Question

ame Date Score A patient client who is lactose intolerant is recovering from a surgical procedure. What impact does the nurse expect this to have on progression of diet as tolerated a The patient client will be able to progress from a clear to full liquid diet once bowel sounds and gag reflex returns b. There is no impact with regard to dict progression because of lactose intolerance e. The patient's client's diet can be progressed following a bowel movement indicating return of bowel activity The patient's client's full liquid dict may have to be altered because this diet contains inilk products 2. The nurse must apply an elastie bandage to support a patient's cher action should the nurse take during this procedure? e bandage to support a patient's client's sprained ankle. Which a. Moderately stretch the bandage and wrap it from distal extremity to proximal b. Wrap the extremity loosely enough to insert two fins beneath the bandage c. Maintain a tight stretch with each wrap of the bandage d. Start proximal to the injury site and work distally 3. The nurse is to conduct an admission interview with 2 with 74-year-old patient client who is hearing aired. What should the nurse de to enhance the patient client's ability to hear a. Position self to be within the patient's client's line of vision b. Dim the lights in the room c. Over articulate words d. Reposition the television in the room 4. The nurse would assess for which signs of morphine overdose in a patient client receiving controlled analgesia? a. A decrease in blood pressure and respiration rate b. Increased heart rate and restlessness c. Profuse sweating and a state of ulertnes d. Dilated pupils and sedation 5. An adult patient client who, after being hospitalized 3 days ago. is having trouble sleeping. The nurse also notes some confusion during waking hours. What is the most appropriate nursing diagnosis for this patient client? a. Ineffective Health Maintenance b. Ineffective Individual Coping c. Disturbed Sensory Perception d. Disturbed Sleep Pattern

Answer 1

1.The patient who has an allergy to milk and milk products are categorized into lactose intolerance.Giving any form of it can be intolerant and leading to unpleasant events.After a surgery a diet is usually progressed from clear liquid to full liquid followed by semi solid,solid and full diet.This can be started only when the bowel sounds returns .

Ans:D.The patient's /client's full liquid diet may have to be altered because this diet contains milk products

2.The bandage has yo be applied in a circular motion from distal to proximal end.It has to be applied in a snugged manner and not too loosely because this cannot relieve the pain,if applied to tight can stop th blood circulation.

Ans.a.moderately stretch the bandage and wrap it from distal end to proximal

3.Communication with a hearing impaired patient can be challenging but can be made better by a therapeutic communication in the following way

• Making an eye contact
• Good lighting
• Not closing the mouth while talking
• Can increase the voice as needed
• Do not showing any irrelavent facial expression while conversion
• Can repeat the words but not frequently
• Can show video ,images

Ans:a.Position self to be within patient's/client's line of vision

4.The common signs and symptoms of morphine overdosage are

• Decreased respiratory rate
• Loss of consciousness
• The pupils are pinpoint type
• Nausea
• Severe hypotension
• Extremely sedated

Ans:a.A decrease in blood pressure and respiratory rate