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NURS 302 Study Guide| Test Bundle
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NURS 302 - ATIs and study guide questions and answers| Rated A+
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates the use of critical thinking skills? A. Administer an... [Show More] influenza vaccine after asking a client about allergies. B. Check a client's armband before dispensing daily thyroid medication to a client who has hyperthyroidism C. Give a client who has type 1 diabetes mellitus her morning dose of insulin after checking her blood glucose level. D. Intervene after reviewing arterial blood gas results for a client who is on mechanical ventilation. D. Intervene after reviewing arterial blood gas results for a client who is on mechanical ventilation. The nurse is using critical thinking when analyzing a client's critical issues and then planning to intervene with an appropriate action. The rest are clinical judgement. A nurse is following the steps of the nursing process when caring for a group of clients. Which of the following actions by the nurse demonstrates the evaluation step of the nursing process? A. Draw a conclusion after noting a client has a 4+ pitting edema of the lower extremities and decreased urine output. B. Check and document a client's pain level 30 minutes after administering pain medication. C. Review the results of blood glucose drawn before a client ate breakfast. D. Administer an antibiotic to a client who has an infected wound. B. Check and document a client's pain level 30 min after administering pain medication. The nurse is evaluating, which is the final step of the nursing process, to determine if the pain medication administered to the client is effective. Evaluation is the same as assessment; however, to determine the client's status and progress, evaluation is performed. Choice C is assessing or gathering data, which is the first step of the nursing process A nurse is implementing priority-based interventions for a group of clients. Which of the following clients should the nurse see first? A. A client who is saturating dressings with serous drainage every 2 hours B. A client who has a cast on a compound fracture and has SaO2 of 88% C. A client who has emphysema and is coughing up thick, yellow secretions D. A client who has a kidney stone and reports a pain of 8 on the numerical pain scale B. A client who has a cast on a compound fracture and has SaO2 of 88% When using the airway, breathing, circulation approach to client care, the nurse should determine that the finding of SaO2 of 88% indicates hypoxia and requires priority-based interventions. A nurse is admitting a client who reports increased thirst and fatigue. Which of the following actions should the nurse include in the assessment step of the nursing process? A. Take action to restore the client's health B. Ask the client when the condition started C. Reach a conclusion about the client's health status D. Set goals for the client's recovery B. Ask the client when the condition started. Assessment is the first step of the nursing process, where the nurse gathers subjective and objective information about the client's condition. A nurse is preparing a plan of care for a client who is experiencing pain after surgery. Which of the following components should the nurse identify as part of the planning step of the nursing process? A. Organize client information B. Compare client data with outcomes to draw a conclusion C. Formulate client goals for prioritized problem D. Supervise delegated client care to the assistive personnel C. Formulate client goals for prioritized problem. Formulating client goals for prioritized problems is a component of planning, which is the third step in the nursing process. Lucy used the SBAR format while calling Dr. Higgins. Which of the following is the purpose of SBAR? A. Provides a permanent client documentation record B. Improves communication among health care workers C. Tool used to evaluate a client's risk potential B. Improves communication among health care workers SBAR, which stands for Situation, Background, Assessment, and Recommendation, is used to decrease communication errors and improve client safety by standardizing how communication is exchanged between health care workers. SBAR is not a permanent part of the client record, nor is it an evaluation tool. Lucy responds to Francine's aggressive request to cover for her during her break. Which of the following communication styles did Lucy use? A. Passive B. Shaming C. Dismissive A. Passive Lucy used a passive communication style when responding to Francine. Passive or submissive communication is ineffective