Exam 3 Study Guide

A client has been diagnosed with GERD. What food should the nurse tell them to avoid? Apples Chocolate Oatmeal Non fat milk

Chocolate

What nutrients are required for wound healing? Calcium Vitamin D Vitamin B1 Protein

Protein

A nurse is preparing an education program for a group of parents of adolescents. Which of the following should be included as indicators of nutritional risk among adolescents. Select all that apply. eating fast food once weekly skipping more than three meals per week eating without family supervision frequently frequently skipping breakfast hearty appetite

skipping more than three meals per week eating without family supervision frequently frequently skipping breakfast

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start in Lola till diet. Which of the following foods is the best choice for the client? soy milk cheddar cheese low fat yogurt cottage cheese

soy milk

A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following healthcare professionals is responsible for obtaining informed consent from the client for the procedure? nurse anesthesiologist surgeon surgical speakers

surgeon

A nurse is teaching a client with urge incontinence. Which of the following should the nurse include in the teaching?

~Your provider might prescribe anticholinergic medications ~You should limit fluids in the evening ~You should restrict your intake of caffeine

The nurse is aware that one change that may occur in the gastrointestinal system of aging adult is Increased salivation Increased esophageal emptying Decreased gastric secretion Increased liver size

Decreased gastric secretion

A nurse walks in their patients room and sees that their hand is swelling and red and an IV drip is ongoing. What action should the nurse take first?

Discontinue the IV. Take it out.

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider? "I drink at least 2 quarts of fluid every day." "The last time I voided it was painful and red-tinged." "My period ended 2 days ago." "I don't eat shellfish because it gives me hives."

"I don't eat shellfish because it gives me hives."

A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching? "I will empty my pouch when it becomes 1/3 full" "I will be certain to take enteric coated medications" "I will change my entire pouch system at least weekly" "I will use caution when eating high-fiber foods"

"I will be certain to take enteric coated medications"

A nurse is teaching a patient who has COPD about ways to facilitate eating. Which of the following statements indicates a need for further teaching? "I will rest for at least 30 minutes before eating" "I will take my bronchodilators after meals" "I will be five or six small meals each day" "I will choose foods that are not gas forming"

"I will take my bronchodilators after meals"

A nurse is assessing a clients pain. Which of the following questions should the nurse ask the client to assess the quality of the pain? "When did the pain start?" "Is the pain a stabbing pain?" "Is the pain a sharp pain or dull?" "What does your pain feel like?"

"What does your pain feel like?"

A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements to the nurse include in the teaching? "take this medication with an antacid to reduce gastric irritation." "you may experience drowsiness while taking this medication" "you should take this medication with meals" "you may continue to breast-feed while taking this medication"

"you may experience drowsiness while taking this medication"

If you're teaching a client with recurring kidney stones, what do you include in the teaching? Take extra vitamin C Drink at least 3L of water daily Eat meat Increase protein

Drink at least 3L of water daily

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations to the nurse expect? Nausea Dysphagia Agitation Hypotension

Agitation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan? Include foods high in starch and proteins Include foods high in fiber Avoid foods high in fat Avoid foods high in sodium

Avoid foods high in fat

A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include? Sleep on the abdomen to facilitate wound healing Avoid lifting anything other than 4.5 kg (1 lb) for one week Bend at the waist to pick objects up from the floor Notify the surgeon of white drainage develops on the eyelids

Avoid lifting anything other than 4.5 kg (1 lb) for one week

What food consists of potassium for a patient on lasix? Cooked carrots Cheese Milk Bananas

Bananas

What color should the stoma in a colostomy bag be?

Beefy red/Pink

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? Replace the catheter every 3 days Check the catheter tubing for kinks or twisting Irrigate the catheter once each shift Clean the perineal area with an antiseptic solution daily

Check the catheter tubing for kinks or twisting

A nurse is teaching a client who has a prescription of an NG tube to treat pyloric obstruction. What rational for the use of the NG tube should the nurse include in the teaching?

Decompress the stomach.

A nurse is developing a plan of care for a client who is post operative. Which of the following interventions should the nurse include in the plan to prevent pulmonary complications? Perform range of motion exercises Play suction equipment at the bedside Encourage the use of an incentive spirometer Administer an expectorant

Encourage the use of an incentive spirometer

The nurses at the scene of a fire caring for a patient with a thermal burn on the face, chest and abdomen. What action should the nurse perform first? Ensure an open airway Cover the burns with sterile dressings Wash the burn gently with dilute anti-septic Pour cool clean water over the burned areas

Ensure an open airway

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor? Hypocalcemia BMI less than 25 Family History Taking diuretics(water pills)

Family History

How to wipe the perineal area?

