SOC exam 2 questions Graded A.(A level Exam)

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SOC exam 2 questions Chapter 6 Questions The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing?... Primary prevention Secondary prevention Tertiary prevention Quaternary prevention A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating? Primary prevention Secondary prevention Tertiary prevention Quaternary prevention Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: “Me, exercise? I haven’t done that since junior high gym class, and I hated it then!” “That’s fine. Exercise is bad for you anyway.” “OK. I want you to walk 3 miles 4 times a week, and I’ll see you in 1 month.” “I understand. Can you think of one reason why being more active would be helpful for you?” “I’d like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day.” A patient comes to the local health clinic and states: “I’ve noticed how many people are out walking in my neighborhood. Is walking good for you?” What is the best response to help the patient through the stages of change for exercise? “Walking is OK. I really think running is better.” “Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?” “Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables.” “They probably aren’t walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good.” A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to the physician when he was a child. Which external variables influence the patient’s health practices? (Select all that apply.) Difficulty paying his bills Seeing his pastor as a means of support Family practice of not routinely seeing a health care provider Stress from the divorce and the loss of a job The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is addressing which level of need according to Maslow? Physiological Safety and security Love and belonging Self-actualization When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? Holistic Health belief Transtheoretical Health promotion When illness occurs, different attitudes about it cause people to react in different ways. What do medical sociologists call this reaction to illness? Health belief Illness behavior Health promotion Illness prevention A patient at the community clinic asks the nurse about health promotion activities that she can do because she is concerned about getting diabetes mellitus since her grandfather and father both have the disease. This statement reflects that the patient is in what stage of the health belief model? Perceived threat of the disease Likelihood of taking preventive health action Analysis of perceived benefits of preventive action Perceived susceptibility to the disease. A nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy’s father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. What action does the nurse take? Care for the boy as she would any other patient Ask the manager to talk with the father and keep him out of the unit Have another nurse care for the boy because maybe that nurse will do better with the father Search for help with interpretation and understanding of the cultural differences by contacting someone from the local Greek community A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that he is experiencing a problem with body image? “I just don’t have any energy to get out of bed in the morning.” “I’ve been attending church regularly with my wife since I got out of the hospital.” “My wife has taken over paying the bills since I’ve been in the hospital.” “I don’t go out very much because everyone stares at me.” The patient states she joined a fitness club and attends the aerobics class three nights a week. The patient is in what stage of behavioral change? Precontemplation Contemplation Preparation Action The nurse is developing a health promotion program on healthy eating and exercise for high school students using the health belief model as a framework. Which statement made by a nursing student is related to the individual’s perception of susceptibility to an illness? “I don’t have time to exercise because I have to work after school every night.” “I’m worried about becoming overweight and getting diabetes because my father has diabetes.” “The statistics of how many teenagers are overweight is scary.” “I’ve decided to start a walking club at school for interested students.” The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient. Which factors are classified as genetic and physiological? (Select all that apply.) A Sedentary lifestyle B Father died from CAD at age 50 C History of hypertension D Eats diet high in sodium E Elevated cholesterol level F Age is 44 years Which activity represents secondary prevention? o A home health care nurse visits a patient’s home to change a wound dressing. o A 50-year-old woman with no history of disease attends the local health fair and has her blood pressure checked. o The school health nurse provides a program to the first-year students on healthy eating. The patient attends cardiac rehabilitation sessions weekly. Chapter 12 Questions In an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development. They are: Nutrition, stress, and mother’s age. Prematurity, stress, and mother’s age. Nutrition, mother’s age, and fetal infections. Fetal infections, prematurity, and placenta previa. A parent has brought her 6-month-old infant in for a well-child check. Which of her statements indicates a need for further teaching? “I can start giving her whole milk at about 12 months.” “I can continue to breastfeed for another 6 months.” “I’ve started giving her plenty of fruit juice as a way to increase her vitamin intake.” “I can start giving her solid food now.” The type of injury a child is most vulnerable to at a specific age is most closely related to which of the following? Provision of adult supervision. Educational level of the parent Physical health of the child Developmental level of the child Which approach would be best for the nurse to use with a hospitalized toddler? Always give several choices. Set few limits to allow for open expression. Use noninvasive methods when possible. Gain cooperation before attempting treatment. The nurse is providing information on prevention of sudden infant death syndrome (SIDS) to the mother of a young infant. Which of the following statements indicates that the mother has a good understanding? A. “I won’t use a pacifier to help my baby sleep.” B. “I’ll be sure my baby does not spend any time on her abdomen.” C. “I’ll place my baby on her back for sleep.” D. “I’ll be sure to keep my baby’s room cold.” In evaluating the gross-motor development of a 5-month-old infant, which of the following would the nurse expect the infant to do? Roll from abdomen to back Correct Move from prone to sitting unassisted Sit upright without support Turn completely over Parents are concerned about their toddler’s negativism and ask the nurse for guidance. Which is the most appropriate recommendation? Provide more attention. Reduce opportunities for a “no” answer. Be consistent with punishment. Provide opportunities for the toddler to make decisions. When nurses are communicating with adolescents, they should: Be alert to clues to their emotional state. Ask closed-ended questions to get straight answers. Avoid