A nurse is preparing to prepare 3 liquids med with eng continuous feeding correct
answers answer: flush with 30 ml at the end
A nurse is admitting a client that reports anorexia and malnutrition what would the nurse
expect to be altered correct answers Answer: Albumin
Bowel training program for a pt when should the nurse take the client to the bathroom
correct answers Answer: Every time they feel the need to defecate
A nurse is caring for a client that needs a stool sample, what should nurse do: correct
answers Answer: Send immediately to the lab (not a sterile procedure)
A nurse is conducting a fall risk assessment for 4 clients which one is the highest risk
correct answers Answer: Older confused with urinary frequency
A nurse is planning care for someone in continuous intermittent correct answers
Answer; Every 2, educate family, implement range of motion. (reposition every 2 hr not
4)
PT is pulling on a NG tube, before going to restraints what should you do correct
answers Answer: Everything but telling them what will happen (sounds like a threat)
Stool test for guaiac correct answers Answer: Blood
NG tube ph: correct answers Answer: Below 5
PT falls but says they're alright, you notify the provider, what should be included in the
documentation correct answers Answer: Provider was notified (never include a incident
report in pt charts)
Nurse planning care for an older adult and pressure ulcers are a concern, what should
they do correct answers Answer: Utilize transfer device
Prostatic hypertrophy, what should the nurse expect correct answers Answer;
Pressure, tension over pubis, distended bladder, 30 ml frequently (can partial empty not
all the way),
Medication falls on the counter top correct answers Answer: Throw it away
Constipation, what should the nurse explain as a cause of constipation correct answers
Answer: Excessive laxative, ignoring the urge to defecate, not enough fluid