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
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
A 62-yr-old with hyperthyroidism is to be treated with radioactive iodine (RAI). The nurse instructs the patient
-
About radioactive precautions to take with all body secretions.
-
Those symptoms of hyperthyroidism should be relieved in about a week.
-
Those symptoms of hypothyroidism may occur as the RAI takes effect.
-
To discontinue the antithyroid medications taken before radioactive therapy.
Explanation
Radioactive iodine therapy works by destroying overactive thyroid tissue, which can eventually lead to hypothyroidism. Patients should be informed that hypothyroid symptoms may develop weeks to months after treatment and require lifelong monitoring and possible thyroid hormone replacement. Precautions for radioactive material mainly apply to urine and saliva, not all body secretions, and symptom relief is not immediate, often taking several weeks. Antithyroid medications may need to be continued or adjusted based on provider instructions, but the key teaching point is the potential development of hypothyroidism.
The nurse will plan to teach a 67-yr-old patient who has been diagnosed with orchitis about
-
Pain management
-
Emergency surgery
-
Application of heat to the scrotum
-
Aspiration of fluid from the scrotal sac
Explanation
Orchitis often causes significant scrotal pain and swelling. Noninvasive interventions such as applying warm compresses or heat to the scrotum can help relieve discomfort and promote circulation. Teaching the patient about proper pain management and supportive measures is an essential part of care. Emergency surgery and fluid aspiration are not standard initial treatments for uncomplicated orchitis.
An unconscious male patient has just arrived in the emergency department with a head injury caused by a motorcycle crash. Which order should the nurse question?
-
Obtain x-rays of the skull and spine.
-
Prepare the patient for a lumbar puncture.
-
Send for computed tomography (CT) scan.
-
Perform neurologic checks every 15 minutes.
Explanation
A lumbar puncture is contraindicated in a patient with a suspected increased intracranial pressure or head injury because it can precipitate brain herniation. The nurse should question an order for a lumbar puncture until imaging has ruled out elevated intracranial pressure. Skull and spine x-rays, CT scans, and frequent neurologic checks are appropriate in the acute evaluation of head trauma.
The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective?
-
"I will buy seven new catheters weekly and use a new one each day."
-
"I will use a sterile catheter and gloves for each time I self-catheterize."
-
"I will clean the catheter carefully before and after each catheterization."
-
"I will take prophylactic antibiotics to prevent any urinary tract infections."
Explanation
Effective intermittent self-catheterization requires maintaining sterility to prevent urinary tract infections while being practical for home use. Using a sterile catheter and gloves each time the patient catheterizes ensures proper infection control and reflects correct understanding of safe technique. Daily replacement of catheters is not necessary, cleaning reusable catheters is less ideal than using sterile disposable ones, and routine prophylactic antibiotics are not recommended due to the risk of resistance and are only used in specific clinical situations.
When a 31-yr-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. Which question will the nurse ask to identify a possible cause of recurrent infection?
-
"Did you take the prescribed antibiotic for a week?"
-
"Did you drink at least 3 quarts of fluids every day?"
-
"Were your sexual partners treated with antibiotics?"
-
"Do you wash your hands after using the bathroom?"
Explanation
Recurrent gonococcal infection is often due to untreated sexual partners who can reinfect the patient. Asking whether the patient’s sexual partners received appropriate treatment is crucial to preventing reinfection. Compliance with antibiotics is also important, but partner treatment is a more common reason for persistence or recurrence. Fluid intake and hand hygiene are not primary factors in sexually transmitted infections.
To control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking corticosteroids to
-
Increase calcium intake to 1500 mg/day
-
Perform glucose monitoring for hypoglycemia
-
Obtain immunizations due to high risk for infections
-
Avoid abrupt position changes because of orthostatic hypotension
Explanation
Corticosteroids can lead to bone loss, hyperglycemia, and immunosuppression. Teaching the patient to increase calcium intake helps prevent corticosteroid-induced osteoporosis. Blood glucose monitoring is important but for hyperglycemia, not hypoglycemia. Immunizations should be up to date, but live vaccines are typically avoided during corticosteroid therapy. Orthostatic hypotension is not a common corticosteroid side effect; fluid retention and hypertension are more typical.
A renal stone in the pelvis of the kidney will alter the function of the kidney by interfering with the
-
Structural support of the kidney
-
Regulation of the concentration of urine
-
Entry and exit of blood vessels at the kidney
-
Collection and drainage of urine from the kidneys
Explanation
A renal stone located in the renal pelvis primarily obstructs the flow of urine from the kidney into the ureter. This obstruction can lead to hydronephrosis, increased intrarenal pressure, and impaired urine drainage, potentially causing pain and damage to kidney tissue over time. The stone does not affect the structural support of the kidney, the entry or exit of blood vessels, or directly alter the kidney’s ability to regulate urine concentration. Its main impact is on the collection and drainage of urine.
A 22-yr-old patient tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask to assess for possible etiologic factors in this age group?
-
"Do you use recreational drugs or drink alcohol?"
-
"Do you experience an unusual amount of stress?"
-
"Do you have cardiovascular or peripheral vascular disease?"
-
"Do you have a history of an erection that lasted for 6 hours or more?"
Explanation
In younger men, erectile dysfunction is often related to psychological or lifestyle factors rather than chronic medical conditions. Asking about recreational drug use, alcohol consumption, and stress helps identify common etiologic factors in this age group. While cardiovascular disease can contribute to erectile dysfunction, it is less likely to be the primary cause in a 22-year-old. Assessing for priapism (erections lasting more than 6 hours) is important for acute care but does not address common etiologic factors in this context.
Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider?
-
"My urine looks pink."
-
"My IV site is bruised."
-
"My sleep was restless."
-
"My temperature is 101."
Explanation
After a cystoscopy, it is normal for urine to appear slightly pink due to minor irritation or trauma to the urinary tract, and bruising at the IV site or restless sleep are not urgent concerns. However, a temperature of 101°F indicates a potential infection, which is a serious complication that can develop after a cystoscopy. Fever may signal urinary tract infection or other post-procedure infections that require immediate medical evaluation and treatment to prevent further complications. Therefore, this symptom must be reported to the healthcare provider immediately.
A young adult who is employed as a hairdresser and has a 15 pack-year history of cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach the patient about the increased risk for
-
renal failure
-
kidney stones
-
pyelonephritis
-
bladder cancer
Explanation
Tobacco use is a well-established risk factor for bladder cancer due to the carcinogenic compounds in cigarette smoke that are excreted in the urine, affecting the bladder epithelium. Hairdressers may also have occupational exposure to certain chemicals that can further increase risk. While smoking and occupational factors can influence other renal or urinary conditions, bladder cancer is the most directly linked risk in this scenario.
How to Order
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.
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.
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 .