looking for meaning behind adolescents’ words or actions. Avoid discussing sensitive issues such sex and drugs. Which of the following statements is most descriptive of the psychosocial development of school-age children? Boys and girls play equally with each other. Peer influence is not yet an important factor to the child. They like to play games with rigid rules. Children frequently have “best friends.” You are caring for a 4-year-old child who is hospitalized for an infection. He tells you that he is sick because he was “bad.” Which is the most correct interpretation of his comment? Indicative of extreme stress Representative of his cognitive development Suggestive of excessive discipline at home Indicative of his developing sense of inferiority At a well-child examination, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time. Which of the following should the nurse recommend? Provide nutritious snacks. Offer rewards for eating at mealtimes. Avoid snacks so she is hungry at mealtime. Explain to her firmly why eating at mealtime is important. An 8-year-old child is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will most help her adjust to the hospital? Explain hospital routines such as meal times to her. Use terms such as “honey” and “dear” to show a caring attitude. Explain when her parents can visit and why siblings cannot come to see her. Since she is young, orient her parents to her room and hospital facility. The school nurse is counseling an obese 10-year-old child. What factor would be important to consider when planning an intervention to support the child’s health? Concentrate on the child only rather than the family since it is the child’s responsibility. Consider the use of medications to suppress the appetite. First plan for weight loss through dieting and then add activity as tolerated. Plan food intake to allow for growth You are working in an adolescent health center when a 15-yearold patient shares with you that she thinks she is pregnant and is worried that she may now have a sexually transmitted infection (STI). Her pregnancy test is negative. What is your next priority of care? Contact her parents to alert them of her need for birth control. Refer her to a primary health care provider to obtain a prescription for birth control. Counsel her on safe sex practices. Ask her to have her partner come to the clinic for STI testing. While working in the high-school clinic, one of the students tells you that she is worried about her friend who has started to refuse to participate in group activities, no longer cares about how she looks at school, and is not going to all of her classes. Your assessment of these symptoms may indicate that: She has just broken up with her boyfriend and time will heal all. You will need to observe her over time to see if symptoms persist. School may be too difficult for her right now. She may be at increased risk for suicide. Chapter 13 Questions With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of: 18. 20. 25. 30. The nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: Instructing him to return in 2 years. Instructing him in secondary prevention. Instructing him in health promotion activities. Implementing primary prevention with vaccines. When determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect the patient’s compliance with the regimen, including educational level and socioeconomic factors. Which additional factor affects compliance? Gender Lifestyle Motivation Family history A patient is laboring with her first baby, which is coming 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area to be a support person to be present during labor? Nurse Midwife Assistant Lay doula A single young adult female interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. She views these individuals as: Family. Siblings. Substitute parents. Alternative family structure. Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from: Lifestyle. Community. Family history. Personal hygiene habits. A 50-year-old woman has elevated cholesterol profile values that increase her cardiovascular risk factor. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of: Referral. Counseling. Health education Stress management techniques. A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a(n): Outpatient referral. Counseling technique. Health promotion activity. Stress-management technique. A 50-year-old male patient is seen in the clinic. He tells the nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse should assess for the following: Cardiovascular disease Depression Sexually transmitted infection Iron deficiency anemia Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of: The sandwich generation. The millennial generation. Generation X. Generation Y. Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) Alcohol abuse Pregnancy Unemployment Drug use Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI? Chlamydia Syphilis Gonorrhea Herpes zoster Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits? (Select all that apply.) Routine screening and diagnostic tests Unprotected sexual activity Regular exercise Excess alcohol consumption Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person’s roles and responsibilities during middle adulthood. When assessing the knowledge base of both the middle-age patient with a chronic illness and his family, the assessment should include which of the following? (Select all that apply.) The medical course of the illness The prognosis for the patient Coping mechanisms of the patient and family The need for community and social services A 45-year-old obese woman tells the nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman’s obesity? (Select all that apply.) The woman works in an executive position that is very demanding. The woman works out at the corporate gym at 5 am two mornings per week The woman says that she has little time to prepare meals at home and eats out at least four nights a week. The woman says that she tries to eat “low cholesterol” foods to help lose weight. Chapter 14 Questions A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient’s temperature was 37.1° C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient’s temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend? Tell the student that temporary confusion is normal and simply requires reorientation Tell the student to increase the patient’s fluid intake since the urine is concentrated Tell the student that her assessment findings are normal for an older adult Tell the student that he will notify the physician of the findings A patient’s family member is considering having her mother placed in a nursing center. You have talked with the family before and know that this is a difficult decision. Which of the following criteria would you recommend in choosing a nursing center? (Select all that apply.) The center should be clean, and rooms should look like a hospital room. There should be adequate staffing on all shifts. Social activities should be available for all residents. Three meals should be served daily with a set menu and serving schedule. Family involvement in care planning and assisting with physical care is necessary. A nurse has conducted an assessment of a new patient who has come to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the nursing history. