Question

7:25 1 lue < Back Fundamentals Midterm Prep 7 Fundamentals Midterm Prep 1. The nurse is concerned about aspiration precautions when feeding her patient who has recently suffered a stroke. Which of the following procedures that the nurse performs would demonstrate a need for further education? a. The nurse uses thickened liquids. b. The nurse puts the bed at 30 degrees c. The nurse encourages slow cating. d. The nurse has the patient alternate between food and sips of fluid 2. The nurse is providing education to patient about the difference between simple and complex carbohydrates. Which statement by the patient indicates a need for further education? a. Simple carbohydrates give me quick energy." b. "Complex carbohydrates come from fruit." c. "Complex carbohydrates take longer to break down d. "Simple carbohydrates come from milk products 3. The nurse is educating her patient about who has just been placed on a renal diet. Which statement by the patient indicates a need for further education? a. "I need to eat a low-sodium diet." b. "I can have limited amounts of meat." c. "I can drink unlimited cola if it is diet." d. "I should avoid or limit bananas." 4. The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement? a. Auscultation of air bolus b. Measurement of pH of the aspirate e. Radiographic image d. Aspirate contents to visually inspect appearance 5. The nurse is conducting a presurgical screening interview with a patient at a local surgical center. When performing a health assessment, the primary source of information should be: a. the spouse b. the medical record, c. a close relative d. d. the patient. 6. The nurse carefully reviews the patient's medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions? a. The patient has been taking the same medications for a long time. b. The patient is taking a large number of medications c. Most of the drugs on the list are prescribed at high dores oral, injected, and inhaled d. The patient takes medications 7. A newly licend i st restraints to a

Answer 1

1.

Answer b; Nurse needs training in tilting the bed by 30 degree

Repositioning of a chronically ill patient should be done to prevent bedsores and also to enable proper feeding without aspiration of the food which may cause Aspiration pneumonia a severe debilitating condition.

Patient bed head can be tilted by 30 degree during feeding and 30 to 60 minutes after feeding. This procedure needs a training

2.

Answer b: Complex Carbohydrates come from fruits

Complex carbohydrates contain longer chains of sugars that needs to be broken down hence have more fiber and gives better nutrition and stable energy. However simple carbohydrates have smaller chains and gives instant energy. Sources of complex carbohydrates are Cereals, Legumes, Bread, Whole grains.

Though fruits have simple carbohydrates they are good since they have nutritive value

3. Two answers by the patient tells us that he/she needs to be further educated

c. Patient should not drink plenty of diet cola since it reduces the glomerular filtration rate and hasten the process of Kidney failure

d. Bananas are rich source of Potassium. Hence a patient with renal problem should eat diet rich in pottasium and low in sodium, phosphorous and proteins (hence no meat). They should have food like banana, fish, beans, avacodas, citrus fruits

4.

c. Taking an chest x ray to confirm the positioning of NG tube is gold standard method. Nurse can use a portable xray machine to confirm the same

Chest x-ray should show the tube through the oesophagus down to the level of the diaphragm.

5.

d. The Patient. Since the questioning can be both ways. Patient can also clarify certain doubts he has regarding the procedure, outcome, period of stay and so on.

6.

a. Highest drug to drug reaction is seen in patients who have multiple, co-existing chronic conditions and have been taking medicines for a very long period of time.