EXAM 3 questions

When working with older adults to promote good nutrition what actions by the nurse are most appropriate? (select all that apply) a. allow uninterrupted time for eating b. assess dentures for appropriate fit c. ensure the client has glasses on when eating D. provide salty food that the client can taste E. serve high-calorie high protein snacks

A. B. C, E

A nurse cares for a client with ulcerative colitis. The client states I feel like I am tied to the toliet. This disease is controlling my life. How should the nurse respond? A. Lets discuss potential factors that increase your symptoms B. If you take the prescribed medications you will no longer have diarrhea C. to decrease distress do no eat anything before you go out. D. you must retake control of your life. I will consult a therapist to help

A. Lets discuss potential factors that increase your symptoms.

A client is in the family practice clinis. Today the client weighs 186.4 ppounds (84.7 kg).. Six months ago the client weighed 211.8 pounds (96.2 kg) Waht action by the nurse is best? A. ask the client if the weight loss was intentional. B. Determine if there are food allergies or intolerances C. perform a comprehensive nutritional D. perform a rapid bedside blood glucose test.

A. ask the client if the weight loss was intentional

A nursing student caring for a client removes the client's oxygen as perscribed. The client is now breathing what percentage of oxygen in the room air? A. 14% B. 21% C. 28% D. 31%

B. 21%

A client is receiving bolus feeding through a Dobhoff tube. Waht action by the nurse is most important? A. auscultate lung sounds after each feeding B. Check tube placement before each feeding C. check tube placement every 8 hours D. weigh the client daily on the same scale

B. Check tube placement before each feeding.

The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpation the client's abdominal is tense and rigid. What action takes priority? A. Administer the prescribed pain medication B. notify the health care provider immediately C. percuss all four quadrants D. Take and document a set of vitals

B. Notify the health care provider immdeiately

A nurse plans care for a client with crohn's disease who has a heavily draining fistula. Which intervention should the nurse indicate as the priority action in this client's plan of care? A. Low fiber diet B. Skin protection C. antiobotic administration D. intravenous glucocorticoids

B. Skin protection

After abdominal surgery a client is to receive a progressive postsurgical diet. This diet is characterized by progressive alterations in the: A. caloric content of food B. nutritional value of food C. tecture and digestibility of food D. variety of food and fluids included

C. tecture and digestibility of food

The nurse caring for clients with gastrointestinal disorders should understand that which category best describes the mechanism of action of sucralfate (carafate)? A. gastric acid inhibitor B. histamine receptor blocker C. mucosal barrier fortifier D. Proton pump inhibitor

C. Mucosal barrier fortifier

A client with gastritis asks the nurse at a screeningn clinic about analgesics that will not cause epigastric distress. The nurse tells the client to take which of the following medications? A. Motrin B. Ecotrin C. Tylenol D. Bufferin

C. Tylenol

A client just returned from the surgical unit after a gastric bypass. What action by the nurse is the priority? A. Assess the client's chest pain B. Check the surgical incision C. Ensure an adequate airway D. program the morphine pump

C. ensure an adequate airway

Anurse assesses a client who has ulcerative colitis and severe diarrhea. Which priority assessment should the nurse complete first. A. inspection of oral mucosa B. recent dietary intake C. heart rate and rhythm D. percussion of abdomen

C. heart rate and rhythm

A nurse evaluates the following arterial blood gas and vital signs results for a client with chronic obstructive pulmonary disease: pH 7.32 HR 110 PaCO2 62 RR 12 PaO2 46 BP 145/66 HCO3 28 O2 sat 76% Which action should the nurse take first? A. administer a short acting beta 2 agonist inhaler B. Document the findings as normal for a client with COPD. C. Teach the client diaphragmatic breathing techniques D. initiate oxygenation therapy to increase saturation to 92%

D. Initiate oxygenation thereapy to increase saturation to 92%

A client asks the nurse about perscription drugs for weight loss. What response by the nurse is best? A. All weight losss drugs can cause suicidal ideation B. No drugs are currently available for weight loss C. Only over the counter medications are available D. there are three durgs currently approved for this.

D. Xenical(orlistat). Belviq(lorcaserin) Osymia(phentemine-topeamafe

to motivate an obese client to eventually include aerobic ecercises in a weight-reduction program, the nurse discusses exercises and its relationships to weight loss. The nurse evaluates that thsi teaching is effective when the client states, I know that exercise will: A. decrease my appetite B. lower my metabolic rate C. raise my resting heart rate D. preserve my lean body mass

D. preserve my lean body mass

The nurse instructs a client on the steps needed to obtain a peak expiratory flow rate in which order should these steps occur? 1. Make sure the device reads zero or is at base level 2. stand up (unless you have a physical disability) 3. take as deep a breath as possible 4. place the meter in your mouth and close your lips around the mouth piece. 5. blow out as hard and as fast as possible for 1 to 2 seconds 6. write down the value obtained 7. repeat the process two additional times and record the highest number in your chart.

4, 2, 1, 3, 5, 6, 7

A nurse assesses clients at aa community healt center. Which client is at highest risk for the development of colorectal cancer? A. a 37 year old who drinks eight cups of coffee daily B. a 44 year old with irritable bowel syndrome C. a 60 year old lawyer who works 65 hours per week, D. a 72 year old who eats fast food frequently

A 72 year old who eats fast food frequently

A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (select all that apply) A. Using premoistened disposable wipes for perineal care. B. Turning the clinet from right to left every 2 hours C. using and antibacterial soap to clean after each stool D. applying a barrier cream to the skin after cleansing E. keeping broken skin areas open to air to promote healing

A, B, D

A nurse assesses a client who is hospitalize with an exacerbation of Crohn's disease. Which clinical manifestation should the nurse expect to find? a. positive murphy's sign with rebound tenderness to palpation B. Dull hypoactive bowel sounds in the lower abdominal quadrants C. High pitched rushing sounds in the right lower quadrant D. Reports of abdominal cramping that is worse at night.

C. high pitched rushing bowel sounds in the right lower quadrant