D454 Adult Health III
Access The Exact Questions for D454 Adult Health III
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for D454 Adult Health III on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free D454 Adult Health III Questions
1. Which statement by a patient who is being discharged from the emergency department (ED) after a concussion indicates a need for intervention by the nurse?
- "I will return if I feel dizzy or nauseated."
- "I am going to drive home and go to bed."
- "I do not even remember being in an accident."
- "I can take acetaminophen (Tylenol) for my headache."
Explanation
A patient with a concussion should not drive immediately after discharge due to potential cognitive impairment, slowed reaction time, and risk for further injury. The statement “I am going to drive home and go to bed” indicates a lack of understanding of safe post-concussion precautions, and the nurse must intervene to ensure the patient has safe transportation and appropriate monitoring. Returning for symptoms, taking acetaminophen for headache, and having retrograde amnesia are expected considerations after a concussion and do not require immediate intervention.
2. Which infection, reported in the health history of a female patient who is having difficulty conceiving, will the nurse identify as a risk factor for infertility?
- N. gonorrhea
- Treponema pallidum
- Condyloma acuminatum
- Herpes simplex virus type 2
Explanation
Neisseria gonorrhea infection can lead to pelvic inflammatory disease (PID) in women, which may cause scarring of the fallopian tubes and infertility. Identifying a history of gonorrhea is important when assessing risk factors for difficulty conceiving. Treponema pallidum (syphilis), condyloma acuminatum (genital warts), and herpes simplex virus type 2, while significant sexually transmitted infections, are less directly associated with tubal infertility.
3. A patient is admitted to the hospital with severe renal colic. The nurse's first priority in management of the patient is to
- Administer opioids as prescribed.
- Obtain supplies for straining all urine.
- Encourage fluid intake of 2 L/day.
- Keep the patient NPO in preparation for surgery.
Explanation
Severe renal colic is extremely painful due to obstruction of urine flow, typically from a kidney stone. The first priority is to manage the patient’s pain effectively, often with prescribed opioids, to reduce suffering and prevent complications associated with severe pain, such as hypertension or tachycardia. Straining urine, encouraging fluid intake, or preparing for surgery are important but secondary interventions. Pain relief is the immediate priority to stabilize the patient and allow further assessment and treatment.
4. A female patient with a suspected urinary tract infection (UTI) is to provide a clean-catch urine specimen for culture and sensitivity testing. To obtain the specimen, the nurse will
- Have the patient empty the bladder completely; obtain the next urine specimen that the patient is able to void.
- Teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.
- Insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.
- Clean the area around the meatus with a povidone-iodine (Betadine) swab and then have the patient void into a sterile container.
Explanation
A clean-catch urine specimen is designed to minimize contamination and provide an accurate sample for culture and sensitivity. The correct procedure involves teaching the patient to clean the urethral area, void a small amount of urine into the toilet to flush out contaminants, and then collect the midstream urine in a sterile cup. This method ensures that the sample reflects the urinary tract flora rather than external contamination. Catheterization is invasive and only used if the patient cannot provide a specimen naturally. Using povidone-iodine is unnecessary and can alter the sample, while collecting the first urine or fully emptying the bladder would not yield a midstream specimen.
5. A patient admitted to the hospital with pneumonia has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
- Demonstrate the use of the Crede maneuver.
- Teach exercises to strengthen the pelvic floor.
- Place a bedside commode close to the patient's bed.
- Use an ultrasound scanner to check postvoiding residuals.
Explanation
Functional urinary incontinence occurs when a patient’s urinary tract is intact, but physical or cognitive limitations interfere with getting to the toilet in time. The most appropriate nursing action is to place a bedside commode close to the patient’s bed, which addresses mobility limitations and reduces the risk of incontinence episodes. Teaching pelvic floor exercises is more relevant for stress or urge incontinence, while the Crede maneuver and postvoid residual measurements are not priorities for functional incontinence.
6. A nursing diagnosis that is likely to be appropriate for a 67-yr-old patient who has just been diagnosed with stage III ovarian cancer is
- Sexual dysfunction related to loss of vaginal sensation.
- Risk for infection related to impaired immune function.
- Anxiety related to cancer diagnosis and need for treatment decisions.
- Situational low self-esteem related to guilt about delaying medical care.
Explanation
A new diagnosis of stage III ovarian cancer can provoke significant emotional distress due to the severity of the disease and complex treatment decisions. Anxiety related to the diagnosis and uncertainty about treatment is a common and appropriate nursing diagnosis, as it addresses the patient’s emotional response and need for support and education. Other options focus on long-term or specific physical effects that may not be immediately applicable at the time of diagnosis.
7. Important nursing intervention(s) when caring for a patient with Cushing syndrome include (select all that apply)
- Restricting protein intake.
- Monitoring blood glucose levels.
- Observing for signs of hypotension.
- Administering medication in equal doses.
- Protecting patients from exposure to infection.
Explanation
Patients with Cushing syndrome have excess cortisol, which increases blood glucose levels, suppresses the immune system, and causes fluid retention with possible hypertension. Nursing care should include monitoring blood glucose and protecting the patient from infection due to immunosuppression. Administering medications in equal doses is not standard, and protein intake is typically encouraged, not restricted, to prevent muscle wasting. Monitoring for hypotension is less critical because these patients are more prone to hypertension rather than hypotension.
8. After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops
- Muscle weakness and weight loss.
- Hyperthermia and severe tachycardia.
- Hypertension and difficulty swallowing.
- Laryngospasms and tingling in the hands and feet.
Explanation
Damage or removal of the parathyroid glands during thyroid surgery can result in hypocalcemia because the parathyroid glands regulate calcium balance. Early signs of hypocalcemia include neuromuscular irritability manifested as laryngospasms, tingling, and numbness in the hands and feet. Muscle weakness, hyperthermia, tachycardia, hypertension, and swallowing difficulties are not specific indicators of hypocalcemia related to parathyroid injury. Prompt recognition and treatment are critical to prevent severe complications.
9. To determine possible causes, the nurse will ask a patient admitted with acute glomerulonephritis about
- A recent bladder infection.
- History of kidney stones.
- Recent sore throat and fever.
- Antihypertensives.
Explanation
Acute glomerulonephritis often develops as a post-infectious complication, commonly following a streptococcal throat infection or skin infection. Asking the patient about a recent sore throat and fever helps identify a potential precipitating streptococcal infection, which is a key piece of information for diagnosis and treatment planning. While bladder infections, kidney stones, and antihypertensive use are relevant to overall renal health, they are less directly associated with the typical cause of acute glomerulonephritis and would not provide the most immediate diagnostic insight.
10. The plan of care for a patient immediately after a perineal radical prostatectomy will include decreasing the risk for infection related to
- Urinary incontinence
- Prolonged urinary stasis
- Fecal wound contamination
- Suprapubic catheter placement
Explanation
After a perineal radical prostatectomy, infection risk is high due to the proximity of the surgical site to the rectum, which increases the potential for fecal contamination of the wound. Nursing interventions focus on meticulous perineal care, monitoring for signs of infection, and maintaining a clean and dry environment to reduce the likelihood of postoperative infection. While urinary catheters are used, the primary concern for infection is fecal wound contamination because of the surgical approach.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .