True or False: Adequate fluid intake can be achieved by healthy adults from their regular eating and drinking habits.
True
True or False: Calcium intake is not as important for adults because their bones are done growing.
False; Calium intake should be increased for adults to prevent calcium being used from bone stores to maintain adequate blood levels.
True or False: Social isolation can contribute to poor nutrition.
True
Which of the following factors predisposes an older adult to nutrient deficienies?
1. Well-fitting dentures
2.Recommened decrease in total caloric intake
3.Loss of a spouse
4.Extensive medication regimen
5. Decreased mobility
6. Living on a fixed income
7. Participating in an exercise program.
2,3,4,5,6
True or False: Mechanical soft diets cannot meet nutritonal requirements for clients.
False. A mechanical soft diet is a regular diet that has been modified for texture. The foods comprising the diet can be modified to meet specific nutrient needs to the client.
True or False: Clear liquid diets should not be used for more than 2 to 3 days.
True
True or False: A soft or low-fiber diet is appropriate for a client with acute gastritis
True
True or False: Monitoring a client's weight is necessary to determine if nutrition is adequate.
True.
True or False: All stomach residual volumes should be discarded to prevent nausea and vomiting.
False. Stomach residual volume should always be returned because they contain valuable electrolytes, nutrients, and enzymes necessary for digestion
True or False: Tube feeding should be administered at room temperature to prevent abdominal cramping.
True
True or False: Intermittent tube feedings are typically used for critically ill clients.
False. Continuous feedings are generally used for critically ill clients, as they are associated with smaller residual volumes and a lower risk of aspiration and diarreha. Intermittent feedings are often used for non-critical clients, home tube feedings, and those clients in rehabilitation.
Which of the following actions are important in the prevention of baterial contamination of tube feeding?
1. Fill the generic bag with 24 hr worth of formula from cans
2. Wash hands thoroughly
3. Leave usused portions in the patient room to avoid cross-contamination
4. Cover and label any unused portion with the client's name, room number, date, and time opened
5. Replace tubing and feeding bag every 48 hr.
2,4
Feeding bags should be filled with no more than 6 hr worth of formula. Pre-filled bags usually contain enough formula for a 24 hr period. Any usnused portion should be covered, unless otherwise specified by instititional policy.
Which of the following should be monitored for a client undergoing PN?
1. Breath sounds
2. Oral intake
3. WBC
4. Electrolytes
5. Vital Signs
6. Daily Weight
7. Blood Glucose
8. Peripheral IV or central line site
All
True or False: Lipids should always be administered for a client with PN
False: Lipids are contraindicated for clients with hyperlipidemia or severe heptic disease
True or False: TPN solutions should always be administered through a central line
True
True or False: Protein should comprise 10% of all PN solutions to promote muscle building and healing.
False: Protein should provide 10-20% of calories, but a client's individual requirements, hepatic function, and renal function are the determining factors for the amount of protein added.
True or False: TPN is preferred for clients expected to receive PN longer than 7 days
True.
A nurse is preparing insulin from two differen vials. Which of the following actions indicate that she understands correct medication administration?
D.
An older adult client has had a cerebrovascular accident and is prescribed a metered dose inhaler. Which nursing consideration is a priority when teaching the client how to take the medications?
C.
Proper administration of eye drops includes which of the folling nursing interventions?
1. Using medical aseptic technique
2. Asking the client to look up at the ceiling
3. Having the client lie in a side-lying position
4. Dropping medication into the center of the client's conjunctival sac
5. Instructing the client to close the eye gently
2,4,5
A nurse prepared an injection of an opiod to give to a client who reports pain. Prior to administering the medication, the nurse is called to another room to assist another client onto a bedpan. This nurse then asks a second nurse to give the injection so that she can help the client needing the bedpan. Which of the following actions is the most appropriate for the second nurse to take.
D.
During morning rounds, a nurse enters a client's room and finds medications sitting on the bedside table. The client states the medications are from last night and asks the nurse if he can take them now. Which of the following actions should the nurse take?
B.
For a medication that was ordered at 0900, which of the following are acceptable administration times
1. 0905
2. 0825
3. 1000
4. 0840
5. 0935
1,4
Which of the following nursing actions may prevent medication errors from occuring?
A.
When implementing medication therapy, the nurse's responsibilites include which of the following?
1. Observing for medication side effects
2. Monitoring for therapeutic effects
3. Ordering the appropriate dose
4. Changing the dose if side effects occur
5. Maintaining an up-to-date knowldge base
1,2,5
When assessing the IV site for phlebitis, the nurse shoud look for which of the following signs and symptoms?
1. Red line on affected extremity
2. Incrased rate of infusion
3. Local swelling at site
4. Cool, pale skin
5. Pain at site
1,5
Which of the following techniques will minimize the risk for catheter embolism?
C.
Which of the following actions is the highest priority if the nurse suspects an air embolism?
B.
The nurse checks for patency of an IV saline lock by:
C.
A tap water enema is ordered for a client to be repeated until the return in clear. What is the nurse's next action?
C.
Tap water is a hypotonic solution and can cause water toxicity. It should not be repeated.
Which of the following foods should be encouraged for a client experiencing constipation?
D.
A client with an indwelling catheter reports a need to void. What priority intervention should the nurse perform?
A.
Which of the following interventions is correct when performing a 24-hr urine specimen test?
B.
Which of the following is the best position for a client to be in tto encourage normal elimination?
A.
Which of the following interventions is appropriate for the nurse to prefrom when prefroming a catheterization on a female client?
1. Provide for privacy
2. Darken the room
3. Maintain surgical aseptic technique throughout the procedure
4. Position the client supine with knees bent and apart
5. Ask the client not to talk during the procedure.
