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.C) The nurse encourages slow eating

Rationale;

for patients with dementia the nurse should demonstrate the patient how to chew the food slowly.

2. b) "complex carbohydrates come from fruits". The patient need further education because of answering this point

all other answer are right

Rationale

This is the wrong answer because complex carbohydrates are found in white bread, cakes and pastries.

Simple carbohydrates are found in fruits.

3. c) I can drink unlimited cola

Rationale

cola contains high amount of phosporus so it should be avoided

4. c) Radiographic image

Rationale

The most reliable method of feeding tube verification is a chest radiograph (chest x-ray). Gastric and intestinal pH measurements have been shown to differentiate tube placement, with the stomach having a lower pH than the intestines. This helps to ensure that the tube is beyond the pylorus, theoretically reducing the risk for aspiration. This method is helpful before and after radiological confirmation.

5. d) Patient

Rationale

In health assessment the patient is the primary source of information

All the other options comes under secondary source of information

6. b) the patient who takes multiple drug at the same time

Rationale

Polypharmacy( multiple drug theraphy)  is one of the risk factors from the risk index of severe drug interactions.