and inappropriate to use because the nurse avoids confrontation by permitting others to make decisions. Shaming and dismissive communication styles are ineffective forms of communication with negative consequences. The nurse did not respond when using these styles. A nurse manager is conducting an in-service on ineffective communication patterns. Which of the following should she include when discussing components of passive communication? (Select all that apply.) A. Puts others' needs and wants ahead of self B. Avoids conflicts C. Difficult time saying "no" D. Uses "I" or "me" statements E. Intimidating A. Puts others' needs and wants ahead of self B. Avoids conflicts C. Difficult time saying "no" Choice D is a component of assertive communication. Choice E is a component of aggressive communication. A nurse is reviewing professional communication skills with a newly licensed nurse. Which of the following is a form of effective communication? A. Passive B. Assertive C. Passive-aggressive B. Assertive Assertive communication is the most effective communication technique that is used to convey information in an informative and professional manner. A nurse manager is discussing formal and informal structures or processes with a newly licensed nurse. Which of the following statements made by the newly licensed nurse requires further teaching? A. "Formal structures are generally highly planned." B. "A written policy is a type of formal structure." C. "Informal structures are visible." C. "Informal structures are visible." Informal structures or processes tend to be hidden and unplanned. Informal processes are not usually discussed or written. Which of the following should be included in an interprofessional interdisciplinary team? (Select all that apply.) A. Respiratory therapist B. Provider C. Nurses D. Family members E. Dietitian A, B, C, E Interprofessional relationships are a group of various disciplines who utilize their own individual professional theories to promote health care. Which of the following should a nurse include in the verbal SBAR report to a provider? (Select all that apply.) A. Introduction B. Background C. Assessment D. Situation E. Recommendation B, C, D, E Introduction is included in ISBAR A charge nurse is reviewing organizational structure with a group of newly licensed nurses. Which of the following should she include in her discussion? (Select all that apply.) A. Lines of authority B. Organizational size C. Formal structures D. Informal structures E. Interprofessional relationships A, B, C, D Choice E is incorrect because inter professional relationships are a component of collaborative relationships, not organized structure. [Show Less]
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NURS 302 Assessment 1 Questions and Correct Solutions | A+
The Nursing Process is a systematic five step framework nurses use to... What are the steps? plan and provide optimal patient care ADPIE Assessment... [Show More] Diagnosis/Analysis Planning Implementation Evaluation What is used to prioritize which patients should be seen first? ABCDEP Airway Breathing Circulation Disability or change in level of consciousness Environment - concerns around patient's body Pain What are your first two actions for treating a patient in respiratory distress? 1. First raise the head of the bed to allow the airway to open up 2. Second intervention is to put on oxygen What question helps build critical thinking skills when thinking about what intervention to perform? If I do "this" then "what" will happen? If I give IV fluids, what happens to a patients blood pressure? It increases If I give Oxygen to a patient, what should I see? An increase in oxygen saturation If patient has an infection, then what? They'll have a fever When making decisions, what four things should you do? 1. Review the set of all possible nursing interventions for a patient's problem 2. Review all possible consequences associated with each possible nursing action 3. Determine the probability of all possible consequences 4. Judge the value of the consequence to the patient Goals need to be SMART, which stands for? Specific Measurable Achievable Realistic Time limit-framed Nurses must make accurate and appropriate clinical decisions or judgements. Clinical judgement is defined as the outcome of critical thinking and clinical reasoning -Conclusion about a patient's needs or health problems -Influenced by a nurse's experience and knowledge -Partly relies on knowing the patient -Influenced by the context of clinical situations and the culture of patient and care settings The two forms of communication are verbal and nonverbal Why is it important to be culturally competent in regards