Course Pt: Quiz #4

A nurse is discussing neonatal care with a new parent. Which statement by the nurse best describes the value of breastfeeding?

"Breastfeeding provides the neonate with immunity against some bacteria and viruses."

Which nutritional guideline should a nurse provide to a client who is entering the second trimester of pregnancy?

"You will need to eat more calories and to make sure you eat a balanced diet high in nutrients."

A nurse assessing a client's respiratory effort notes that the client's breaths are shallow and 8 per minute. Shortly after, the client's respirations cease. Which form of oxygen delivery should the nurse use for this client?

Ambu bag

Which medication is administered in the home or the hospital to relieve inflammation in the lung tissue?

Corticosteroids

A client with a diagnosis of advanced Alzheimer disease is unable to follow directions required to use an inhaled bronchodilator. Which medication delivery system is most appropriate for this client?

Nebulizer

A client's primary care provider has informed the nurse that the client will require thoracentesis. The nurse should suspect that the client has developed which disorder of lung function?

Pleural effusion

The nurse is preparing to administer an intermittent feeding to a client who has a nasogastric feeding tube. Place the following steps in the correct order. Use all options.

Position the client with the head of bed elevated 30 to 45° degrees. Verify correct tube placement. Aspirate all gastric contents. Verify that gastric residual volume is less than 200 mL. Flush the tube with 30 mL water. Administer the feeding.

The nurse is reviewing a client's laboratory report. The report indicates the client's albumin level is 2.89 g/L (4.19 mmol/L). Which inference can the nurse make about the laboratory result?

The client has malnutrition

After insertion of a chest tube, fluctuations in the water-seal chamber that correspond with inspiration and expiration are an expected and normal finding.

True

The nurse is assessing a newborn in the nursery. The nurse notes the infant has episodes in which breathing ceased for 20 seconds on 2 occasions. The nurse correctly recognizes this condition as:

apnea.

A client 57 years of age is recovering in a hospital following a bilateral mastectomy and breast reconstruction 2 days earlier. Since her surgery, the client has been unwilling to mobilize despite the nurse's education on the benefits of early mobilization following surgery. The nurse would recognize that the client's prolonged immobility creates a risk for:

atelectasis. (Prolonged bed rest can result in the incomplete lung expansion and collapse of alveoli that characterize atelectasis.)

A client has been found to be deficient in vitamin K. For what complication will the nurse closely assess, because it is related to this deficiency?

bleeding tendencies

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

Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. This finding indicates the client is:

extremely obese.

Most nutritionists recommend having a proper amount of fiber in the diet. In addition to other benefits, how does fiber affect cholesterol?

increases fecal excretion of cholesterol

A client with protein deficiency is encouraged to eat a protein-rich snack. The client requests a peanut butter sandwich. What other food can the nurse provide that will provide the client with complete protein?

milk

A nurse is caring for an asthmatic client who requires a low concentration of oxygen. Which delivery device should the nurse use in order to administer oxygen to the client?

nasal cannula

A nurse is caring for a young adult female client who has a folic acid deficiency. When educating the client about this condition, the nurse would include a discussion about the client's increased risk for:

neural tube deficits in the fetus.

What structural changes to the respiratory system should a nurse observe when caring for older adults?

respiratory muscles become weaker