Hospitalized Patient Questions

4. Registered nurse

The registered nurse is making the client care assignment. Which staff member should be assigned to the client who had a chest tube inserted yesterday? 1. Charge nurse 2. Nursing assistant 3. Licensed practical nurse 4. Registered nurse

1. increasing fluid intake to prevent dehydration.

A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of: 1. increasing fluid intake to prevent dehydration. 2. wearing an appliance pouch only at bedtime. 3. consuming a low-protein, high-fiber diet. 4. taking only enteric-coated medications.

1. Endotracheal suctioning

A nurse is caring for a client who has a tracheostomy and temperature of 103° F (39.4° C). Which intervention will most likely lower the client's arterial blood oxygen saturation? 1. Endotracheal suctioning 2. Encouragement of coughing 3. Use of cooling blanket 4. Incentive spirometry

1. Measuring and documenting the drainage in the collection chamber

For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? 1. Measuring and documenting the drainage in the collection chamber 2. Maintaining continuous bubbling in the water-seal chamber 3. Keeping the collection chamber at chest level 4. Stripping the chest tube every hour

2. keeping his airway patent.

The nurse is caring for a client who recently underwent a tracheostomy. The first priority when caring for a client with a tracheostomy is: 1. helping him communicate. 2. keeping his airway patent. 3. encouraging him to perform activities of daily living. 4. preventing him from developing an infection.

3. irrigate the NG tube gently with normal saline solution if ordered.

The nurse is caring for a client who underwent a subtotal gastrectomy 24 hours ago. The client has a nasogastric (NG) tube. The nurse should: 1. apply suction to the NG tube every hour. 2. clamp the NG tube if the client complains of nausea. 3. irrigate the NG tube gently with normal saline solution if ordered. 4. reposition the NG tube if pulled out.

2. aspiration.

The nurse is caring for a client with an endotracheal tube who receives enteral feedings through a feeding tube. Before each tube feeding, the nurse checks for tube placement in the stomach as well as residual volume. The purpose of the nurse's actions is to avoid: 1. gastric ulcers. 2. aspiration. 3. abdominal distention. 4. diarrhea.

3. Wash her hands thoroughly.

The nurse is changing a dressing and providing wound care. Which activity should she perform first? 1. Assess the drainage in the dressing. 2. Slowly remove the soiled dressing. 3. Wash her hands thoroughly. 4. Put on latex gloves.