to body language? Because body language varies by culture not looking someone in the eye in some cultures is considered a sign of respect whereas in others it's disrespectful, etc. etc. What are some types of therapeutic communication techniques? Active listening touch silence self disclosure open ended questions clarification If you didn't chart it, then... you didn't do it When do you fill out an incidence report? When something what wasn't supposed to happen, happens Equipment failure, wrong medication to wrong patient, etc. etc. Do incidence reports go in patient chart? no, they go in hospital database What is the most important thing to do when taking a telephone/verbal order? Repeat it back so the provider knows you heard everything because the nurse is the one entering the order Provider has to sign a telephone/verbal order within 24 hours The standards for Evidence Based Practice (EBP) are (2) -Problem-solving approach to clinical practice -Address clinical problems by using the best approach based on clinical evidence for managing the problem How can we determine if a patient understood what we just told them? Best way is to have the patient demonstrate it back to you Second best is the make sure they tell you in their own words Patient education is always written at what grade level? Why? 5th grade level So that every patient can understand what is going on with their care What can a UAP do? Do tasks and gather data (e.g "patient had this much urine") Can help with turning or ambulation if it isn't the first time What is QSEN? Quality and Safety Education for Nurses Developed to help prepare future nurses who will be needed in their health care environments to improve patient safety. Patients over the age of ____ are at an increased risk of a fall 65 What is the leading cause of fatal and nonfatal injuries for people over the age of 65? falls Patients on prolonged bedrest usually develop (hint: not pressure ulcers) Why is this a problem when they begin to ambulate? orthostatic hypotension -they get dizzy when they stand up They are at an increased risk of falling Most common means of transmission of pathogens is by the hands How often should you sanitize your hands? before and after every patient You only need to actually wash your hands (as opposed to sanitizer) when hands are visibly dirty or treating a patient that has C.diff [Show Less]
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NURS 302 - ATI and study guide questions and answers with complete rationale
A noisy environment can affect sleep patterns and cause which of the following? Increased productivity Decreased blood pressure Delayed healing Skin ... [Show More] breakdown Delayed healing In hospitals and other inpatient facilities, noise creates a problem for patients. Noise causes increased agitation, delayed healing, impaired immune function, and increased blood pressure, heart rate, and stress A patient is recovering from a major surgery. Which nutrient should be increased to help with healing? Carbohydrates Protein Fats Sugars Increased protein is an essential nutrient in wound healing An advancing diet should progress in which order? Clear liquids, full liquids, light diet, regular diet Light diet, full liquids, regular diet, clear liquids Regular diet, light diet, full liquids, clear liquids Clear liquids, full liquids, light diet, regular diet Difficulty swallowing increases the risk for aspiration. What is this condition called? Dyspepsia Dysphagia Dyspnea Dyslexia Dysphagia The initial placement of a feeding tube should be confirmed by which method? Injecting air and listening for a "gurgle" Asking the patient Visualizing gastric juices Obtaining an X-Ray Obtaining an X-Ray A nurse in a provider's office is caring for a client who states that for the past week, "I have felt tired during the day and cannot sleep at night." Which responses should the nurse ask when collecting data about the client's difficulty sleeping? (SATA) A. "Have your working hours changed recently?" B. "Do you feel confused in the late afternoon?" C. "Do you drink coffee, tea, or other caffeinated drinks? If so, how many cups per day?" D. "Has anyone ever told you that you seem to stop breathing for a few seconds while you are asleep?" E. "Tell me about any personal stress you are experiencing." ACDE A nurse is talking about ways to help sleep and rest. Which recommendations should the nurse give to their client to promote sleep and rest? (SATA) A. Practice muscle relaxation techniques. B. Exercise each morning. C. Take an afternoon nap. D. Alter the sleep environment for comfort. E. Limit fluid intake at least 2 hr before bedtime. ABDE A nurse is caring for a client who has been