Nurs 600 Module 7 Exam Questions With Complete
Solutions
.
A nurse is following a plan of care for an older client who is
being admitted to a long-term care facility. Which intervention
should the nurse expect to be included in the plan of care to help
maintain an appropriate bowel elimination pattern? Correct
Answer Providing cooked fruits such as prunes or apricots
A cleansing enema is prescribed for an adult client. The nurse
understands that which is the maximal volume of fluid that can
be administered? Correct Answer 1000 ml
A clear liquid diet has been prescribed for client who has just
undergone surgery. Which foods should the nurse offer to the
client? Correct Answer Apple juice
Chicken broth
Orange gelatin
A client about to undergo surgery is instructed in postoperative
pain relief measures is asked whether he would like to use a
patient-controlled analgesia (PCA) pump. The client asks the
nurse to describe the pump. The nurse should provide the client
with which information? Correct Answer The client
administers his own medication by pressing a control button
A client arrives at the urgent care center after sustaining an
ankle injury, and the health care provider prescribes the
,application of a cold compress to the ankle. The nurse, preparing
to apply the compress, examines the ankle and notes that it is
extremely edematous. The nurse should take which action?
Correct Answer Consult with the HCP before applying the cold
compress
Cold is usually contraindicated if the site of injury is extremely
edematous because it further retards circulation to the area and
prevents absorption of the interstitial fluid. For this reason,
applying the cold compress to the ankle and elevating the ankle
and placing a cold compress under and on top of the ankle are
both incorrect. The nurse would not place heat on an injury
without a prescription to do so. The nurse would consult with
the HCP about the prescription for cold application.
A client asks a nurse about complementary and alternative
measures to promote sleep. What does the nurse suggest?
Correct Answer Muscle relaxation techniques
A client has a serum sodium level of 151 mEq/L, and the nurse
provides instruction regarding foods to avoid. Which menu
choice by the client indicates to the nurse that the client needs
further instruction? Correct Answer American cheese
A client has been found to have a bladder infection. When
planning care, which area of dysfunction would cause the nurse
to monitor the client most closely for signs of a kidney
infection? Correct Answer The ureterovesical junction
The ureterovesical junction is the point where the ureters enter
the bladder. At this junction, the ureter runs obliquely for 1.5 to
,2 cm through the bladder wall before opening into the bladder.
This pathway prevents the reflux of urine back into the ureter, in
essence acting as a valve to prevent urine from traveling back
into the ureter and up to the kidney. The urethra extends from
the bladder to the opening of the body where urine is excreted.
The nephrons and glomeruli are located in the kidneys.
A client has been placed in Buck's extension traction. The nurse
can provide counter traction to reduce shear and friction by
implementing which measure? Correct Answer Slightly
elevating the foot of the bed
In Buck's extension traction, the counter traction is typically
applied with the use of the client's body and may be augmented
through elevation of the foot of the bed. Usually the foot of the
bed is elevated on blocks or the bed is put in the Trendelenburg
position. For counter traction to be maintained, it is essential that
the client not slide down in the bed. Therefore the use of the
high Fowler position is discouraged. A footboard is not used for
the purpose of counter traction.
A client has been told to apply cold packs to a knee injury, and
the client asks the nurse how this will help the injury. The nurse
explains that a cold pack has which action? Correct Answer
Reduces blood flow to the extremity
A client is found to have ulcerative colitis, and the nurse
provides instructions to the client about the diet that should be
followed while the disease is in remission. Which menu
selection by the client indicates to the nurse that the client best
understands the instructions? Correct Answer Boiled Potatoes
, During remission, the client must avoid intestinal stimulants
such as alcohol, caffeinated beverages, high-fat foods, gas-
forming foods, milk products, and foods such as raw fruits and
some vegetables, that are very high in fiber. Vitamins and iron
supplements may be prescribed.
A client is receiving intravenous meperidine hydrochloride as
prescribed. For which side/adverse effects does the nurse assess
the client while the clientis receiving this medication? Correct
Answer Tachycardia
Hypotension
Mental clouding
Side/adverse effects of meperidine hydrochloride include
respiratory depression, orthostatic hypotension, tachycardia,
drowsiness and mental clouding, constipation, and urine
retention.
A client is resuming eating after undergoing partial gastrectomy.
What measures should the nurse tell the client to take to
minimize the risk of complications? Correct Answer Drinking
liquids with meals
A client recovering from acute renal failure is being discharged
home. The nurse knows that the client understands the
therapeutic dietary regimen when the client states that he will
plan to eat foods that are low in which nutrient? Correct Answer
potassium
Solutions
.
