Basic Care and Comfort Questions With Complete Solutions
A 7-year-old client is prescribed a clear liquid diet by the
healthcare provider after tonsillectomy. What nutrition will the
nurse give the child? Select all that apply. Correct Answers
lime gelatin
apple juice
chicken broth
A child has a nasogastric (NG) tube inserted by the nurse to
administer a continuous feeding. Which actions should the nurse
take before starting the NG feeding on the child? Select all that
apply. Correct Answers Verify the physician's order.
Check placement of the NG tube.
Assess for bowel sounds.
Verifying the order, checking the placement of the NG tube, and
assessing bowel sounds are necessary before initiating an NG
feeding. Formula should not be heated in the microwave and no
more than a 4-hour supply should be hung to prevent the growth
of microorganisms.
A child is prescribed amoxicillin for otitis media. What should
the nurse recommend the mother do when the child develops
diarrhea? Correct Answers Offer yogurt several times a day.
A child with cystic fibrosis has been admitted to the pediatric
unit. What type of diet should the nurse request for the client?
Correct Answers high-calorie, high-protein
,A client admitted with acute pyelonephritis now reports having a
severe migraine, but declines PRN analgesics. What should the
nurse discuss with this client? Select all that apply. Correct
Answers Ask the client which migraine treatments are helpful
when at home.
Alternative therapies such as relaxation or music can help.
A client complains of abdominal discomfort and nausea while
receiving tube feedings. Which intervention is most appropriate
for this problem? Correct Answers Stop the feedings and check
for residual volume.
Complaints of abdominal discomfort and nausea are common in
clients receiving tube feedings. Stopping the feeding and
checking for residual volume helps assess the reason for the
client's nausea and discomfort. If residual volume is greater than
100 ml, hold the feeding and notify the physician. Feedings are
normally given at room temperature to minimize abdominal
cramping; however, this action doesn't help assess why nausea
and discomfort are occurring. Elevating the head of the client's
bed to at least 30 degrees prevents aspiration during feeding.
Also, feeding containers are changed daily to prevent bacterial
growth.
A client in labor asks the nurse about Reiki, an alternative
therapy that she's heard may be useful during the intrapartum
period. The nurse tells the client that Reiki is based on the
principle of Correct Answers energy from light touch.
, A client in the postoperative setting asks the nurse if he or she
will have compression stockings like after the last surgery. What
is the next action by the nurse? Correct Answers Check the
medical record for a provider's prescription for compression
stockings.
A client is 12 hours post abdominal inguinal hernia repair done
under general anesthesia. The practitioner orders to progress diet
as tolerated. Which tray should the nurse choose for this client?
Correct Answers broth, gelatin cubes, and tea
A client on vacation experiences severe allergy symptoms,
headache, and sinusitis (without respiratory distress). This client
adamantly declines any supportive medications when offered.
The nurse questions the client and learns the client receives
weekly acupuncture treatments for these symptoms. What is the
nurse's best response? Correct Answers "Let us try this until
you can have acupuncture."
A client receiving external radiation to the left thorax to treat
lung cancer has a nursing diagnosis of Risk for impaired skin
integrity. Which intervention should be part of this client's care
plan? Correct Answers avoiding using deodorant soap on the
irradiated areas
A client recently experienced a stroke with accompanying left-
sided paralysis. The family voices concerns about how to best
interact with the client. They report the client doesn't seem
aware of their presence when they approach the client on the left
side. What advice should the nurse give the family? Correct
A 7-year-old client is prescribed a clear liquid diet by the
healthcare provider after tonsillectomy. What nutrition will the
nurse give the child? Select all that apply. Correct Answers
lime gelatin
apple juice
chicken broth
A child has a nasogastric (NG) tube inserted by the nurse to
administer a continuous feeding. Which actions should the nurse
take before starting the NG feeding on the child? Select all that
apply. Correct Answers Verify the physician's order.
Check placement of the NG tube.
Assess for bowel sounds.
Verifying the order, checking the placement of the NG tube, and
assessing bowel sounds are necessary before initiating an NG
feeding. Formula should not be heated in the microwave and no
more than a 4-hour supply should be hung to prevent the growth
of microorganisms.
A child is prescribed amoxicillin for otitis media. What should
the nurse recommend the mother do when the child develops
diarrhea? Correct Answers Offer yogurt several times a day.
A child with cystic fibrosis has been admitted to the pediatric
unit. What type of diet should the nurse request for the client?
Correct Answers high-calorie, high-protein
,A client admitted with acute pyelonephritis now reports having a
severe migraine, but declines PRN analgesics. What should the
nurse discuss with this client? Select all that apply. Correct
Answers Ask the client which migraine treatments are helpful
when at home.
Alternative therapies such as relaxation or music can help.
A client complains of abdominal discomfort and nausea while
receiving tube feedings. Which intervention is most appropriate
for this problem? Correct Answers Stop the feedings and check
for residual volume.
Complaints of abdominal discomfort and nausea are common in
clients receiving tube feedings. Stopping the feeding and
checking for residual volume helps assess the reason for the
client's nausea and discomfort. If residual volume is greater than
100 ml, hold the feeding and notify the physician. Feedings are
normally given at room temperature to minimize abdominal
cramping; however, this action doesn't help assess why nausea
and discomfort are occurring. Elevating the head of the client's
bed to at least 30 degrees prevents aspiration during feeding.
Also, feeding containers are changed daily to prevent bacterial
growth.
A client in labor asks the nurse about Reiki, an alternative
therapy that she's heard may be useful during the intrapartum
period. The nurse tells the client that Reiki is based on the
principle of Correct Answers energy from light touch.
, A client in the postoperative setting asks the nurse if he or she
will have compression stockings like after the last surgery. What
is the next action by the nurse? Correct Answers Check the
medical record for a provider's prescription for compression
stockings.
A client is 12 hours post abdominal inguinal hernia repair done
under general anesthesia. The practitioner orders to progress diet
as tolerated. Which tray should the nurse choose for this client?
Correct Answers broth, gelatin cubes, and tea
A client on vacation experiences severe allergy symptoms,
headache, and sinusitis (without respiratory distress). This client
adamantly declines any supportive medications when offered.
The nurse questions the client and learns the client receives
weekly acupuncture treatments for these symptoms. What is the
nurse's best response? Correct Answers "Let us try this until
you can have acupuncture."
A client receiving external radiation to the left thorax to treat
lung cancer has a nursing diagnosis of Risk for impaired skin
integrity. Which intervention should be part of this client's care
plan? Correct Answers avoiding using deodorant soap on the
irradiated areas
A client recently experienced a stroke with accompanying left-
sided paralysis. The family voices concerns about how to best
interact with the client. They report the client doesn't seem
aware of their presence when they approach the client on the left
side. What advice should the nurse give the family? Correct