following the facility's routine and bathing in the morning. However, at home, the client always takes a warm bath just before bedtime. Now the client is having difficulty sleeping at night. Which action should the nurse take first? A. Rub client's back for 15 mi before bedtime. B. Offer client warm milk and crackers at 2100. C. Allow client to take a bath in the evening. D. Ask provider for a sleeping medication. C A nurse is preparing a presentation at a local community center about sleep hygiene. When explaining REM sleep, which characteristics should the nurse include? (SATA) A. REM sleep provides cognitive restoration. B. REM sleep lasts about 90 min. C. It is difficult to awaken a person in REM sleep. D. Sleepwalking occurs during REM sleep. E. Vivid dreams are common during REM sleep. ACE A nurse is instructing a client who has narcolepsy about measures that might help with self management. Which statement should the nurse identify as an indication that the client understands the instruction? A. "I'll add plenty of carbs to my meals." B. "I'll take a short nap whenever I feel a little sleepy." C. "I'll make sure I stay warm when I am at my desk at work." D. "It's okay to drink alcohol as long as I limit it to one drink per day." B A nurse is caring for a client who is at high risk for aspiration. Which action should the nurse take? A. Give the client thin liquids. B. Instruct the client to tuck their chin when swallowing. C. Have the client use a straw. D. Encourage the client to lie down and rest after meals. B A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which nutrient provides the body with the most energy? A. fat B. protein C. glycogen D. carbs D A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which food on the client's meal tray? A. cooked barley B. pureed broccoli C. vanilla custard D. lentil soup C BMI formula weight (kg) / height (m^2) A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which information should the nurse include? (SATA) A. Older adults are more prone to dehydration than younger adults. B. Older adults need the same amount of most vitamins and minerals as younger adults do. C. Many older men and women need calcium supplementation. D. Older adults need more calories than they did when they were younger. E. Older adults should consume a diet low in carbs. ABC A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important nursing intervention is: A. administering a sleep aid B. synchronizing the medication, treatment, and vital signs schedule C. encouraging the patient to exercise immediately before sleep D. discussing with the patient the benefits of beginning a long-term nighttime medication regimen B A 22-year old new mother is breastfeeding. You ask her if she is taking the correct quantities of nutrients. Which statement reflects that she understands the dietary guidelines? A. "I am not concerned with what I am eating." B. I am taking vitamin doses based on TV." C. I am taking a daily MVI." D. I am making eating choices according to the recommended dietary allowances." D You receive an order to begin enteral tube feedings. The first step is to: A. place the patient in a prone position B. irrigate the tube with normal saline C. check to see that the tube is properly placed D. introduce a small amount of fluid into the tube before feeding D A nurse is educating a client who has anemia about dietary intake of iron. Which is a non-heme source of iron? A. ground beef B. dried beans C. salmon D. turkey B A nurse is discussing foods that are high in vitamin D with a client who is unable to be out in the sunlight. What should be included in the teaching? A. 1 cup steamed long-grain brown rice B. 6 medium raw strawberries C. 1/2 cup boiled Brussel sprouts D. 2 large, poached eggs D A nurse is reviewing dietary recommendations with a group of clients at a health fair. What info should the nurse include? A. "Fats should be 5% to 15% of daily caloric intake." B. "Make protein 10% to 35% of total calories each day." C. "Consume 1500 mL of water from liquids and solids daily." D. "The body needs 40 mg of iron each day." B [Show Less]
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NURS 302 - ATI and study guide questions PART TWO Questions And Answers