A nurse is following a plan of care for an older client who is
being admitted to a long-term care facility. Which intervention
should the nurse expect to be included in the plan of care to help
maintain an appropriate bowel elimination pattern? Correct
Answer Providing cooked fruits such as prunes or apricots
A cleansing enema is prescribed for an adult client. The nurse
understands that which is the maximal volume of fluid that can
be administered? Correct Answer 1000 ml
A clear liquid diet has been prescribed for client who has just
undergone surgery. Which foods should the nurse offer to the
client? Correct Answer Apple juice
Chicken broth
Orange gelatin
A client about to undergo surgery is instructed in postoperative
pain relief measures is asked whether he would like to use a
patient-controlled analgesia (PCA) pump. The client asks the
nurse to describe the pump. The nurse should provide the client
with which information? Correct Answer The client
administers his own medication by pressing a control button
A client arrives at the urgent care center after sustaining an
ankle injury, and the health care provider prescribes the
,application of a cold compress to the ankle. The nurse, preparing
to apply the compress, examines the ankle and notes that it is
extremely edematous. The nurse should take which action?
Correct Answer Consult with the HCP before applying the cold
compress
Cold is usually contraindicated if the site of injury is extremely
edematous because it further retards circulation to the area and
prevents absorption of the interstitial fluid. For this reason,
applying the cold compress to the ankle and elevating the ankle
and placing a cold compress under and on top of the ankle are
both incorrect. The nurse would not place heat on an injury
without a prescription to do so. The nurse would consult with
the HCP about the prescription for cold application.
A client asks a nurse about complementary and alternative
measures to promote sleep. What does the nurse suggest?
Correct Answer Muscle relaxation techniques
A client has a serum sodium level of 151 mEq/L, and the nurse
provides instruction regarding foods to avoid. Which menu
choice by the client indicates to the nurse that the client needs
further instruction? Correct Answer American cheese
A client has been found to have a bladder infection. When
planning care, which area of dysfunction would cause the nurse
to monitor the client most closely for signs of a kidney
infection? Correct Answer The ureterovesical junction
The ureterovesical junction is the point where the ureters enter
the bladder. At this junction, the ureter runs obliquely for 1.5 to
,2 cm through the bladder wall before opening into the bladder.
This pathway prevents the reflux of urine back into the ureter, in
essence acting as a valve to prevent urine from traveling back
into the ureter and up to the kidney. The urethra extends from
the bladder to the opening of the body where urine is excreted.
The nephrons and glomeruli are located in the kidneys.
A client has been placed in Buck's extension traction. The nurse
can provide counter traction to reduce shear and friction by
implementing which measure? Correct Answer Slightly
elevating the foot of the bed
In Buck's extension traction, the counter traction is typically
applied with the use of the client's body and may be augmented
through elevation of the foot of the bed. Usually the foot of the
bed is elevated on blocks or the bed is put in the Trendelenburg
position. For counter traction to be maintained, it is essential that
the client not slide down in the bed. Therefore the use of the
high Fowler position is discouraged. A footboard is not used for
the purpose of counter traction.
A client has been told to apply cold packs to a knee injury, and
the client asks the nurse how this will help the injury. The nurse
explains that a cold pack has which action? Correct Answer
Reduces blood flow to the extremity
A client is found to have ulcerative colitis, and the nurse
provides instructions to the client about the diet that should be
followed while the disease is in remission. Which menu
selection by the client indicates to the nurse that the client best
understands the instructions? Correct Answer Boiled Potatoes
, During remission, the client must avoid intestinal stimulants
such as alcohol, caffeinated beverages, high-fat foods, gas-
forming foods, milk products, and foods such as raw fruits and
some vegetables, that are very high in fiber. Vitamins and iron
supplements may be prescribed.
A client is receiving intravenous meperidine hydrochloride as
prescribed. For which side/adverse effects does the nurse assess
the client while the clientis receiving this medication? Correct
Answer Tachycardia
Hypotension
Mental clouding
Side/adverse effects of meperidine hydrochloride include
respiratory depression, orthostatic hypotension, tachycardia,
drowsiness and mental clouding, constipation, and urine
retention.
A client is resuming eating after undergoing partial gastrectomy.
What measures should the nurse tell the client to take to
minimize the risk of complications? Correct Answer Drinking
liquids with meals
A client recovering from acute renal failure is being discharged
home. The nurse knows that the client understands the
therapeutic dietary regimen when the client states that he will
plan to eat foods that are low in which nutrient? Correct Answer
potassium