Front to back. We don't want e. coli (bacteria) traveling to the front.

A nurse is working in a long-term care facility with a patient that has dementia. Once the doctor says there's nothing physically wrong with the patient what type of incontinence are they experiencing?

Functional incontinence. Bladder train them

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in two hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication? Increased respiratory rate from 18 to 44 Increased oral temp from 33.6 (97.8) to 37 (98.6) Increase bp from 112/68 to 120/72 Increased heart rate from 68 to 72

Increased respiratory rate from 18 to 44

A nurse is reviewing the providers prescription for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take? Insert the NG tube administer an antacid provide bulk forming agent apply a truss

Insert the NG tube

A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medication's to manage discomfort. Aside from managing pain, which of the following desired effect medication to the nurse identify most important for the clients recovery? It decreases the clients level of anxiety It facilitates the clients deep breathing It enhances the clients ability to sleep It reduces the clients blood pressure

It facilitates the clients deep breathing

A nurse is caring for a client with a tracheostomy. The clients partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the clients discharge? Attending a class about tracheostomy care Verbalizing all the steps in the procedure Performing the procedure independently Asking appropriate questions about suctioning

Performing the procedure independently

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan? Oranges Cashews Red Meat Yogurt

Red Meat

When collecting a stool specimen, what is the first thing you should do?

Send to the lab immediately

A nurse is giving a presentation at the community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder? Maintenance of ideal weight Annual influenza shot Smoking cessation Regular moderate exercises

Smoking Cessation

A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan? Yogurt and mozzarella Spinach and beef Milk and turkey slices Fish and cottage cheese

Spinach and beef

What medication can you not take with Coumadin?

St. Johns wort

A nurse is caring for hospitalized clients. Which of the following clients should the nurse identify as being a risk for fluid volume deficit? The client who has been NPO since midnight for an endoscopy The client who has left sided heart failure and has a brain natriuretic peptide (BNP) level of 600 pg/mL The client who has end stage renal failure and is scheduled for dialysis today The client who has gastroenteritis and is febrile

The client who has gastroenteritis and is febrile

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large bore NG tube. How would the nurse respond to this question?

The tube will remove gas and fluid from your stomach

Midstream urine specimen

Wipe front to back toss tissue urinate into toilet hold it urinate middle of stream into cup urinate rest into toilet send to lab

Can patients who self catheterize reuse them? How do they clean it?

Yes; with soap and water

A nurse is planning care for a client who is post operative. Which of the following statements about pain management should the nurse consider when implementing client care? `Use of analgesics will eventually lead to addiction `Each clients expression of pain may be different and individualized `Patient controlled analgesia (PCA) offers a constant level of opioids within therapeutic range `Pain level and tolerance can be assessed using a scale from 0 to 10 `The client will expressive feeling of pain verbally and non verbally

`Each clients expression of pain may be different and individualized `Patient controlled analgesia (PCA) offers a constant level of opioids within therapeutic range `Pain level and tolerance can be assessed using a scale from 0 to 10

A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hours. Which is the priority? Monitor intake and output string urine admin antiemetics for nausea administer pain medication

administer pain medication

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first? Airway patency tissue integrity wound drainage pain severity

airway patency

A nurse is planning postop care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the clients plan of care? notify the provider immediately if mucous is present in the urine maintain the client on a fluid restriction apply skin barrier around the stoma site educate the client that hematuria (blood) is expected following the procedure monitor hourly urine output

apply skin barrier around the stoma site educate the client that hematuria is expected following the procedure monitor hourly urine output

A patient receiving total parenteral nutrition has 100 ML of solution left. The next bag is not ready. What is the nurses best action?

check blood sugar, Administer a dextrose solution, go get second bag

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of anemia? dietary iron restrictions intestinal malabsorption syndrome chronic blood loss intestinal parasites

chronic blood loss

A nurse is planning care for a client who is postoperative and at risk for paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis? offer the client a bed pan every 2 hours increase protein intake increase fluid intake increase ambulation

increase ambulation

A nurse is caring for a client who is post op following abdominal surgery. Which of the following findings should indicate to the nurse the clients peristalsis is returning? abdominal distention hypoactive bowel sounds in two quadrants passage of flatus request for a cup of tea and some toast

passage of flatus