exam 3 concepts quiz fall 2022

which action would be appropriate to implement when collecting a 24 hour urine test?

start the time of the test after discarding the first voiding

which nursing interventions would provide safe oxygen therapy? select all that apply

check tubing for kinks and post "no smoking" signs in the client's rooms

which urine characteristic is consistent with a urinary tract infection?

cloudy

which suggestion would the nurse provide to the parent whose child has been constipated for 3 days? select all that apply

give laxatives to the child, increase the child's physical activity, include food with a high fiber content in the child's diet

which statement by an obese adolescent about healthy dietary habits and the risk associated with obesity indicates the need for further counseling?

i should watch more tv to reduce the stress

when the oxygen saturation of a client with pneumonia is at 89% to 90% while using a non rebreather mask, which collaborative action would the nurse anticipate?

oxygen administration with bi-level positive airway pressure (BiPAP)

which sign or symptom supports the nurse's suspicion that a client has overflow incontinence?

constant dribbling of urine

venturi mask

A face mask and reservoir bag device that delivers specific concentrations of oxygen by mixing oxygen with inhaled air. can deliver between 24-60% and 4-12 L/min

a client has a nasogastric tube NG in place. which health care team member is most likely to be assigned to provide medications to the client through the nasogastric tube?

LPN

which date would the nurse use to determine a client's score on the braden scale to predict a client's risk for developing pressure injuries? select all that apply

anorexia, hemiplegia, history of diabetes, urinary incontinence

which is the best nursing intervention to support a hospitalized child's nutrition who is apathetic toward eating?

asking the parent to visit at mealtimes

which action would the nurse take when collecting a urine sample from the toddler who is not toilet trained? select all that apply

attach single-use bags over the child's urethral meatus, use terms for urination that the child can understand

a client with emphysema reports increased shortness of breath and becoming increasingly anxious. the health care provider prescribes oxygen at 1L/min via nasal cannula. the nurse recognizes that this prescription is appropriate for which reason?

high concentrations of oxygen eliminate the respiratory drive in some patients

the nurse gives the client with a history of constipation a list of foods to help prevent it. which statement made by the client indicates that further teaching is needed?

i should eat eggs

which nursing intervention would help an older adult experiencing urinary incontinence? select all that apply

provide voiding opportunities, avoid indwelling catheterization, promote measures to prevent skin breakdown

which observation support the nurse's suspicion that a client may have myoglobinuria?

red-colored urine

which client response during the insertion of a nasogastric tube indicates to the nurse that the client is experiencing serious difficulty with the insertion?

cyanosis

after the nurse teaches a client, who is obese, measures to calculate the body mass index, which client statement indicates effective learning? select all that apply

i should lose at least half a pound to a pound each week, i'll make sure to eat foods meeting my daily nutritional requirement, i should stay away from unhealthy foods between meals and after dinner

oxygen given to clients during stage 4 of COPD would be administered in which manner?

1 to 2 L via nasal cannula to keep SaO2 above 90%

which concept would the nurse consider when caring for school-aged children who are obese?

there are familial influences on childhood eating habits

which instruction would the nurse provide a client needing to collect a clean-catch urine specimen?

urinate a small amount, stop flow, and then fill one half of the specimen cup

dilute urine

very pale, yellow urine

which instruction would the nurse include in a health practices teaching plan for female client with a history of recurrent urinary tract infections?

wear cotton underwear or lingerie

a client is admitted to the hospital with a diagnosis of acute pancreatitis. the health care providers prescriptions include NPO and total parenteral nutrition (TPN). the nurse explains that the TPN therapy provides with benefit?

will meet the client's nutritional needs without causing the discomfort precipitated by eating

a client has a surgically created colostomy. which is the most effective intervention initially to help the client accept the colostomy?

begin to teach self-care of the colostomy by introducing equipment

which assessment finding would the nurse report to the health care provider when giving immediate postoperative care to a client with a newly placed ostomy?

blanching, dark red to purple color of stoma

increased bilirubin levels

brown colored urine

nasogastric tube (NG) irrigations are prescribed for a client after abdominal surgery. the nurse instills 30 ml of saline solution, and 10 ml is returned. how would the nurse proceed?

