stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
NU 136 Exam 3 #2 Flashcards | StudBud
Explore
/
NU 136 Exam 3 #2
NU 136 Exam 3 #2
30 terms
·
StudBud Administration
·
13 plays
Imported from external platform
Flashcards
30 cards
F
Practice quiz
P
Host live
L
Questions
30
Answers
1
With fat soluble vitamins the nurse understands that
they are easily absorbed into the bloodstream
they have high caloric value
consumption of too much fat soluble vitamins can lead to toxicity
those are the most important of all the vitamins
2
The nurse properly teaches a PEG tube patient on self-administrating feedings at home when the nurse states
A feeding pump is not required for continuous feedings
Flushing with water before and after feeds is not required
Do not push the feeding in with the syringe
Residual is checked every 6 hours
3
Which of the following should the nurse not include in the end of shift report?
The patient's family is at the bedside
The patient's physician is John Doe M.D
The patient stated that the morphine IV relieves their pain
The patient is scheduled for an MRI in at 1100
4
The nurse with a client on a PCA rechecks their pain at regular intervals. This is which phase of the nursing process?
Evaluation
Assess
Planning
Implementation
5
The client with a PEG tube feeding complains of naseau and fullness. The most approrpriate action by the nurse is to
lay the patient flat
change the feedings to a low calorie formula
slow the feeding to 20 mLs/hr
call the physician and stop the feeding
6
When teaching about foods with high sodium content, the nurse tells the patient to avoid (select all that apply)
Tofu
Milk and milk products
Papaya
Cream of potato soup
7
Which commonly used herb is thought to decrease migraines and hay fever symptoms?
Cranberry
Butterbur
Ginseng
Ginkgo biloba
8
Purposes of documentation includes (select all that apply)
Research and data collection
Calculate insurance reimbursement
Evaluate staff performance
Provide evidence of care
9
The client asks the nurse about alternative therapies that may help lower their BP and HR. The nurse correctly states
Over-the-counter medications
Biofeedback therapy
Meditation
Relaxation therapy
10
Which of the following best demonstrates the nurse giving clear and concise orders to the CNA?
Assist Mr. Z in room 112 to ambulate from their room to the nurses station
Make sure to teach room 103 how to take their inhaler before leaving today
I need you to take vital signs on the first 10 rooms
Ask the physician to clarify the medication order for Mr Radcliffe
11
Which of the following tasks can be delegated to a CNA?
Reading the EKG stripes after obtaining an EKG on an MI patient
Preparing discharge teaching papers
Cleaning the pins on a patient's fixator
Assisting the client with repositioning every 2 hours
12
When assessing the client's diet, the nurse should consider having the client do which of the following?
Write down their meals from the past few days
Have the client state their likes and dislikes
Consider the client's family's meal plan
Inform the nurse of any religous considerations
13
The client at high risk for hypertension should be taught which of the following?
Lower LDL levels will be good for your heart
Decrease their intake of unsaturated fats
Keep their recommended fiber intake to only every other day
Increasing saturated fats in the diet will help lower LDL levels
14
A client came to the ER with paleness and extreme fatigue. What should the nurse assess
next
?
Whether their spouse or S.O will stay the night with them at the hospital
Medications they took during their last visit to the hospital
The client's bowel habit needs to be observed
The nurse should ask about their daily diet
15
When prioritizing nursing diagnoses according to Maslows which of the following would the nurse address first?
Acute pain r/t injury of soft tissue aeb guarding, protective behavior
Impaired physical mobility r/t fatigue aeb frequent daytime naps
Risk for infection aeb tissue injury
Deficient knowledge r/t unfamiliarity w/ condition aeb misconception of fx
16
The nurse states, "Everything will work out eventually" is an example of
Clarifying
Looking at alternatives
Using clichés
Giving advice
17
This type of charting allows for documentation at the point of care but is costly and time consuming to implement
Computer charting
Focus charting
Case management charting
Problem-oriented
18
While discharge teaching the client about vitamins and minerals the nurse correctly states (select all that apply)
Vitamin K is not necessary for blood clotting
Vitamin A deficiency can lead to night blindness
You do not need iron supplements if you suffer from anemia
Vitamin C aids in wound healing
19
An advantage of focus charting is (select all that apply)
Patient problems are never missed
It's compatible with the use of the nursing process
It shortens documentation time
The focus is not limited to patient problems or nursing diagnoses
20
When communicating with the hearing impaired patient the nurse should (select all that apply)
Face them directly
Never speak directly into their ear
Give the patient time to respond to questions
Get their attention first, before speaking
21
Alternative meat products the nurse can offer to the patient with heart and cholesterol issues include (SATA)
spare ribs
grilled salmon
fried chicken and mashed potatoes
halibut
22
Which of the following is an example of adequate documentation?
Reports of dyspnea, O2 sat 88%, HR 120, prn inhaler given, O2 sats now 95%
The patient's blood pressure is 145/90, physician notified
Patient ambulated with little difficulty, will continue to monitor
Pt states aching pain in right leg, morphine given
23
A complete nursing diagnosis will contain (select all that apply)
Defining characteristics
Dependent nursing actions
Etiology
The problem
24
Which of the following vitamins will aid in hemoglobin and red blood cell synthesis? (select all that apply)
Retinol
Thiamine
Folic Acid
Vitamin B12
25
A Jewish client may ask for which type of diet during their stay in the hospital?
Halal
Medium steaks
Vegetarian
Kosher
26
Documentation that only requires abnormal assessment findings to be recorded is known as which type of charting?
Problem-oriented charting
Charting by exception
Narrative charting
PIE charting
27
The new nurse calls the MD and states, "Good morning doctor, I am nurse Ratchet...". Which part of ISBARR is this?
Situation
Read back
Recommendation
Introduction
28
When helping the visually impaired client with their meal the nurse should
teach them the type of foods they're eating based on the food texture
never track the patient's weight in order to maintain their self-esteem
be aware that this condition affects mainly men
tell them where their food is using a clock as a reference
29
This complementary treatment is directed at disease prevention, lifestyle management, and a diet of natural foods
Aromatherapy
Homeopathy
Naturopathic medicine
Ayurveda
30
A client who practices Christian Science is refusing to take their scheduled meds. The nurse understands that
the patient is wanting to save on the visitation cost
they will have to ask again at a time more convenient for the patient
Christian Science do not normally seek traditional health care
the physician needs to be notified stat