Administering oxygen therapy with a nonrebreather mask has which of the following advantages? A. Offers the highest oxygen concentration of the low-flow... [Show More] systems B. Provides oxygen concentrations of 40% to 60% C. Incorporates a design that requires minimal monitoring of the client D. Is designed for safety once the mask's valves and flaps are sealed A. Offers the highest oxygen concentration of the low-flow systems A nonrebreather mask delivers oxygen concentrations of 60% to 80%. Thus, it provides a higher fraction of inspired oxygen (FiO2) than other low-flow systems such as nasal cannula (delivering about 24% to 44%) or a simple mask (delivering 40% to 60%) A nurse is caring for a client who has a tracheostomy. Which of the following pieces of equipment should the nurse use when administering oxygen to this client? A. Distilled water for humidification B. A tracheostomy collar C. A nasal cannula D. An aerosol mask B. A tracheostomy collar A tracheostomy collar is a piece of equipment that fits over the tracheostomy site and is held in place by an adjustable elastic strap that fits around the client's neck. The collar provides the client with the prescribed oxygen concentration while also providing high humidity A nurse is caring for a client who has been receiving oxygen via nasal cannula for 4 hr. Which of the following assessment findings helps indicate that oxygen therapy has been effective? A. Respiratory rate 14/min B. SaO2 90% C. Cardiac output 5.6 L/min D. PaCO2 68 mm Hg A. Respiratory rate 14/min The expected reference range for respirations is 12 to 20/min. Stabilization of the respiratory rate, especially if the client was previously tachypneic, is an indication that oxygen therapy is effective A nurse is providing discharge teaching with a client who is going home on continuous liquid oxygen therapy. Which of the following instructions should the nurse include? A. "Place the oxygen tank in a clutter-free environment." B. "Keep the oxygen tank at least 6 feet away from a heat source." C. "Ensure you are close to electricity to use your oxygen tank." D. "Turn the valve on the oxygen tank until an alarm sounds." A. "Place the oxygen tank in a clutter-free environment." The nurse should instruct the client to place the oxygen-delivery system in a clutter-free environment that is well ventilated. This prevents injuries from improper placement of the oxygen equipment B is incorrect because the nurse should instruct the client to keep the oxygen tank at least 10 feet from a heat source (such as an open flame candle or fireplace) because oxygen can ignite as ar result of the heat, causing a fire A nurse is providing discharge teaching to a client who will continue oxygen therapy at home. The nurse should instruct the client that turning the knob on the oxygen flow meter all the way to the right... A. starts the flow of oxygen B. Provides the maximal oxygen flow C. Provides a minimal oxygen flow D. Stops the flow of oxygen D. Stops the flow of oxygen Turning the knob on the flow meter all the way to the right allows no oxygen to flow from the oxygen cylinder to the client... or in layman's terms "righty tighty, lefty loose'y" A nurse is caring for a client who was admitted with community-acquired pneumonia and has been receiving oxygen therapy for several days. Which of the following findings indicates an adverse effect of oxygen therapy? A. Poor skin turgor B. Copious respiratory secretions C. Cracks in the oral mucosa D. Elevated heart rate C. Cracks in the oral mucosa Oxygen, especially when delivered long-term and without sufficient humidification, has a drying effect that can cause cracks in the nasal and oral mucosa. A home health nurse is teaching a client who has just started receiving oxygen therapy via mask. The nurse should emphasize that the client must A. Clean the mask with soapy water once every other day. B. Reposition the elastic band frequently. C. Apply petroleum jelly around and inside the nares. D. Make sure there is adequate condensation in the tubing. B. Reposition the elastic band frequently. Tubing and elastic bands that are part of oxygen-delivery devices can cause pressure not he skin that can lead to breakdown. Padding them and frequently changing their position can help prevent this complication. Oxygen therapy is prescribed for a client who is brought to an emergency department in the early stages of hypoxia. When assessing this client, a nurse should expect which of the following findings? A. Elevated blood pressure B. Decreased respiratory rate C. Cyanosis D. Peripheral edema A. Elevated blood pressure During the early stages of hypoxia, blood pressure is usually elevated (unless shock is the cause of the client's hypoxia). In the late stages of hypoxia, clients are likely to develop hypotension A nurse is caring for a client who has dyspnea, slight cyanosis, and a respiratory rate of 28/min. During which of the following phases of the nursing process will the nurse determine that the client has impaired gas exchange? A. Assessment B. Diagnosis C. Planning D. Evaluation B. Diagnosis During the diagnosis phase, the nurse analyzes and interprets