record 20 ml as intake

which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine?

regularly offer the client a urinal

a client is receiving intermittent nasogastric tube (NG) feedings to supplement oral nutritional intake. The nurse administers the feeding over 30-60 to reduce which hazard?

regurgitation

concentrated urine

dark, amber urine

a client with recent colostomy expresses concern about the inability to control the passage of gas. which recommendation would the nurse make?

avoid foods that in the past have caused flatus

which would the nurse include in dietary teaching for a client with a colostomy?

the diet should be adjusted to result in manageable stools

which food or drink would the nurse instruct a client with a new colostomy to avoid because it produces large amounts of gas?

cabbage

which represents appropriate nursing management of a client's nasogastric tube (NG) in the immediate postoperative period after gastroduodenostomy?

carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working

the nurse is providing education about excellent food sources of vitamin A for a client who is deficient in this vitamin. which foods would the nurse include in the teaching?

carrots, leafy greens, cantaloupe

the post anesthesia care unit (PACU) receives a client post abdominal surgery with a nasogastric tube with low intermittent wall suction in place. which initial action would the nurse implement when the client vomits 90 ml of bile-colored fluid?

check the patency of the tube

a client is admitted to the hospital with gastrointestinal bleeding and subsequently has a nasogastric tube (NG) inserted. prescriptions include irrigating the tube with normal saline as needed to maintain patency. the nurse assess the NG tube and determines that it is not patent. Which initial action would the nurse take?

check the tube for placement

the nurse observes that an older client seldom eats the meat on the meal trays. the nurse discusses this observation with the client, and the client states, "i only eat meat once a week because old people don't need protein everyday". which need would the nurse address in his or her reply?

foods that meet basic nutritional needs

the nurse provides patient education to a client about how to prevent constipation. the nurse concludes that the teaching is understood when the client makes which statements? select all that apply

i should drink at least 6 glasses of water every day, i can include bran muffins in ,y breakfast daily, i will walk every day as part of my exercise regimen

a client with a COPD exacerbation is receiving oxygen at 2L/min per nasal cannula and has an oxygen saturation of 88%. which action would the nurse anticipate taking next?

increasing oxygen flow rate to 3L/min

a client who had surgery for a resection of the colon and formation of a colostomy is scheduled to be discharged in several days. which is a primary nursing intervention for this client?

determine the client's ability to care for the colostomy

which factor would the nurse assess for a client reporting constipation? select all that apply

diet, fluid intake, use of laxatives, date of last bm, use of opioid pain meds

which conclusion would the nurse make about the assessment finding of a client's very pale-yellow-colored uriine?

dilute urine

which example illustrates health promotion activities? select all that apply

good nutrition and regular exercise

a client suffers hypoxia and a resultant increase in deoxygenated hemoglobin in the blood. which are the best sites to assess this condition? select all that apply

lips, mouth, nail beds

a client has a nasogastric feeding tube inserted, and the health care provider prescribes the feeding to be instituted immediately. which action would the nurse take first?

obtain an x-ray to verify that the tube is in the stomach

when the nurse manager is evaluating the care of a client receiving oxygen through a nasal cannula, which finding indicates a need for more staff education about oxygen therapy?

oxygen flow rate is set to 8L/min

the nurse instructs a client to breathe deeply to open collapsed alveoli. which explanation could the nurse offer to explain the relationship between alveoli and improved oxygenation?

oxygen is exchanged for carbon dioxide in the alveolar membrane

which recommendations would the nurse provide an overweight adolescent to promote weight loss? select all that apply

perform physical activities regularly, eat small frequent meals throughout the day, reduce the intake of sugar and sweetened beverages

the nurse is caring for a client with a new colostomy. which client outcome is most important for achievement for long-range goals associated with adjusting to a new colostomy?

readiness to accept an altered body function

a client with a coronary occlusion is experiencing chest pain and distress. which is the primary reason that the nurse administers oxygen?

to increase oxygen concentration to heart cells