The nurse inserting an NG tube through the nostril into the back of the throat of a patient would instruct the patient to:

1.54 Points

• open      mouth and extend tongue.
• hyperextend      the head.
• drop      head forward and begin to swallow.
• cough      forcefully.

Saved

12)

The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?

1.54 Points

• Serum      bilirubin 0.4 mg/dL
• Serum      cholesterol 175 mg/dL
• Albumin      1.4 g/dL
• PLT      (platelet count) 425,000/mm3

Saved

13)

A nurse gets a positive Chvostek’s sign on a young woman with bulimia who has been giving herself frequent enemas containing phosphate. The nurse anticipates a laboratory finding of ___ mEq/L.

1.54 Points

• calcium      6.5
• potassium      4.5
• magnesium      1.6
• sodium      140

Saved

14)

The nurse suggests to a diabetic patient to eat complex carbohydrates, which include: (Select all that apply.)

1.54 Points

• brown      rice.
• whole      grain foods.
• legumes.
• lima      beans.
• sweet      potatoes.

Saved

15)

A patient who has undergone endoscopy is fully awake and asks the nurse for something to drink. After confirming that liquids are allowed on the physician order sheet, the nurse should:

1.54 Points

• listen      to lung sounds.
• take      a blood pressure and pulse.
• assist      the patient to the bathroom to void.
• check      for the return of gag and swallow reflexes.

Saved

16)

When the patient has just finished receiving a tube feeding, the nurse leaves the head of the patient’s bed elevated for 30 to 60 minutes after feeding in order to:

1.54 Points

• maintain      skin integrity to the buttocks.
• facilitate      stomach emptying and prevent aspiration.
• prevent      feeding tube from clogging.
• facilitate      lung drainage and promote ventilation.

Saved

17)

A patient with a history of severe chronic obstructive pulmonary disease (COPD) is most likely to have:

1.54 Points

• respiratory      alkalosis.
• metabolic      acidosis.
• respiratory      acidosis.
• metabolic      alkalosis.

Saved

18)

The nurse is caring for a patient with a urinary tract infection. Which test will indicate which antibiotics will be effective to treat the infection?

1.54 Points

• Radioreceptor      assay for HCG
• Renal      scan and angiography
• Culture      and sensitivity (C&S)
• Complete      blood count (CBC)

Saved

19)

The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?

1.54 Points

• The      patient has profound hearing loss.
• The      patient is breastfeeding her newborn infant
• The      patient is severely allergic to iodine and latex.
• The      patient has an implanted insulin pump.

Saved

20)

A patient is scheduled to receive an intermittent tube feeding. This feeding should be allowed to flow in over how many minutes?

1.54 Points

Saved

21)

A patient drank a cup of coffee, a half glass of orange juice, and half a carton of milk with breakfast. Using common equivalents of food containers as a guide, the nurse notes on the intake column of the intake and output sheet that the patient consumed ___ mL.

1.54 Points

Saved

22)

A patient who is on a low-cholesterol diet verbalizes that he enjoys eating meats and doesn’t intend to stop. The nurse’s most helpful response would be, “You can enjoy your meat if you will concentrate on such meats as:

1.54 Points

• broiled      sirloin steak.”
• sausage      patties.”
• baked      turkey breast.”
• fried      catfish.”

Saved

23)

The physician orders fluid restriction for a patient with severe fluid-volume excess. When a patient is placed on a fluid restriction, the allowance of fluids should be:

1.54 Points

• greatest      during the night shift.
• greatest      during the day shift.
• spaced      in equal increments for all shifts.
• greatest      during the evening shift.

Saved

24)

The nurse caring for the patient receiving total parenteral nutrition (TPN) should monitor the flow rate every ___ hours.

1.54 Points

Saved

25)

A patient has a new order to have an NG tube removed. The nurse should initially:

1.54 Points

• encourage      mouth care as needed.
• pinch      the tube while removing it.
• wash      her hands and apply clean gloves.
• explain      the procedure to the patient.

Saved

26)

An anxious adult patient is experiencing a respiratory rate of 40 breaths/min. The most appropriate intervention that the nurse could do is to instruct the patient to:

1.54 Points

• lie down.
• sit      up.
• breathe      through a re-breather mask.
• pant      with mouth open.

Saved

27)

Prior to the nurse transporting the patient to have a magnetic resonance imaging (MRI), it is essential that the nurse confirm that the patient:

1.54 Points

• has      a Foley catheter in place.
• is      not wearing anything with metal.
• has      drunk a liter of fluid.
• has      eaten a meal.

Saved

28)

A patient with healthy kidneys experiences metabolic alkalosis resulting from episodes of vomiting. The nurse takes into consideration that the kidneys can clear the alkaline substances and fully stabilize the patient’s pH in approximately:

1.54 Points

• 1      week.
• 3 to      5 minutes.
• 12      to 24 hours.
• 3      days.

Saved

29)

A patient in the outpatient clinic has provided a urine sample. To perform a urine dipstick test accurately, the nurse wets the dipstick and starts timing:

1.54 Points

• after      5 seconds.
• immediately.
• after      30 seconds.
• after      10 seconds.

Saved

30)

The nurse is caring for a patient who will be receiving iodine-based contrast medium for a CT scan. Which allergy should be reported to the technician and radiologist before the test is performed?

1.54 Points

• Strawberries
• Shrimp      and scallops
• Gluten      and lactose
• Peanuts      and cashews

Saved

31)

Stopping the infusion and checking for residual, the nurse aspirates 155 mL of gastric contents. The nurse should next:

1.54 Points

• replace      the aspirate and stop feeding for 1 to 2 hours.
• throw      the aspirate away and flush the tubing.
• throw      the aspirate away and stop feeding for 2 hours.
• replace      the aspirate and continue with the feeding.

Saved

32)

The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse?

1.54 Points

• Inform      the patient that the procedure has been completed.
• Provide      a quiet, dark environment so that the patient can rest comfortably.
• Monitor      the patient’s pulse oximetry and respirations closely.
• Assess      the patient’s bowel sounds and passage of flatus.

Saved

33)

The nurse points out that non-electrolyte products of metabolism are as important to health as electrolytes. Non-electrolytes include:

1.54 Points

• magnesium.
• amino      acids.
• phosphates.
• calcium.

Saved

34)

The nurse is caring for a patient who recently had a liver biopsy. To whom must the nurse give the results?

1.54 Points

• The      patient’s insurance provider
• The      patient’s physician
• The      patient’s spouse
• The      patient

Saved

35)

The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?

1.54 Points

• Upper      GI endoscopy
• Positron      emission tomography (PET) scan
• Abdominal      ultrasound
• MRI      scan with contrast

Saved

36)

The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

1.54 Points

• begin      voiding into the specimen cup.
• let      a few drops of urine dribble into the specimen cup.
• pass      a small amount of urine into the toilet and then collect the specimen.
• void      until the bladder is almost empty and then collect the end portion of the      voiding in the cup.

Saved

37)

When assisting a patient with a severe visual impairment who wishes to feed himself, the nurse could best facilitate the patient’s eating by:

1.54 Points

• seating      the patient in a chair and placing the over-the-bed table appropriately.
• placing      the plate on his lap.
• orienting      the patient to the position of foods on the plate using a clock-face      description.
• placing      each food in a separate container or bowl.

Saved

38)

Because of the patient’s dysphagia, the nurse recommends to the physician that the patient be placed on a Level II texture level diet, which means that the food is:

1.54 Points

• thickened      to prevent aspiration.
• minced      into bite-size pieces.
• pureed      to a pudding consistency.
• mechanically      al