Prep U- Test 3 ( 1400)
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:
aspiration.
A nurse is teaching a client about a newly prescribed drug. What physiological changes does the nurse recognize that could cause a geriatric client to have difficulty learning about prescribed medications?
Sensory deficits
A nurse is monitoring the progress of a client with acute respiratory distress syndrome (ARDS). Which data best indicate that the client's condition is improving?
Arterial blood gas (ABG) values are normal
The nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority?
Assessing the client's respiratory status, orientation, and skin color
A client presents to the clinic for a follow-up appointment after diagnostic tests show he has gastroesophageal reflux disease. Which instruction should the nurse provide?
Avoid alcohol and caffiene.
The healthcare practitioner orders a glucose test for a client. Which method would be performed for a rapid measurement of glucose in whole blood?
Capillary blood glucose test
A 76-year-old client who failed swallowing studies has a nasogastric (NG) tube in place for medication administration. When the nurse checks the client's medications, she notices that only tablets have been dispensed by the pharmacy. How should the nurse proceed?
Crush those tablets that may be crushed according to the manufacturer and administer them through the NG tube; request an alternate form of those that can't be crushed.
A home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition?
Hypoxia
Which condition could lead to acute respiratory distress syndrome (ARDS)?
Massive trauma
A client with chronic pain asks for assistance with pain relief techniques. Which technique doesn't need to be included in the teaching?
Self-education about methods to assist in becoming pain-free
A 35-year-old client with irritable bowel syndrome (IBS) is reporting pain. The nurse should expect which medication to be administered to help alleviate the underlying cause of his pain?
Steroids
A nursing student is reviewing the respiratory system for an upcoming examination. Which term will the student review that describes the amount of air inspired and expired with each breath?
Tidal volume
The nurse assesses a client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing?
Use of accessory muscles
