Nur17o Exam 3 PrepU I/O Nutrition Oxygen
The home care nurse is visiting a client who is totally oxygen dependent and using home oxygen. Upon noticing a gas stove in the kitchen, what teaching will the nurse provide?
"An electric stove may be a safer choice for you."
A nurse is caring for a client who has been admitted on the medical surgical unit. Which statement by the nurse about obtaining an initial weight is correct?
"I need to get your weight at this time with our scales."
The nurse is preparing discharge teaching for a client who has chronic obstructive pulmonary disease (COPD). Which teaching about deep breathing will the nurse include?
"Inhale slowly over three seconds, purse your lips, contract abdominal muscles, and exhale slowly."
For which of the following clients should the nurse anticipate the need for a pureed diet?
A man whose stroke has resulted in difficulty swallowing
A client who is bedridden and dependent has been ordered to resume an oral diet. When feeding the client, the nurse should perform what action?
Assist the client into a high-Fowler's position.
The nurse is assessing a client with lung cancer. What manifestations may suggest that the client has chronic hypoxia?
Clubbing
A older adult client admitted for dehydration is being discharged. In which way should the nurse instruct the client to maintain proper hydration?
Drink six to eight 8-oz glasses of fluid (1,500 to 2,000 mL) per day.
Upon assessment of the urine in a client's indwelling urinary catheter drain bag, the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
Encourage fluid intake.
A client with dysphagia prepares to eat dinner. How does the nurse best help this client?
Ensure the head of the bed is high-Fowler.
A nurse is assessing a client's nutritional status. Which findings should lead the nurse to suspect poor nutritional status?
Flaky facial skin, facial edema, and pale skin color
A client has been on a clear liquid diet for 5 days. What is an appropriate nursing diagnosis for this client?
Imbalanced Nutrition, Less Than Body Requirements
The nurse is preparing to teach a client how to perform incentive spirometry. Which concept should the nurse include?
Incentive spirometry provides visual reinforcement of deep breathing.
A nurse is preparing a prescribed dosage of an inhalant medication for a client with asthma. Which statement explains why inhalation is a good route for medication administration?
It allows the lungs to quickly absorb the medication.
The nurse is caring for a 70-year-old client with a body mass index (BMI) of 34.8. Which risk factor should the nurse discuss with this client?
Risk of heart disease
After reviewing the client's chart, the nurse notes that the client has been ordered a clear liquid diet. Which meal tray would the client be allowed to eat?
bouillon, apple juice, and gelatin
A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy?
carbohydrates, protein, and lipids
The nurse is informed while receiving a nursing report that the client has been hypoxic during the evening shift. Which assessment finding is consistent with hypoxia?
confusion
A client has edema of the feet and ankles, along with crackles in the lower lobes and a frothy, productive cough. The client is suffering from:
congestive heart failure.
The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The nurse documents the breath sounds heard as:
crackles
A client has been put on oxygen therapy because of low oxygen saturation levels in the blood. What should the nurse use to regulate the amount of oxygen delivered to the client?
flow meter
Which oxygen delivery system is most commonly used because it does not impede eating or speaking?
nasal cannula
Which normal conditions would a nurse expect to find when performing a physical assessment of a client's respiratory system? Select all that apply.
slightly contoured chest with no sternal depression anteroposterior diameter of the chest less than the transverse diameter bronchial, vesicular, and bronchovesicular breath sounds
What is the most important risk factor in pulmonary disease?
active and passive cigarette smoke
Upon evaluation of a client's medical history, the nurse recognizes that which condition may lead to an inadequate supply of oxygen to the tissues of the body?
chronic anemia
Mr. Parks has chronic obstructive pulmonary disease (COPD). His nurse has taught him pursed-lip breathing, which helps him in which of the following ways?
decreases the amount of air trapping and resistance