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NURS6206 ADVANCED HEALTH PROMOTION EXAM Q & A WITH RATIONALES 2024.p
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NURS6206 ADVANCED HEALTH PROMOTION EXAM Q & A WITH RATIONALES 2024.p
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NURS6206Advanced Health Promotion
COMPLETED EXAM
2024
,1. A 45-year-old male patient with a history of hypertension and smoking
presents to the clinic with chest pain, dyspnea, and diaphoresis. He is
diagnosed with an acute myocardial infarction (AMI) and is admitted to
the coronary care unit. Which of the following interventions is most
appropriate for this patient to prevent further complications and promote
recovery?
a) Administer aspirin, nitroglycerin, morphine, and oxygen as prescribed.
b) Encourage the patient to quit smoking and reduce salt intake.
c) Provide education on the signs and symptoms of AMI and when to
seek medical attention.
d) Refer the patient to a cardiac rehabilitation program after discharge.
*Answer: a) Administer aspirin, nitroglycerin, morphine, and oxygen as
prescribed.*
Rationale: This is the most appropriate intervention for this patient
because it addresses the immediate needs of relieving pain, improving
blood flow, reducing cardiac workload, and preventing further clot
formation. The other options are also important for long-term health
promotion and disease prevention, but they are not as urgent or specific
to this patient's condition.
2. A 65-year-old female patient with a history of osteoporosis and
rheumatoid arthritis is seen in the clinic for a routine follow-up. She
reports that she has been taking calcium and vitamin D supplements,
doing weight-bearing exercises, and avoiding alcohol and caffeine. She
also says that she has been experiencing some side effects from her
medication for rheumatoid arthritis, such as nausea, abdominal pain,
and mouth ulcers. Which of the following actions is most appropriate for
this patient to prevent adverse effects and promote adherence to her
medication regimen?
a) Advise the patient to take her medication with food or milk.
b) Suggest the patient to switch to a different medication that has fewer
side effects.
c) Instruct the patient to stop taking her medication if she develops any
signs of infection or bleeding.
d) Monitor the patient's liver function tests and complete blood count
regularly.
*Answer: d) Monitor the patient's liver function tests and complete blood
count regularly.*
, Rationale: This is the most appropriate action for this patient because it
can detect any potential toxicity or complications from her medication,
such as hepatotoxicity or bone marrow suppression. The other options
are not as effective or safe for this patient. Taking the medication with
food or milk may reduce some gastrointestinal side effects, but it may
also interfere with absorption or efficacy. Switching to a different
medication may not be feasible or desirable for this patient, as she may
have contraindications or preferences. Stopping the medication abruptly
may worsen her condition or cause withdrawal symptoms.
3. A 25-year-old female patient who is 28 weeks pregnant visits the
clinic for a prenatal check-up. She reports that she has been feeling well
and has no complaints. She says that she has been following the
recommended diet, exercise, and prenatal care guidelines. She also
says that she plans to breastfeed her baby after delivery. Which of the
following interventions is most appropriate for this patient to prevent
complications and promote optimal fetal development?
a) Administer a tetanus, diphtheria, and pertussis (Tdap) vaccine to the
patient.
b) Perform a glucose screening test to check for gestational diabetes
mellitus (GDM).
c) Provide education on the benefits of breastfeeding and how to
overcome common challenges.
d) Refer the patient to a genetic counselor if she has any family history
of congenital anomalies.
*Answer: b) Perform a glucose screening test to check for gestational
diabetes mellitus (GDM).*
Rationale: This is the most appropriate intervention for this patient
because it can identify any risk of developing GDM, which can affect
both maternal and fetal health outcomes. GDM can cause macrosomia,
hypoglycemia, jaundice, respiratory distress syndrome, and birth trauma
in the newborn, as well as increased risk of preeclampsia, cesarean
section, and type 2 diabetes in the mother. The other options are also
important for health promotion and disease prevention, but they are not
as specific or timely for this patient's condition. The Tdap vaccine is
recommended between 27 and 36 weeks of gestation, so it can be
administered at a later visit. The education on breastfeeding can be
provided throughout pregnancy and postpartum, but it is not urgent at
this stage. The referral to a genetic counselor may be indicated if there
are any risk factors or concerns about genetic disorders, but it is not
routine for all pregnant women.
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