NUR 190 EAQ - Basic Care and Comfort

A client at 10 weeks' gestation calls the clinic and tells a nurse that she has morning sickness and cannot control it. What should the nurse suggest to promote relief?

"Eat dry crackers before you get out of bed."

. What should the nurse suggest to a pregnant client that might help overcome first-trimester morning sickness?

"Eat protein before bedtime."

A primary healthcare provider prescribes a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation should 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."

A client has been recently diagnosed with a cancerous lesion of the mouth. Which question should the nurse ask when assessing the client's need for health education in relation to this condition?

"Have you noticed any change in your appetite?"

A client is instructed to avoid straining on defecation postoperatively. The nurse evaluates that the related teaching is understood when the client makes which statement?

"I must increase my intake of green vegetables."

A nurse is educating the parents of toddlers about how to promote healthy sleep patterns in their children. Which statement made by a parent indicates a need for further teaching?

"I'll keep telling stories to my child until she falls asleep."

A nurse uses the Braden Scale to predict a client's risk for developing pressure ulcers. What data should the nurse use to determine a client's score on this scale? Select all that apply.

-Anorexia -Hemiplegia -Urinary incontinence

The nurse teaches a client about the increased need for vitamin A to meet the demands imposed by rapid fetal tissue growth during pregnancy. Which foods should the nurse encourage the client to ingest to meet this increased need? Select all that apply.

-Carrots -Sweet potatoes

Which of the following signs are indications of hydration status during a sickle cell crisis? Select all that apply.

-Turgor of tissue -Texture of mucous membranes

What is the maximum amount of time the nurse should allow an older adult with a cerebrovascular accident (also known as "brain attack") to remain in one position?

1 to 2 hours.

While providing care to a client with pelvic inflammatory disease (PID), the nurse carries out palliative measures to promote the client's comfort. Which action by the nurse will provide the most comfort?

Administering prescribed analgesics.

A nurse is caring for an infant with developmental dysplasia of the hip. What is the priority intervention for this child?

Abduction of the hip.

Three days after admission to the hospital for a brain attack (cerebrovascular accident; CVA), a client has a nasogastric tube inserted and is receiving continuous tube feedings. Which action should the nurse take to best evaluate whether the feeding is being absorbed?

Aspirate for a residual volume.

When a client develops steatorrhea, how does the nurse document this stool?

Bulky and foul smelling.

A nurse is caring for an anemic, malnourished 11-year-old child who has celiac disease. The health team develops a plan to help the parents correct their child's nutritional problems. What should the parents be encouraged to do?

Provide foods high in folic acid, iron, and vitamin B12 to correct the anemia.

A nurse is caring for a client with a history of gastrointestinal (GI) irritability. What should the nurse advise the client to avoid to limit GI irritability?

Cola drinks.

A client at 11 weeks' gestation reports having to urinate more often. The nurse explains that urinary frequency often occurs because bladder capacity during pregnancy is diminished by what?

Compression by the enlarging uterus.

Why is it important for a nurse in the prenatal clinic to provide nutritional counseling to all newly pregnant women?

Different cultural groups favor different essential nutrients.

A nurse is caring for a client who had surgery for cancer of the pancreas. Which nutrients are most influenced by the effects of this surgery?

Fats and carbohydrates.

A nurse is caring for a 10-year-old boy who sustained a fractured cervical vertebra while playing football. When he is placed in cervical traction, the nurse teaches him that the traction will do what?

Immobilize the area to minimize injury to the spinal cord.

Which statement about sleep patterns in older adults is correct?

Inadequate sleep in older adults may lead to memory and personality changes.

A nurse is caring for a client during the manic phase of bipolar disorder. What should the nurse do to best help meet the nutritional needs of this client?

Order foods that the client can hold in the hand to eat while moving around.

Which is a clinical manifestation of osteoarthritis?

Pain and stiffness of the joints.

The nurse should monitor for which involuntary physiological response in a client who is experiencing pain?

Perspiring.

A client who is recuperating from a spinal cord injury at the T4 level wants to use a wheelchair. What should the nurse teach the client to do in preparation for this activity?

Push-ups to strengthen arm muscles.

Identify the position of the fetus whose buttocks are in the fundus, whose fetal back is on the maternal right side between the midline and lateral surface of the abdomen, and whose attitude is general flexion.

ROA.

A laboring client has asked the nurse help her to use a nonpharmacological strategy for pain management. Name the sensory simulation strategy.

Selecting a focal point and beginning breathing techniques.

An internal fetal monitor is applied while a client is in labor. What should the nurse explain about positioning while the monitor is in place?

The most comfortable position may be assumed.

A nurse is caring for an 18-month-old toddler. What findings is the nurse likely to notice?

The toddler can hold urine for a period of 1 to 2 hours.

A pregnant client with diabetes is referred to the dietitian in the prenatal clinic for nutritional assessment and counseling. What should the nurse emphasize when reinforcing the client's dietary program?

The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary.

Knee-length elastic support stockings are prescribed for a client with varicose veins. What should the nurse teach the client about the elastic stockings?

The stockings should be applied before getting out of bed.

A client at 7 weeks' gestation tells a nurse in the prenatal clinic that she is sick every morning with nausea and vomiting and adds that she does not think she can tolerate it throughout her pregnancy. The nurse assures her that this is a common occurrence in early pregnancy and will probably disappear by the end of which month?

Third month.

A client comes to the emergency department because of minimal urinary output despite drinking adequate fluid. The client's blood pressure is 190/94. For what additional clinical manifestation associated with this data, should the nurse assess the client?

Weight gain.

What client behavior indicates to the nurse that a woman needs further teaching about breastfeeding her newborn?

When she leans forward to place her breast in the infant's mouth.

. A client attending a prenatal class about nutrition tells the nurse that she is a strict vegetarian (vegan). What should the nurse encourage the client to eat that includes all the essential amino acids?

Whole-grain cereals and nuts.

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

Yogurt.