data gathered from the nursing assessment to formulate a nursing diagnosis, which in this case is impaired gas exchange A nurse is caring for a critically ill client who has COPD and requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery devices is indicated for this client? A. Simple face mask B. Nasal cannula C. Venturi mask D. Face tent C. Venturi mask A Venturi mask is most often used for critically ill clients who require administration of a specific concentration of oxygen. This is the most accurate form of oxygen delivery and keeps carbon dioxide buildup minimal A nurse should recognize that which of the following findings is an indication for oxygen therapy? A. Respiratory rate 32/min B. PaO2 90mm Hg C. Fraction of inspired oxygen (FiO2) 65% for 4 days D. Oxygen saturation (SaO2) 90% D. Oxygen saturation (SaO2) 90% Oxygen therapy is indicated for clients who are at risk for or have developed hypoxia. In the early stages of hypoxia, the heart rate increases and the arterial oxygen saturation (SaO2) falls below 94% A 57-year-old client with a 30-pack-year smoking history has recently received confirmation of a possible malignant tumor in the lower lobe of his right lung. He is scheduled for a tumor resection and a lower-lobe lobectomy in the morning. This client was also diagnosed a year ago with mild chronic bronchitis, but has never used oxygen therapy. (Lifetime smoking exposure is expressing in pack years. With 20 cigarettes in a pack, multiply the number of packs smoked per day by the number of years of smoking to determine the pack year. This client smoked one pack a day for 30 years, hence his 30 pack-year history). Which of the following statements should you make to the client to describe the effects of the planned surgery not he client's oxygen demand? A. You will be short of breath for the rest of your life and will need to greatly decrease your daily activities. B. Your left lung will compensate after the surgery and you will breathe much easier. C. "Removing a section of your right lung will decrease the oxygen your body receives, but we can provide extra oxygen if you need it." C. "Removing a section of your right lung will decrease the oxygen your body receives, but we can provide extra oxygen if you need it." This statement both identifies and discusses the appropriate intervention for a situation that is likely to affect the client's oxygen demand. A 57-year-old client with a 30-pack-year smoking history has recently received confirmation of a possible malignant tumor in the lower lobe of his right lung. He is scheduled for a tumor resection and a lower-lobe lobectomy in the morning. This client was also diagnosed a year ago with mild chronic bronchitis, but has never used oxygen therapy. (Lifetime smoking exposure is expressing in pack years. With 20 cigarettes in a pack, multiply the number of packs smoked per day by the number of years of smoking to determine the pack year. This client smoked one pack a day for 30 years, hence his 30 pack-year history). Which of the following statements indicates that the client understands how to identify when he needs supplemental oxygen therapy? A. "When I feel anxious and have to work at breathing, I will know I need oxygen." B. "I will use my oxygen when I know I'll be walking for any long distances." C. "When I can't sleep at night, I'll put on my oxygen." A. "When I feel anxious and have to work at breathing, I will know I need oxygen." This statement shows an understanding of the physical and psychological effects of hypoxemia [Show Less]
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NURS 302 - ATI and study guide PART Two Questions and Correct Answers
A noisy environment can affect sleep patterns and cause which of the following? Increased productivity Decreased blood pressure Delayed healing Skin ... [Show More] breakdown Delayed healing In hospitals and other inpatient facilities, noise creates a problem for patients. Noise causes increased agitation, delayed healing, impaired immune function, and increased blood pressure, heart rate, and stress A patient is recovering from a major surgery. Which nutrient should be increased to help with healing? Carbohydrates Protein Fats Sugars Increased protein is an essential nutrient in wound healing An advancing diet should progress in which order? Clear liquids, full liquids, light diet, regular diet Light diet, full liquids, regular diet, clear liquids Regular diet, light diet, full liquids, clear liquids Clear liquids, full liquids, light diet, regular diet Difficulty swallowing increases the risk for aspiration. What is this condition called? Dyspepsia Dysphagia Dyspnea Dyslexia Dysphagia The initial placement