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: Dementia. Depression. Delirium. Disengagement. A major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis could precipitate: Dementia. Delirium. Depression. Stroke. Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an older adult? When the sexual partner passes away, the survivor no longer feels sexual. A decrease in an older adult’s libido occurs. Any outward expression of sexuality suggests that the older adult is having a developmental problem. All older adults, whether healthy or frail, need to express sexual feelings. Older adults experience a change in sexual activity. Which best explains this change? The need to touch and be touched is decreased. The sexual preferences of older adults are not as diverse. Physical changes usually do not affect sexual functioning. Frequency and opportunities for sexual activity may decline. You see a 76-year-old woman in the outpatient clinic. Her chief complaint is vision. She states she has really noticed glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. You suspect that she may have: Presbyopia. Disengagement. Cataract(s). Depression. A nurse is caring for a patient preparing for discharge from the hospital the next day. The patient does not read and has a hearing loss. His family caregiver will be visiting before discharge. What can you do to facilitate the patient’s understanding of his discharge instructions? (Select all that apply.) Speak loudly so the patient can hear you. Sit facing the patient so he is able to watch your lip movements and facial expressions. Present one idea or concept at a time. Send a written copy of the instructions home with him and tell him to have the family review them. Include the family caregiver in the teaching session. Taste buds atrophy and lose sensitivity, and appetite may decrease. As a result, the older adult is less able to discern: Spicy and bland foods. Salty, sour, and bitter tastes. Hot and cold food temperatures. Moist and dry food preparations. Kyphosis, a change in the musculoskeletal system, leads to: Decreased bone density in the vertebrae and hips. Increased risk for pathological stress fractures in the hips. Changes in the configuration of the spine that affect the lungs and thorax. Calcification of the bony tissues of the long bones such as in the legs and arm. A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are your major concerns for this patient? (Select all that apply.) The loss of his work role The risk of social isolation A determination if the wife will need to start working How the wife expects household tasks to be divided in the home in retirement The age the patient chose to retire During a home health visit a nurse talks with a patient and his family caregiver about the patient’s medications. The patient has hypertension and renal disease. Which of the following findings places him at risk for an adverse drug event? (Select all that apply.) Taking two medications for hypertension Taking a total of eight different medications during the day. Having one physician who reviews all medications Patient’s health history Involvement of the caregiver in assisting with medication administration You are caring for an 80-year-old man who recently lost his wife. He shares with you that he has been drinking more than he ever did in the past and feels hopeless without his wife. He reports that he rarely sees his children and feels isolated and alone. This patient is at risk for: Dementia. Liver failure. Dehydration. Suicide. You are working with an older adult after an acute hospitalization. Your goal is to help this person be more in touch with time, place, and person. What might you try? Reminiscence Validation therapy Reality orientation Body image interventions A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable around 130/70. The patient does not exercise regularly and complains of weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient? (Select all that apply.) Presence of a chronic disease Impaired vision Residence design Blood pressure Leg weakness Exercise history Chapter 25 Questions A patient needs to learn to use a walker. Which domain is required for learning this skill? Affective domain Cognitive domain Attentional domain Psychomotor domain The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) When there are visitors in the room When the patient’s pain medications are working Just before lunch, when the patient is most awake and alert When the patient is talking about current stressors in his or her life A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse’s best plan in teaching this patient? Teach the patient’s spouse Focus on knowledge the patient will need in a few weeks Provide only the information that the patient needs to go home Convince the patient that learning about her health is necessary The school nurse is about to teach a freshman-level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes? Provide information using a lecture Use simple words to promote understanding Develop topics for discussion that require problem solving Complete an extensive literature search focusing on eating disorders A nurse is going to teach a patient how to perform breast self-examination. Which behavioral objective does the nurse set to best measure the patient’s ability to perform the examination? The patient will verbalize the steps involved in breast self-examination within 1 week. The nurse will explain the importance of performing breast self-examination once a month. The patient will perform breast self-examination correctly on herself before the end of the teaching session. The nurse will demonstrate breast self-examination on a breast model provided by the American Cancer Society. A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation? Telling approach Selling approach Entrusting approach Participating approach The nurse is teaching a parenting class to a group of pregnant adolescents. The nurse pretends to be the baby’s father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach did the nurse use? Role play Discovery An analogy A demonstration An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse: Speaks loudly. Presents the information once. Expects the patient to understand the information quickly. Allows the patient time to express himself or herself and ask questions. A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? Describing difficulties a family member has had in taking insulin Expressing the importance of learning the skill correctly Being able to see and understand the markings on the syringe Having the dexterity needed to prepare and inject the medication A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? Simulation Demonstration Group instruction One-on-one discussion When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? Telling Analogy Demonstration Simulation A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first? How to use an inhaler during an asthma attack The need to avoid people who smoke to prevent asthma attacks Where to purchase a medical alert bracelet that says she has asthma The importance of maintaining a