Funds Exam 2
The nurse cares for a client who is postoperative after an abdominal surgery. Which is the most important statement for the nurse to use in teaching this client?
"Use the call bell for any needs and wear nonslip footwear."
Which intervention should the nurse take for a client who is receiving continuous tube feedings?
Elevate the head of the bed at least 30 to 45 degrees to prevent aspiration.
The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement requires immediate nursing intervention?
Only certain members of the health care team can extinguish a fire
The telehealth nurse receives a call stating that upon entering a family member's home, two people have been found semi-conscious with a bright cherry red skin color. They are reporting nausea and headache, and are unable to move. Which initial direction will the nurse provide?
Open doors and windows.
A nurse is making a home visit for a client with several home safety concerns. On which safety concept(s) would the nurse advise the client? Select all that apply.
Remove extension cords from open spaces. Check the batteries in all smoke detectors. Ensure appropriate lighting in hallways and entrances to the home. Remove throw rugs from high traffic areas.
A client has developed dysphagia secondary to a cerebrovascular accident. Which precautions should the nurse initiate to prevent choking during meals?
Thicken liquids with commercial products.
A physician orders nutritional therapy administered via a central vein for a client who cannot take foods orally. What is the term for this type of nutrition?
Total parenteral nutrition (TPN)
An older adult client informs the nurse that foods don't taste or smell the same and eating is a chore. What suggestion can the nurse provide to the client to address this age-related change?
Try eating foods that are attractive and at the proper temperature.
A group of children is preparing for a camping trip in the woods with camp counselors. The children are learning about health promotion activities to use on their upcoming camping trip. Which principle is most important for the nurse to teach to promote a safe camping experience?
Using the buddy system during the trip
Which of the following is a fat-soluble vitamin?
Vitamin E (A, D, E, K)
A 5-year-old is admitted to the ICU after a head trauma from a bike injury. The child is awake but confused, and continues to pull at IV tubing and a catheter. When the provider orders a restraint, what options would be least restrictive? Select all that apply
administration of sedation four side rails up having a parent stay with the child
Unintentional injuries are a major cause of disability and death in the United States. For adults, where do unintentional injuries fall on the list of leading causes of death? a. first b. tenth c. eighth d. fifth
fifth
A postmenopausal client wishes to increase the amount of vitamin D that she consumes to help keep her bones strong. Which food will the nurse recommend?
milk
Which factor is related to the highest proportion of falls in long-term care settings?
toileting
