NUR.,520.,Practice.,Exam
The.,nurse.,is.,instructing.,a.,client.,on.,ostomy.,care..,What.,should.,be.,included.
,in.,this.,teaching?.,-.,correct.,answer.,✔ ✔
Secure.,the.,faceplate.,to.,the.,drainage.,appliance.,so.,no.,skin.,around.,the.,sto
ma.,is.,exposed
The.,skin.,around.,a.,stoma.,is.,very.,susceptible.,to.,irritation.,and.,breakdown..,
To.,avoid.,skin.,irritation,.,the.,faceplate.,to.,the.,drainage.,pouch.,needs.,to.,fit.,cl
ose.,enough.,to.,the.,stoma.,so.,as.,not.,to.,expose.,any.,other.,skin.
A.,nurse.,is.,feeding.,a.,client..,Which.,of.,the.,following.,statements.,would.,help
.,a.,person.,maintain.,dignity.,while.,being.,fed?.,-.,correct.,answer.,✔ ✔
"What.,part.,of.,your.,dinner.,would.,you.,like.,to.,eat.,first?"
"What.,part.,of.,your.,dinner.,would.,you.,like.,to.,eat.,first?",.,allows.,the.,client.,t
o.,feel.,in.,control.,of.,their.,meal.,choices.
When.,assessing.,a.,client's.,intake.,and.,output.,(I.,and.,O),.,the.,nurse.,notes.,that.
,the.,client.,has.,voided.,120.,mL.,of.,urine.,in.,the.,past.,2.,hours..,What.,is.,the.,next
.,nursing.,action?.,-.,correct.,answer.,✔ ✔
Document.,the.,client's.,urinary.,output.,in.,the.,chart
, Normally,.,the.,kidneys.,produce.,urine.,at.,a.,rate.,of.,approximately.,60.,ml/hou
r.,or.,about.,1500.,ml/day.
The.,nurse.,is.,concerned.,that.,an.,older.,client.,is.,at.,risk.,for.,aspiration..,What.,f
eeding.,techniques.,should.,the.,nurse.,instruct.,the.,family.,to.,use.,once.,the.,clie
nt.,is.,discharged?
Select.,all.,that.,apply.,-.,correct.,answer.,✔ ✔ Thicken.,all.,fluids.
Place.,the.,client.,in.,a.,seated.,position
Select.,food.,the.,client.,prefers.
Safety.,should.,always.,be.,a.,priority.,concern,.,with.,attention.,paid.,to.,prevent
ing.,aspiration..,Techniques.,to.,reduce.,this.,risk.,include.,thickening.,fluids..,M
any.,older.,adults.,can.,swallow.,foods.,with.,thicker.,consistency.,more.,easily.,t
han.,thin.,liquids..,Techniques.,to.,reduce.,this.,risk.,include.,eating.,in.,a.,seated.,
position..,Techniques.,to.,reduce.,this.,risk.,include.,focusing.,on.,food.,preferen
ces..,Keeping.,the.,head.,of.,the.,bed.,at.,a.,15-
degree.,angle.,would.,encourage.,aspiration.
You.,have.,an.,order.,for.,Heparin.,5,000.,units.,subcutaneous.,q8h..,A.,multi-
dose.,vial.,of.,20,000.,units/mL.,is.,available..,How.,many.,milliliter(s).,will.,you
.,give?.,Provide.,the.,numerical.,answer.,only;.,do.,not.,write.,the.,units..,-
.,correct.,answer.,✔ ✔ 0.25.,mL
What.,is.,the.,route.,of.,administration.,for.,TPN?.,-.,correct.,answer.,✔ ✔
Intravenous
The.,nurse.,is.,instructing.,a.,client.,on.,ostomy.,care..,What.,should.,be.,included.
,in.,this.,teaching?.,-.,correct.,answer.,✔ ✔
Secure.,the.,faceplate.,to.,the.,drainage.,appliance.,so.,no.,skin.,around.,the.,sto
ma.,is.,exposed
The.,skin.,around.,a.,stoma.,is.,very.,susceptible.,to.,irritation.,and.,breakdown..,
To.,avoid.,skin.,irritation,.,the.,faceplate.,to.,the.,drainage.,pouch.,needs.,to.,fit.,cl
ose.,enough.,to.,the.,stoma.,so.,as.,not.,to.,expose.,any.,other.,skin.
A.,nurse.,is.,feeding.,a.,client..,Which.,of.,the.,following.,statements.,would.,help
.,a.,person.,maintain.,dignity.,while.,being.,fed?.,-.,correct.,answer.,✔ ✔
"What.,part.,of.,your.,dinner.,would.,you.,like.,to.,eat.,first?"
"What.,part.,of.,your.,dinner.,would.,you.,like.,to.,eat.,first?",.,allows.,the.,client.,t
o.,feel.,in.,control.,of.,their.,meal.,choices.
When.,assessing.,a.,client's.,intake.,and.,output.,(I.,and.,O),.,the.,nurse.,notes.,that.
,the.,client.,has.,voided.,120.,mL.,of.,urine.,in.,the.,past.,2.,hours..,What.,is.,the.,next
.,nursing.,action?.,-.,correct.,answer.,✔ ✔
Document.,the.,client's.,urinary.,output.,in.,the.,chart
, Normally,.,the.,kidneys.,produce.,urine.,at.,a.,rate.,of.,approximately.,60.,ml/hou
r.,or.,about.,1500.,ml/day.
The.,nurse.,is.,concerned.,that.,an.,older.,client.,is.,at.,risk.,for.,aspiration..,What.,f
eeding.,techniques.,should.,the.,nurse.,instruct.,the.,family.,to.,use.,once.,the.,clie
nt.,is.,discharged?
Select.,all.,that.,apply.,-.,correct.,answer.,✔ ✔ Thicken.,all.,fluids.
Place.,the.,client.,in.,a.,seated.,position
Select.,food.,the.,client.,prefers.
Safety.,should.,always.,be.,a.,priority.,concern,.,with.,attention.,paid.,to.,prevent
ing.,aspiration..,Techniques.,to.,reduce.,this.,risk.,include.,thickening.,fluids..,M
any.,older.,adults.,can.,swallow.,foods.,with.,thicker.,consistency.,more.,easily.,t
han.,thin.,liquids..,Techniques.,to.,reduce.,this.,risk.,include.,eating.,in.,a.,seated.,
position..,Techniques.,to.,reduce.,this.,risk.,include.,focusing.,on.,food.,preferen
ces..,Keeping.,the.,head.,of.,the.,bed.,at.,a.,15-
degree.,angle.,would.,encourage.,aspiration.
You.,have.,an.,order.,for.,Heparin.,5,000.,units.,subcutaneous.,q8h..,A.,multi-
dose.,vial.,of.,20,000.,units/mL.,is.,available..,How.,many.,milliliter(s).,will.,you
.,give?.,Provide.,the.,numerical.,answer.,only;.,do.,not.,write.,the.,units..,-
.,correct.,answer.,✔ ✔ 0.25.,mL
What.,is.,the.,route.,of.,administration.,for.,TPN?.,-.,correct.,answer.,✔ ✔
Intravenous