healthy diet and exercising regularly A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing? Simulation Restoring health Coping with impaired function Health promotion and illness prevention A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of: A teaching plan. A learning objective. Reinforcement of content. Enhancing the children’s self-efficacy. A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages based on his blood sugar results. What type of learning is this? Cognitive Affective Adaptation Psychomotor Chapter 38 Questions A patient on bed rest for several days attempts to walk with assistance. He becomes dizzy and nauseated. His pulse rate jumps from 85 to 110 beats/min. These are most likely symptoms of which of the following? Rebound hypertension Orthostatic hypotension Dysfunctional proprioception. Central nervous system rebound hypotension Which action(s) are appropriate for the nurse to implement when a patient experiences orthostatic hypotension? (Select all that apply.) Call for assistance. Allow patient to sit down. Take patient’s blood pressure and pulse. Continue to ambulate patient to build endurance. If patient begins to faint, allow him to slide against the nurse’s leg to the floor. Which of the following best motivates a patient to participate in an exercise program? Giving a patient information on exercise Providing information to the patient when the patient is ready to change behavior Explaining the importance of exercise when a patient is diagnosed with a chronic disease such as diabetes Following up with instructions after the health care provider tells a patient to begin an exercise program Which of the following is a principle of proper body mechanics when lifting or carrying objects? Keep the knees in a locked position. Bend at the waist to maintain a center of gravity. Maintain a wide base of support. Hold objects away from the body for improved leverage. Which group of patients is at most risk for severe injuries related to falls? Adolescents Older adults Toddlers Young children A nurse plans to provide education to the parents of school-aged children and includes which of the following result of children being less physically active outside of school? An increase in obesity An increase in heart disease Higher computer literacy Improved school attendance and grades A nursing assistive personnel asks for help to transfer a patient who is 125 pounds (56.8 kg) from the bed to a wheelchair. The patient is unable to assist. What is the nurse’s best response? “As long as we use proper body mechanics, no one will get hurt.” “The patient only weighs 125 lb. You don’t need my assistance.” “Call the lift-team for additional assistance.” “The two of us can easily lift the patient.” You are transferring a patient who weighs 320 lb (145.5 kg) from his bed to a chair. The patient has an order for partial weight bearing as a result of bilateral reconstructive knee surgery. Which of the following is the best technique for transfer? Use a transfer board. Obtain a stand assist device. Implement a three-person carry. Use the ceiling-mounted lift. Which is the correct gait when a patient is ascending stairs on crutches? A modified two-point gait. The affected leg is advanced between the crutches to the stairs. A modified three-point gait. The unaffected leg is advanced between the crutches to the stairs. A swing-through gait. A modified four-point gait. Both legs advance between the crutches to the stairs. A patient recovering from bilateral knee replacements is prescribed bilateral partial weight bearing. You reinforce crutch walking knowing that which of the following crutch gaits is most appropriate for this patient? Two-point gait Three-point gait Four-point gait Swing-through gait (The two-point gait requires at least partial weight bearing on each foot (see Fig. 38-12). The patient moves a crutch at the same time as the opposing leg, so that the crutch movements are similar to arm motion during normal walking.) A patient with a right knee replacement is prescribed no weight bearing on the right leg. You reinforce crutch walking knowing that which of the following crutch gaits is most appropriate for this patient? Two-point gait Three-point gait Four-point gait Swing-through gait (Three-point alternating, or three-point, gait requires the patient to bear all of the weight on one foot. In a three-point gait, the patient bears weight on both crutches and then on the uninvolved leg, repeating the sequence) A patient on week-long bed rest is now performing isometric exercises. Which nursing diagnosis best addresses the safety of this patient? Disturbed thought processes Impaired skin integrity Disturbed body image Risk for activity intolerance Which of the following activities does the nurse delegate to nursing assistive personnel in regard to crutch walking? (Select all that apply.) Notify nurse if patient reports pain before, during, or after exercise. Notify nurse of patient complaints of increased fatigue, dizziness, light-headedness when obtaining vital signs before and/or after exercise. Notify nurse of vital sign values. Evaluate the patient’s ability to use crutches properly. Prepare the patient for exercise by assisting in dressing and putting on shoes. Select statements that apply to the proper use of a cane. (Select all that apply.) For maximum support when walking, the patient places the cane forward 15 to 25 cm (6 to 10 inches), keeping body weight on both legs. The weaker leg is moved forward to the cane so body weight is divided between the cane and the stronger leg. A person’s cane length is equal to the distance between the elbow and the floor. Canes provide less support than a walker and are less stable. The patient needs to learn that two points of support such as both feet or one foot and the cane need to be present at all times. A patient is discharged after an exacerbation of chronic obstructive pulmonary disease (COPD). She states, “I’m afraid to go to pulmonary rehabilitation.” What is your best response? Pulmonary rehabilitation provides a safe environment for monitoring your progress. You have to participate or you will be back in the hospital. Tell me more about your concerns with going to pulmonary rehabilitation. The staff at our pulmonary rehabilitation facility are professionals and will not cause you any harm. Chapter 44 Questions Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching? I need to stop eating red meat. I will increase the servings of fruit juice to four a day. I will make sure that I eat a balanced diet and exercise regularly. Correct I will not eat so many dark green vegetables and eat more yellow vegetables. The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair? Fat Protein Vitamin Carbohydrate The nurse is caring for a patient experiencing dysphagia. Which interventions help decrease the risk of aspiration during feeding? (Select all that apply.) Sit the patient upright in a chair. Give liquids at the end of the meal. Place food in the strong side of the mouth. Provide thin foods to make it easier to swallow. Feed the patient slowly, allowing time to chew and swallow. Encourage patient to lie down to rest for 30 minutes after eating. The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What