of a feeding tube should be confirmed by which method? Injecting air and listening for a "gurgle" Asking the patient Visualizing gastric juices Obtaining an X-Ray Obtaining an X-Ray A nurse in a provider's office is caring for a client who states that for the past week, "I have felt tired during the day and cannot sleep at night." Which responses should the nurse ask when collecting data about the client's difficulty sleeping? (SATA) A. "Have your working hours changed recently?" B. "Do you feel confused in the late afternoon?" C. "Do you drink coffee, tea, or other caffeinated drinks? If so, how many cups per day?" D. "Has anyone ever told you that you seem to stop breathing for a few seconds while you are asleep?" E. "Tell me about any personal stress you are experiencing." ACDE A nurse is talking about ways to help sleep and rest. Which recommendations should the nurse give to their client to promote sleep and rest? (SATA) A. Practice muscle relaxation techniques. B. Exercise each morning. C. Take an afternoon nap. D. Alter the sleep environment for comfort. E. Limit fluid intake at least 2 hr before bedtime. ABDE A nurse is caring for a client who has been following the facility's routine and bathing in the morning. However, at home, the client always takes a warm bath just before bedtime. Now the client is having difficulty sleeping at night. Which action should the nurse take first? A. Rub client's back for 15 mi before bedtime. B. Offer client warm milk and crackers at 2100. C. Allow client to take a bath in the evening. D. Ask provider for a sleeping medication. C A nurse is preparing a presentation at a local community center about sleep hygiene. When explaining REM sleep, which characteristics should the nurse include? (SATA) A. REM sleep provides cognitive restoration. B. REM sleep lasts about 90 min. C. It is difficult to awaken a person in REM sleep. D. Sleepwalking occurs during REM sleep. E. Vivid dreams are common during REM sleep. ACE A nurse is instructing a client who has narcolepsy about measures that might help with self management. Which statement should the nurse identify as an indication that the client understands the instruction? A. "I'll add plenty of carbs to my meals." B. "I'll take a short nap whenever I feel a little sleepy." C. "I'll make sure I stay warm when I am at my desk at work." D. "It's okay to drink alcohol as long as I limit it to one drink per day." B A nurse is caring for a client who is at high risk for aspiration. Which action should the nurse take? A. Give the client thin liquids. B. Instruct the client to tuck their chin when swallowing. C. Have the client use a straw. D. Encourage the client to lie down and rest after meals. B A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which nutrient provides the body with the most energy? A. fat B. protein C. glycogen D. carbs D A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which food on the client's meal tray? A. cooked barley B. pureed broccoli C. vanilla custard D. lentil soup C BMI formula weight (kg) / height (m^2) A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which information should the nurse include? (SATA) A. Older adults are more prone to dehydration than younger adults. B. Older adults need the same amount of most vitamins and minerals as younger adults do. C. Many older men and women need calcium supplementation. D. Older adults need more calories than they did when they were younger. E. Older adults should consume a diet low in carbs. ABC A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important nursing intervention is: A. administering a sleep aid B. synchronizing the medication, treatment, and vital signs schedule C. encouraging the patient to exercise immediately before sleep D. discussing with the patient the benefits of beginning a long-term nighttime medication regimen B A 22-year old new mother is breastfeeding. You ask her if she is taking the correct quantities of nutrients. Which statement reflects that she understands the dietary guidelines? A. "I am not concerned with what I am eating." B. I am taking vitamin doses based on TV." C. I am taking a daily MVI." D. I am making eating choices according to the recommended dietary allowances." D You receive an order to begin enteral tube feedings. The first step is to: A. place the patient in a prone position B. irrigate the tube with normal saline C. check to see that the tube is properly placed D. introduce a small amount of fluid into the tube before feeding D A nurse is educating a client who has anemia about dietary intake of iron. Which is a non-heme source of iron? A. ground beef B. dried beans C. salmon D. turkey B A nurse is discussing foods that are high in vitamin D with a client who is unable to be out in the sunlight. What should be included in the teaching? A. 1 cup steamed long-grain brown rice B. 6 medium raw strawberries C. 1/2 cup boiled Brussel sprouts D. 2 large, poached eggs D A nurse is reviewing dietary recommendations with a group of clients at a health fair. What info should the nurse include? A. "Fats should be 5% to 15% of daily caloric intake." B. "Make protein 10% to 35% of total calories each day." C. "Consume 1500 mL of water from liquids and solids daily." D. "The body needs 40 mg of iron each day." B [Show Less]
