NUR 240 EAQ - Basic Care and Comfort

An abscess develops in an obese adult after abdominal surgery. The wound is healing by secondary intention. Which diet would the nurse expect the health care provider to prescribe to meet this client's immediate nutritional needs?

High in protein and vitamin C.

Which food would the nurse encourage the client requiring hemodialysis to include in his or her dietary intake?

Rice

Which statement is applicable to Watson's theory of transpersonal caring?

Defines the outcome of nursing activity in relation to the humanistic aspects of life.

Which dietary selection by the client leads the nurse to determine that teaching about a low-residue diet is understood?

Lean roast beef, buttered white rice with egg slices, white bread with jelly, tea with sugar.

Which action would the nurse take for an older client with Alzheimer disease who sleeps very little and becomes more disoriented from sleep deprivation?

Leave a dim light on in the client's room at night..

A 13-year-old adolescent is found to have idiopathic scoliosis. Because exercise and avoidance of fatigue are essential components of care, which sport would the nurse suggest as the most therapeutic for this preadolescent?

Swimming

Which statements by the nursing student indicate a need for more education about sleep in preschoolers? Select all that apply. One, some, or all responses may be correct.

1.) "Daytime naps are very common among preschoolers." 2.) Partial awakening leading to sleeplessness is common in preschoolers."

The nurse provides discharge teaching to an older adult about care associated with activities of daily living. Which factor is the priority that the nurse would consider when counseling the client on how often to take a tub bath?

Condition of the skin.

When the nurse is caring for several clients on a medical/surgical floor, which task is appropriate to delegate to the unlicensed assistive personnel (UAP)?

Turn a bed-bound client to prevent pressure injuries.

A client with osteoporosis is encouraged to drink milk. The client refuses the milk, explaining that it causes gas and bloating. Which calcium-rich food would the nurse suggest for clients who do not tolerate milk?

Yogurt

The nurse is teaching a client about the prescribed diet after a Whipple procedure for cancer of the pancreas. Which statement should the nurse include in the dietary teaching?

"Low-fat meals should be eaten to prevent interference with your fat digestion mechanism."

Which foods should the nurse recommend for a toddler with newly diagnosed celiac disease? Select all that apply. One, some, or all responses may be correct.

1.) Oatmeal 2.) Ice cream 3.) Rice cakes 4.) Corn crisps

As a component of a client's routine physical examination, the nurse calculates the client's body mass index (BMI). The client's weight is 65 kg, and the height is 1.7 meters. What is the client's BMI? Record your answer using one decimal place. ________ BMI1112

22.5

The nurse is teaching a postoperative client about the importance of vitamin C for wound healing. Which food selection demonstrates the client is applying the information correctly?

Cantaloupe

Which recommendation would the nurse provide to help a client prepare for walking with crutches?

Exercise to strengthen the muscles of the upper extremities.

A child has a respiratory tract infection with a low-grade fever. When teaching the parents, which intervention would the nurse emphasize?

Giving small amounts of clear liquids frequently to prevent dehydration.

A 4-year-old child is found to have Hirschsprung disease (aganglionic megacolon). Which diet recommendations would the nurse provide the parents?

Low-residue

Which sleep pattern would the nurse recognize as normal in preschoolers?

On average, a preschooler sleeps about 12 hours a night.

In which parts of the kidney are glucose and amino acids reabsorbed?

Proximal tubule

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the client's discomfort.

A client with cholecystitis is placed on a low-fat, high-protein diet. Which nutrient would the nurse teach the client to include in this diet?

Skim milk

A client arrives at the emergency department reporting minimal urinary output despite drinking adequate fluid. The client's blood pressure is 190/94 mm Hg. Which additional clinical manifestation would the nurse assess the client for?

Weight gain

Which instruction about nutrition is the nurse least likely to provide when educating the parent of a 2-year-old child?

"You should enhance the daily sodium intake of your child."

Which interventions would the nurse include in the plan of care for a preschooler diagnosed with celiac disease? Select all that apply. One, some, or all responses may be correct.

1.) Avoiding processed foods. 2.) Adding oat products to the diet. 3.) Obtaining a dietary prescription. 4.) Administering a fat-soluble vitamin supplement.

The nurse is caring for a client with hepatic encephalopathy and ascites. Which elements are important to include in the client's diet? Select all that apply. One, some, or all responses may be correct.

1.) Low sodium 2.) High vitamins 3.) Moderate protein

Which age group is most appropriate for a hygiene class to prepare young girls for their first period?

8- to 9-year-olds

Which would the nurse do first for a client with pink raised areas that are swollen and itchy after using a new soap?

Perform a full history and physical examination.

Which action would the nurse take for a newly admitted client with schizophrenia who refuses to remove dirty clothing?

Allow the client to undress when ready to help maintain identity.

An older adult is returned to the surgical unit after having a subtotal gastrectomy. The nurse anticipates that which dietary modification will be prescribed?

Resume small, easily digested feedings gradually.

When a client with blunt trauma to the nose is noted to have nasal swelling, ecchymosis around the eyes, and watery pink-tinged nasal drainage, which action will the nurse take?

Send a specimen of the fluid to the laboratory for analysis.

A primary health care provider prescribes a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation would the nurse provide to the client about the need to follow this diet?

"Excessive aldosterone and cortisone cause retention of sodium and loss of potassium."

An infant is found to have developmental dysplasia of the hip 6 weeks after birth. The parents ask the nurse why their infant must be restrained in a harness at such an early age. How would the nurse respond?

Infants' hip joints are cartilaginous, allowing molding of the acetabulum.

Which domain of the Nursing Interventions Classification (NIC) taxonomy includes care that supports the health of the community?

Domain 7

After a discectomy and fusion surgery, the client wants to attempt walking with assistance for the first time. Upon rising to a standing position, the client reports feeling faint and light headed. Which action would the assisting nurse have the client do upon hearing the client's concern?

Have the client sit on the edge of the bed so the nurse can hold the client upright.

After an amputation of a limb, a client reports extreme discomfort in the area where the limb once was. On which goal would the nurse plan to focus interventions?

Identifying actions to decrease pain in the lost limb.

A neonate born at 36 weeks' gestation, weighing 4 lb 8 oz (2041 g), is placed under a radiant warmer. An infusion of D10% 0.2 NS is running through an umbilical vein catheter at a rate of 12 mL/h. Why is it important for the nurse to check the neonate's voidings for specific gravity?

Infants under open radiant warmers are at risk for dehydration.