action does the nurse need to take first? Raise head of bed to 90 degrees Turn patient to left lateral decubitus position Notify health care provider immediately Have patient perform the Valsalva maneuver Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube? Placing an order for x-ray film examination to check position Confirming the distal mark on the feeding tube after taping Testing the pH of the gastric contents and observing the color Auscultating over the gastric area as air is injected into the tube Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the presence of which bacteria when reviewing the laboratory data for a patient suspected of having PUD? Micrococcus Staphylococcus Corynebacterium Helicobacter pylori The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which assessment findings need further intervention? Gastric pH of 4.0 during placement check Weight gain of 1 pound over the course of a week Active bowel sounds in the four abdominal quadrants Gastric residual aspirate of 350 mL for the second consecutive time The home care nurse is seeing the following patients. Which patient is at greatest risk for experiencing inadequate nutrition? A 55-year-old obese man recently diagnosed with diabetes mellitus A recently widowed 76-year-old woman recovering from a mild stroke A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery A 46-year-old man recovering at home following coronary artery bypass surgery Which statement made by a patient of a 2-month-old infant requires further education? I’ll continue to use formula for the baby until he is a least a year old. I’ll make sure that I purchase iron-fortified formula. I’ll start feeding the baby cereal at 4 months. I’m going to alternate formula with whole milk starting next month. The nurse is teaching a program on healthy nutrition at the senior community center. Which points should be included in the program for older adults? (Select all that apply.) Avoid grapefruit and grapefruit juice, which impair drug absorption. Increase the amount of carbohydrates for energy. Take a multivitamin that includes vitamin D for bone health. Cheese and eggs are good sources of protein. Limit fluids to decrease the risk of edema. The nurse sees the nursing assistive personnel (NAP) perform the following for a patient receiving continuous enteral feedings. What intervention does the nurse need to address immediately with the NAP? The NAP: Fastens the tube to the gown with tape. Places the patient supine while giving a bath. Performs oral care for the patient. Elevates the head of the bed 45 degrees. The patient receiving total parenteral nutrition (TPN) asks the nurse why his blood glucose is being checked since he does not have diabetes. What is the best response by the nurse? TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range. The high concentration of dextrose in the TPN can give you diabetes; thus you need to be monitored closely. Monitoring your blood glucose level helps to determine the dose of insulin that you need to absorb the TPN. Checking your blood glucose level regularly helps to determine if the TPN is effective as a nutrition intervention. CHAPTER 17 1. Which one of the following is an example of the emotional component of wellness? 1. The client chooses healthy foods. 2. A new father decides to take parenting classes. 3. A client expresses frustration with her partner's substance abuse. A widow with no family decides to join a bowling league. Which individual appears to have "taken on" the sick role? 1. An obese client states, "I deserve to have a heart attack." 2. A mother is ill and says, "I won't be able to make your lunch today." 3. A man with low back pain misses several physical therapy appointments. 4. An older adult states, "My horoscope says I will be well again." Because a client recently diagnosed with diabetes mellitus is confident that blood sugar control can be improved with diet and exercise alone, and recently checked out a video on the management of diabetes at the HMO education center, the client's actions are most representative of which model? 1. Health belief model 2. Clinical model 3. Role performance model 4. Agent-host-environment model . Because a client with human immunodeficiency virus (HIV) is scheduled to begin several medications to manage the infection, the nurse will need to provide client education. Which client characteristics are most likely to predict adherence with the treatment program? Select all that apply. 1. Educational level 2. A trusting relationship with the health care provider 3. An expectation that the medications will be helpful 4. Being able to take the medications twice daily instead of four times daily 5. Sex . Which one of the following might be the BEST way to measure adherence to a prescribed medication regime? 1. Direct observation of medication administration 2. Evidence of illness complications or exacerbations 3. Monitoring laboratory values of elements influenced by the medication 4. Questioning the client about his or her medication routine . Which of the following is least likely to influence a client's personal definition of health/wellness? 1. The client's ability to perform his or her usual activities 2. The cultural traditions the client uses in everyday life 3. The availability and accessibility of health care services appropriate for the client's health condition 4. The medical diagnostic terminology used to describe the client's signs and symptoms . Which of the following is an internal variable affecting health status, beliefs, or practices? 1. Living situation 2. Socioeconomic status 3. Family structure 4. Genetics . A client recently diagnosed with a chronic illness asks for help in understanding the term chronic. It would be correct for the nurse to say which of the following? 1. Symptoms are always less severe than with an acute illness. 2. Chronic illnesses are considered incurable. 3. Signs and symptoms of chronic illnesses tend to be stable for many years. 4. Chronic illnesses have no effective treatments. . Although not every client progresses in order through each stage, what is the usual sequence in Suchman's stages of illness? 1. The client makes contact with medical care. 2. The client goes into rehabilitation/recovery. 3. Signs and symptoms appear. 4. The client takes on the dependent role. 5. The client takes on the sick role. . A married mother of three small children has frequent immobilizing headaches of unknown cause. The nurse anticipates that the woman may have which of the following possible reactions? Select all that apply. 1. She feels guilty when unable to perform her usual activities. 2. She is angry and acting out. 3. She shifts some responsibilities to the spouse. 4. She takes on a job to help pay for the medical expenses. 5. She has fewer social interactions with her friends. CHAPTER 21 The parent of an 8-month-old girl who has been admitted to the hospital with pneumonia is worried about the infant having sudden infant death syndrome (SIDS). The parent stated that "My sister's baby died at the age of 2 months and all he had was a little cold." Which is the nurse's best response? 