liver aids in digestion and detoxification, and the pyloric end of the stomach connects the stomach to the small intestine for further digestion and absorption of nutrients. These organs are typically assessed and examined when focusing on the epigastrium during a physical examination.

Correct Answer: C

Rationale: Placenta previa is a condition where the placenta partially or completely covers the cervix, leading to painless vaginal bleeding during pregnancy. In the scenario described, the painless, bright red vaginal bleeding at 34 weeks gestation with a closed cervix is classic for placenta previa. This condition is more common in the third trimester and can be diagnosed through ultrasound. It is important to manage placenta previa carefully to prevent complications such as severe bleeding, preterm birth, and maternal/fetal distress.

Correct Answer: A

Rationale: Corticosteroids, commonly used in the treatment of nephrotic syndrome, can cause various side effects. One of the common side effects of corticosteroids is a loss of appetite. Patients receiving corticosteroid therapy may experience a decreased desire to eat, leading to reduced food intake. Monitoring for changes in appetite is important as a decrease in food intake can impact overall nutrition and may affect the patient's response to treatment. It is essential for the nurse to watch for this side effect to address any potential nutritional concerns and collaborate with the healthcare team to optimize the patient's care.

Correct Answer: A

Rationale: Given the sudden-onset severe scrotal pain, swelling, and erythema, along with the physical examination findings of a tender, swollen, and high-riding testicle, the most likely diagnosis is testicular torsion. Testicular torsion occurs when the spermatic cord twists, leading to compromised blood flow to the testicle, causing ischemia and severe pain. It is considered a surgical emergency that requires prompt diagnosis and intervention to salvage the affected testicle. Prompt surgical detorsion is necessary to prevent irreversible testicular damage. While epididymitis, testicular trauma, and testicular tumors can also present with scrotal pain and swelling, the presence of a high-riding testicle in this context is highly suggestive of testicular torsion.

Correct Answer: B

Rationale: The scenario described in the question is most indicative of endometriosis. Endometriosis is a gynecological condition in which tissue similar to the lining of the uterus grows outside of the uterus. Classic symptoms of endometriosis include cyclic pelvic pain, dysmenorrhea (painful periods), and infertility. The presence of a "chocolate cyst" (also known as an endometrioma) within the ovary on pelvic ultrasound is a characteristic finding in endometriosis. These cysts are filled with old blood, giving them a dark, chocolate-like appearance on imaging. Polycystic ovary syndrome (PCOS) typically presents with irregular periods, signs of hyperandrogenism, and multiple small follicles on ultrasound. Ovarian torsion and ovarian cyst rupture would present with acute-onset symptoms and may not necessarily be associated with cyclic pelvic pain and dysmenorrhea as described in the