NUTRITION, BOWEL ELIMINATION,
MEDICATION ADMINISTRATION, AND
SAFETY.) 2025 QUESTIONS WITHPASSED
SOLUTIONS!!
1 of 139
Term
Which of the following is the best example of an outcome
statement? The patient will:
a. Use the incentive spirometer when awake
b.Walk two times during day and evening shift
c. Maintain oxygen saturation above 92% while performing
ADLs each morning
d.Tolerate 10 sets of range-of-motion exercises with physical
therapy
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D. "I'm going to alternate c. Maintain oxygen saturation
formula with whole milk, above 92% while performing
starting next month." ADLs each morning
b. The patient's cholesterol is
elevated, and he states he likes fried B, D, and E
food.
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2 of 139
Term
A physician orders an indwelling urinary catheter for a client who is
mildly confused and has been combative. How should the nurse
proceed?
a.Ask a colleague for help because the nurse cannot safely perform
the procedure alone.
b. Gather the equipment and prepare it before informing the
client about the procedure.
c. Obtain an order to restrain the client before inserting the
urinary catheter.
d. Inform the primary provider that the nurse cannot perform
the procedure because the client is confused
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, a. "Pour the amount of fluid you a.Ask a colleague for
drink into an empty 2-liter bottle help because the nurse
to keep track of how much you cannot
drink" safely perform the procedure
alone.
b.Checking with the provider when c. Impaired Skin Integrity related to
a single dose requires physical immobility AMB skin
administration of multiple tablets. tear over sacral area
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3 of 139
Term
During an assessment, the patient states that his bowel movements
cause discomfort because the stool is hard and difficult to pass. As
the nurse, you make which of the following suggestions to assist the
patient with improving the quality of his bowel movement? Select all
that apply.
A. Increase fiber intake.
B.Increase water consumption.
C. Decrease physical exercise.
D.Refrain from alcohol.
E. Refrain from smoking.
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A and B a and d
, b and c b.Gather all supplies and
equipment before entering the
patient room
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4 of 139
Term
A nurse is caring for a client who has heart failure and reports
increased shortness of breath. The nurse increases the oxygen per
protocol. Which of the following actions should the nurse take first?
a.Obtain the client's weight
b.Assist the client into High-fowler's position
c. Auscultate lung sounds
d. Check oxygen saturation with pulse oximeter
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b.Assist the client to d. Check oxygen saturation
Fowler's position with pulse oximeter
b. The client is having small,
frequent liquid stools d. Activate the fire alarm (RACE)
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5 of 139
Term