1. "You don't need to worry. Your daughter is too old for SIDS." 2. "Girls are less likely to have SIDS than boys are." 3. "We don't know what causes SIDS, so I would try not to worry about it." 4. "You must be very anxious; let's talk about SIDS and what you are thinking." . Four-year-old Angie, whose grandmother recently died, tells the nurse, "My grandma has wings just like angels. She flew to heaven yesterday and tomorrow she'll be back." Which is the nurse's best response? 1. "She's not coming back, honey." 2. "It is normal for a little one to make believe." 3. "You must miss your grandma a lot." 4. "When people get old they die." . Because near-drowning is one of the leading causes of vegetative state in young children, which is the best instruction for the nurse to teach parents? 1. Supervise children at all times when near any source of water. 2. Enroll children in swimming classes at an early age to ensure water safety. 3. Make bathroom doors and toilets easily accessible and appropriate for a toddler's size. 4. Allow unsupervised play only in "kiddy pools" designated for young children. . Which statement most accurately describes physical development during the school-age years? 1. Child's weight almost triples. 2. Child acquires stereognosis. 3. Few physical changes occur during middle childhood. 4. Fat gradually increases, which contributes to the child's heavier appearance. . Females experience an increase in weight and fat deposition during puberty. Which nursing action is most appropriate to this age group? 1. Give reassurance that these changes are normal. 2. Suggest dietary measures to control weight gain. 3. Recommend increased exercise to control weight gain. 4. Encourage low-fat diet to prevent fat deposition. A night shift nurse notices that a postpartum (after delivery of a baby) client is crying and rubbing her baby's head. The mother states, "Look how lopsided my little Sam's head is. It is all my fault. My mom told me that I should have laid down more instead of sitting. Now, Sam's head is all smashed and funny looking." Which is the best response by the nurse? 1. "Do you mean to tell me that your mother told you that? Are you serious?" 2. "The head is soft and changed shapes as it moved through the birth canal." 3. "I will provide you with materials to read that will clear that up for you." 4. "There is no need to cry. His head will return to normal in a few days." During a physical examination a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child? 1. The child is displaying normal toddler development. 2. The child needs further psychological evaluation. 3. The child is manipulative and should be taken from the parent to be examined. 4. The child is showing signs of regression. After falling off playground equipment, a 5-year-old is brought to the emergency department with a broken arm. The parents ask for ways to keep her occupied while wearing the cast. Which is the best response by the nurse? 1. "You will need to talk to the primary care provider about this." 2. "Let her watch television or do puzzles and other quiet games." 3. "Activities that do not involve the use of the arm or risk damage to the cast are okay." 4. "She can ride a bike, jump rope, or play with friends if you watch her closely." According to Piaget's theory of cognitive development, the movement from intuitive reasoning to logical reasoning in school-age children is called the concrete operations phase. Which is an example of this phase? 1. A science-fair project comparing how fast different objects fall from a set height 2. Feeling responsible for wishing that a sibling would go away, and now that sibling is ill and hospitalized 3. Understanding how geometric figures might fit into a futuristic and idealistic world 4. Learning to ride a bike . Parents ask the nurse how they will know that their daughter has reached puberty. Which is the best response by the nurse? 1. "The first noticeable sign of puberty in females is appearance of the breast bud." 2. "The growth spurt usually begins between ages 10 and 14." 3. "The apocrine glands, found over most of the body, begin to produce sweat." 4. "The adolescent will display significant mood swings." CHAPTER 22 . Because a 45-year-old woman is worried that she still has regular menstrual periods, she asks about menopause. Which answer by the nurse is most appropriate? 1. "Regular menses in a 45-year-old woman should be promptly evaluated by a gynecologist." 2. "Although you continue to have menstrual periods, you are unlikely to become pregnant." 3. "It is common for women to experience menopause in their late 40s." 4. "Many women dread menopause because it is an unpleasant experience." . A nurse is planning a teaching session on a wellness topic. Which adult generation group would be most likely to be skeptical about health teaching by the nurse? 1. Baby boomer 2. Generation X 3. Generation Y 4. Millennial The routine physical examination of a female client between the ages of 25 and 64 is most likely to reveal that the client has which type of cancer? 1. Cervical cancer 2. Lymphoma 3. Lung cancer 4. Colon cancer The nurse is planning an educational program on sexually transmitted infections (STIs) for young adults. Which topic should be given priority? 1. Syphilis 2. HIV 3. Gonorrhea 4. Chlamydia Which statement about moral development in adults is the most correct? 1. Moral development is completed during adolescence. 2. Moral development continues throughout adulthood. 3. Moral development is highly individualized. 4. Moral development correlates to spiritual development. If the nurse were assessing the status of a middle-aged client's psychosocial development, which activity should be the focus? 1. Selecting a life partner 2. Balancing the needs of others 3. Reviewing one's life course 4. Establishing a sense of self The nurse is developing a health promotion teaching plan for a community group of middle-aged adults. Information about which immunizations should be included? 1. Pneumococcal, meningococcal 2. Pertussis, influenza, meningococcal 3. Influenza, pneumococcal 4. Meningococcal, pertussis When planning a screening program for cardiovascular disease in the middle-aged adult, the nurse has limited funds and decides to address which significant elements? Select all that apply. 1. Blood pressure measurement 2. Electrocardiogram 3. Cholesterol measurement 4. Sexual performance 5. Activity level A woman comes into the emergency department with multiple bruises about the face and head. The nurse suspects that IPV may be related to the injuries. What is the most appropriate action for the nurse to take at this time? 1. Ask the person if she is afraid of someone at home who is hurting her. 2. Refer the person to a shelter for battered women. 3. Call a social worker to assess the person for IPV. 4. Document the concern in the chart, but do nothing else. The nurse is completing a health history on a 24-year-old male. Which activity is the best indicator of appropriate psychosocial development? 1. Creating a scrapbook of his life experiences 2. Joining the board of directors for three charities 3. Decorating his new apartment 4. Attending seminars on choosing a career CCHAPTER 23 The nurse provides care for an older adult whose husband died 8 months ago. Which of the following behaviors indicates that the client is experiencing effective coping? Select all that apply. 