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NURS 302: Block 3: PART TWO Questions and Correct Answers
Sleep deprivation can get SO BAD you get... cardiac arrhythmias What are some implementations you can make to get your patient to sleep? Get your Bo... [Show More] b Marley and turn them lights down loooooow PLANNING - stack your interventions (meds, vitals, etc.) so you're not interrupting patient sleep Put patients at the end of the hallway if they're sensitive to noise and light Pay attention to the patient's normal sleep routine at home What is nocturia? It's when you gotta pee in the middle of the night AHEM "Without proper amounts of rest and sleep, the ability to concentrate, make judgements, and participate in daily activities _____, and _____________" decreases, and irritability increases What are some preexisting medical conditions that make it difficult to sleep? high blood pressure (heart and head pounding) GI disorders like GERD Restless leg syndrome (RLS) aka Elvis leg What are some factors influencing sleep? Drugs (HECK YEAH) -caffeine and medications Substances Lifestyle (people are up all night (all night)) Emotional stress (aka school) Environment (lights, temp, noises) Food and caloric intake (ya need something in the stomach) Which side of the mouth would you put food into a patient that has muscular asymmetry (like from a stroke?) The strong side What are the 7 PHYSIOLOGICAL symptoms of sleep-deprivation? ptosis, blurred vision Fine-motor clumsiness Decreased reflexes Slowed response time Decreased reasoning and judgement Decreased auditory and visual alertness Cardiac arrhythmias What are the 7 PSYCHOLOGICAL symptoms of sleep-deprivation? Confused and disoriented Increased sensitivity to pain Irritable, withdrawn, apathetic Agitated Hyperactive (like literally this explains so much about me) Decreased motivation Excessive sleepiness What's the main thing that's not bueno about sleep deprivation? the body doesn't heal What are the 5 functions of sleep? Time of restoration Memory consolidation Preparation for the next period of wakefulness Restores biological processes Protein synthesis and cell division for the renewal of tissues What are some gnarly sleep disorders? (5) Insomnia Sleep apnea Narcolepsy Sleep deprivation Parasomnias (see other card for these cause there's a lot ugh) What are parasomnias? There's 7 of them (can there be like a list of 3 or something in this chapter omg) Sleep problems (wow so specific): confusional arousals somnambulism (sleepwalking) night terrors nightmares nocturnal enuresis (bed-wetting) body rocking bruxism (teeth grinding) If you're gonna nap, you should limit them to.... 20 minutes or less twice a day (...good lord I wish I had time for naps.) What are some environmental things you can do to help your patients sleep? turn off the lights (but leave on a night light!) lower temperature don't be noisy If you're unable to sleep in 15 to 30 minutes, what should you do? a relaxing activity like reading To promote sleep, you should sit in natural sunlight during the day for how long? 2 hours each morning if possible What are 2 good nutrition things to do before bed? consume carbs or milk as a light snack before bedtime decrease fluids 2 to 4 hours before sleep If a patient starts off not able to eat, what is the progression that food should go? Clear liquid -> Full liquid -> Mechanical soft -> Soft/low residue -> Regular (I skipped steps that weren't talked about in lecture and didn't seem important. Pg. 1122 box 45.10 for the whole spiel) What can a patient "eat" on a clear liquid diet? Anything clear... Clear fat-free broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, fruit ices, popsicles What can a patient "eat" on a full liquid diet? Clear liquid + addition of smooth-textured dairy products (Prescribed ice cream hell yeah), strained or blended cream soups, custards, refined cooked cereals, vegetable juice, pureed vegetables, all fruit juices, sherbets, puddings, frozen yogurt ...like if you can blend it, they can eat it [Show Less]
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