1. Shows the nurse photographs of her family 2. Refuses to keep her beauty appointments 3. Visits her husband's grave every 2 weeks 4. Attends church on a regular basis 5. Increases her consumption of alcohol A nurse in a long-term care facility is caring for several older adults with noticeable hearing losses. Which is the best way for the nurse to communicate with these clients? 1. Speak slowly using the proper volume and as few words as possible. 2. Write the information using large lettering. 3. Speak in a low and distinct voice tone. 4. Have the client increase the volume in the hearing aid. The nurse observes that an 85-year-old man at an adult day care center fondly shares stories about traveling on the "orphan trains" and his subsequent adoption. Following a behavioral assessment, the nurse should perform which interventions? 1. Refer him for a geriatric psychiatric evaluation. 2. Listen and ask him questions about his life. 3. Distract him and change the conversation. 4. Involve him in more social activities. The home health nurse evaluates an older adult for depression. The client's daughter is present and comments, "I don't see the need for this evaluation. Aren't all older people depressed?" Which is the nurse's best initial response? 1. "How many losses has your mother had?" 2. "Your mother looks so depressed." 3. "How long has she been depressed?" 4. "Depression is not a normal part of aging." While being admitted to a rehabilitation unit, an 82-year-old woman mentions to the nurse that she "has trouble holding her water," adding "if I could have that tube back in me like I had in the hospital, I wouldn't have so many accidents." What is the nurse's best response? 1. "Don't worry, the staff will bring plenty of pads to keep you dry." 2. "I'll put the tube back in you so you will stay dry." 3. "Tell me more about your problem." 4. "Just call the staff and we'll help you to the bathroom in time." The nurse notices that when an 80-year-old man rises from a seated position, the client uses both arms to push himself up, and also "rocks" back and forth before finally standing. What is the most appropriate nursing intervention for this client? 1. Suggest a referral to physical therapy for strengthening exercises. 2. Request a waist restraint to remind the client not to stand by himself. 3. Praise the client for his attempts to remain independent. 4. Assist the client to rise by grasping both his shoulders and pulling forward. A healthy 78-year-old woman who is considering marriage to a healthy 79-year-old neighbor tells the nurse that she wonders if they will be able to have sexual intercourse. Which is the nurse's most appropriate response? 1. "Sexual activity may be too demanding for your heart." 2. "Older women maintain sexual function, but most older men are impotent." 3. "Most older people are not interested in sexual activity." 4. "Both of you may have slower responses to sexual stimulation." The client complains of having difficulty clearly seeing the words in the newspaper unless he holds the newspaper an arm's length away. The nurse uses which terminology to document this assessment? 1. Presbycusis 2. Xerostomia 3. Presbyopia 4. Presbyesophagus The nursing student is planning care for an older adult who had a total knee replacement yesterday evening. Which nursing intervention would be most appropriate? 1. Ask the client how much of his bath he can independently perform. 2. Ask the client if he has any questions regarding discharge from the hospital. 3. Tell the client that he needs to decide when he wants his medications. 4. Tell the client that he needs to rest and will be given a complete bed bath. A 76-year-old woman with dementia lives in an assisted living facility and often asks, "When will my sister come to visit me this afternoon?" The sister passed away last year. Which is the best response from the nurse? 1. "This is so sad. I'm sorry to tell you but your sister died last year." 2. "She won't be coming to visit today." 3. "I understand you want her to visit you. Where did you and your sister grow-up?" 4. "Wait and see if she comes to visit today." CHAPTER 27 Which learning activity reflects Bloom's affective domain? 1. Administering an injection 2. Accepting the loss of a limb 3. Inserting a catheter 4. Learning how to read Which is the best method of helping a client newly diagnosed with diabetes to learn the dietary requirements associated with the disease? 1. Provide a videotape that addresses the dietary requirements associated with the disease. 2. Ask a nutritionist to visit the client to present information and handouts about the diabetic diet. 3. Ask the client to make a list of her favorite foods and how to work them into her diet. 4. Have the client attend a group meeting for clients with diabetes to discuss their adaptation to this chronic health condition. A nurse is scheduling a teaching situation. Which client is most ready to learn? 1. A 45-year-old man whose doctor just informed him that he has cancer 2. A 3-year-old child whose parents are reading a story book about going to the hospital 3. A 60-year-old female who received medication 5 minutes ago for relief of abdominal pain 4. A 70-year-old man, recovering from a stroke, who has returned from physical therapy How can the nurse best assess a client's style of learning? 1. Ask the client how he or she learns best. 2. Use a variety of teaching strategies. 3. Observe the client's interactions with others. 4. Ask family members. A 74-year-old client who takes multiple medications tells the nurse, "I have no idea what that little yellow pill is for." What is the best nursing diagnosis for this client? 1. Deficient Knowledge 2. Health-Seeking Behavior 3. Deficient Knowledge (Medication Information) 4. Noncompliance A client is scheduled to have a diagnostic procedure. Which questions by the nurse will most likely produce a "teachable moment"? Select all that apply. 1. "Have you ever had this procedure before?" 2. "What are your concerns about this procedure?" 3. "What would you like to know about the procedure?" 4. "Are you prepared for this procedure?" 5. "What have you heard or read about the procedure?" A client needs to learn to self-administer insulin injections. Which statements reflect possible low literacy skills? Select all that apply. 1. "I will read the information later—I'm too tired right now." 2. "I've watched my brother give his own shots. I know how to do it." 3. "Just show my wife." 4. "Do you have a video showing how I should give myself the shot?" 5. "I don't understand this one section in the handout." A primary care provider admitted a client experiencing hypertensive crisis because of the failure to take his prescribed medications. To determine learning needs, which client assessment by the nurse would have the highest priority? 1. Age 2. Perception of the effects of hypertension 3. Ability to purchase needed medications 4. Support system A client has a learning outcome of "Select foods that are low in fat content." Which statement reflects that the client has met this learning outcome? 1. "I understand the importance of maintaining a low-fat diet." 2. "I feel better about myself now." 3. "See how I revised my favorite recipe to be lower in fat." 4. "Since changing my diet, my husband is also losing weight." A client's learning outcome is "Client will verbalize medication name, purpose, and appropriate precautions." Which documented statement reflects evidence of learning? 1. Taught name, purpose, and precautions for the new cardiac medication; seemed to understand. 2. Written information about the medication provided and reviewed; correct responses were given to follow-up questions. 3. Written information read to client; stated he would read it when he got home. 4. Asked questions about the new cardiac medication; satisfied with the information. 1. To increase stability during client transfer, the nurse increases the base of support by performing which action? 1. Leaning slightly backward 2. Spacing the feet farther apart 3. Tensing the abdominal muscles 4. Bending the knees 2. Isotonic exercises such as walking are intended to achieve which of the following? Select all that apply. 1. Increase muscle tone and improve circulation 2. Increase blood pressure 3. Increase muscle mass and strength 4. Decrease heart rate and cardiac output 5. Maintain joint range of motion 3. Five minutes after the client's first postoperative exercise, the client's vital signs have not yet returned to baseline. Which is an appropriate nursing diagnosis? 1. Activity Intolerance 2. Risk for Activity Intolerance 3. Impaired Physical Mobility 4. Risk for Disuse Syndrome 4. Which statement from a client with one weak leg regarding use of crutches when using stairs indicates a need for increased teaching? 1. "Going up, the strong leg goes first, then the weaker leg with both crutches." 2. "Going down, the weaker leg goes first with both crutches, then the strong leg." 3. "The weaker leg always goes first with both crutches." 4. "A cane or single crutch may be used instead of both crutches if held on the weaker side." 5. A nurse is teaching a client about active range-of-motion (ROM) exercises. The nurse then watches the client demonstrate these principles. The nurse would evaluate that teaching was successful when the client does which of the following? 1. Exercises past the point of resistance 2. Performs each exercise one time 3. Performs each series of exercises once a day 4. Uses the same sequence during each exercise session 6. When assessing a client's gait, which does the nurse look for and encourage? 1. The spine rotates, initiating locomotion. 2. Gaze is slightly downward. 3. Toes strike the ground before the heel. 4. Arm on the same side as the swing-through foot moves forward at the same time. 7. Performance of activities of daily living (ADLs) and active range-of-motion (ROM) exercises can be accomplished simultaneously as illustrated by which of the following? Select all that apply. 1. Elbow flexion with eating and bathing 2. Elbow extension with shaving and eating 3. Wrist hyperextension with writing 4. Thumb ROM with eating and writing 5. Hip flexion with walking 8. A client weighs 250 pounds and needs to be transferred from the bed to a chair. Which instruction by the nurse to the unlicensed assistive personnel (UAP) is most appropriate? 1. "Using proper body mechanics will prevent you from injuring yourself." 2. "You are physically fit and at lesser risk for injury when transferring the client." 3. "Use the mechanical lift and another person to transfer the client from the bed to the chair." 4. "Use the back belt to avoid hurting your back." 9. The client is ambulating for the first time after surgery. The client tells the nurse, "I feel faint." Which is the best action by the nurse? 1. Find another nurse for help. 2. Return the client to her room as quickly as possible. 3. Tell the client to take rapid, shallow breaths. 4. Assist the client to a nearby chair. 10. The nurse is performing an assessment of an immobilized client. Which assessment causes the nurse to take action? 1. Heart rate 86 2. Reddened area on sacrum 3. Nonproductive cough 4. Urine output of 50 mL/hour Which of the following nursing diagnoses is most appropriate for a client with a body mass index (BMI) of 35? 1. Imbalanced Nutrition: Less Than Body Requirements 2. Imbalanced Nutrition: More Than Body Requirements 3. Risk for Imbalanced Nutrition 4. Deficient Knowledge An adult reports usually eating the following each day: 3 cups dairy, 2 cups fruit, 2 cups vegetables, 5 ounces grains, and 5 ounces meat. The nurse would counsel the client to: 1. Maintain the diet; the servings are adequate. 2. Increase the number of servings of dairy. 3. Decrease the number of servings of vegetables. 4. Increase the number of servings of grains. Which of the following are allowed on a full liquid diet? Select all that apply. ___________ 1. Scrambled eggs _____x______ 2. Chocolate pudding ______x_____ 3. Tomato juice _____x______ 4. Hard candy ___________ 5. Mashed potatoes ______x_____ 6. Cream of Wheat cereal ___________ 7. Oatmeal cereal ______x_____ 8. Fruit "smoothies" What is the best indication of proper placement of a nasogastric tube in the stomach? 1. Client is unable to speak. 2. Client gags during insertion. 3. pH of the aspirate is less than 5. 4. Fluid is easily instilled into the tube. What is the proper technique with gravity tube feeding? 1. Feeding bag is hung 1 foot higher than the tube's insertion point into the client. 2. Nurse administers the next feeding only if there is less than 25 mL of residual volume from the previous feeding. 3. Place client in the left lateral position. 4. Feeding is administered directly from the refrigerator. A 55-year-old female is about 20 lb over her desired weight. She has been on a "low-calorie" diet with no improvement. Which statement reflects a healthy approach to the desired weight loss? "I need to: 1. Increase my exercise to at least 30 minutes every day." 2. Switch to a low-carbohydrate diet." 3. Keep a list of my forbidden foods on hand at all times." 4. Buy more organic and less processed foods." An older Asian client has mild dysphagia from a recent stroke. The nurse plans the client's meals based on the need to: 1. Have at least one serving of thick dairy (e.g., pudding, ice cream) per meal. 2. Eliminate the beer usually ingested every evening. 3. Include as many of the client's favorite foods as possible. 4. Increase the calories from lipids to 40%. Two months ago a client weighed 195 pounds. The current weight is 182 pounds. Calculate the client's percent weight loss and determine its significance. 1. ___6.7________ % weight loss 2. ___________ Not significant 3. ___________ Significant weight loss 4. ____x_______ Severe weight loss Which of the sites on the diagram below indicates the correct location for the tip of a small-bore nasally placed feeding tube? 2 Which of the following meals would the nurse recommend to the client as highest in calcium, iron, and fiber? 1. 3 ounces cottage cheese with 1/3 cup raisins and 1 banana 2. 1/2 cup broccoli with 3 ounces chicken and 1/2 cup peanuts 3. 1/2 cup spaghetti with 2 ounces ground beef and 1/2 cup lima beans plus 1/2 cup ice cream 4. 3 ounces tuna plus 1 ounce cheese sandwich on whole-wheat bread plus a pear [Show More]

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