Fundamentals alternate item format quiz with correct answers 2023.
Fundamentals alternate item format quiz with correct answers 2023. A nurse is caring for a client with Crohn's Disease. Which of the following foods can be included in this client's diet? Select all that apply. - correct answers.Eggs, Pasta Low-fiber, low-residue diets are recommended for clients with Crohn's Disease. Foods that are appropriate for clients with Crohn's Disease include: Tender, ground, well-cooked meat, eggs, fish, poultry, refined pasta and cereal, white rice and bread, canned or cooked vegetables without skin or seeds and juices without pulp. A nurse is caring for a client in Buck's Traction. Which of the following nursing interventions would ensure effective therapy? Select all that apply. - correct answers.Ensure that all weights are free hanging., Prevent wrinkling of the traction bandage. A nurse is caring for a client who is one month post bariatric surgery and has been diagnosed with dumping syndrome. Which of the following recommendations is appropriate? Select all that apply. - correct answers.Avoid consuming milk, sweets, and sugars., Eat small, frequent meals during the day., Eliminate liquids with meals, and for one hour before and after meals. Dumping syndrome frequently occurs after bariatric surgery and symptoms can include vertigo, syncope, pallor, diaphoresis, tachycardia, and palpitations. Therapy includes: small, frequent meals rather than large ones; avoidance of milk, sweets, and sugars; elimination of liquids with meals and for one hour before and after meals; reduction in the amount of fluid ingested at one time, eating a high-protein, high-fat, and low-to- moderate carbohydrate diet; and lying down after meals to slow transit time of food in the intestines. A nurse is caring for a client hospitalized with Guillain-Barré Syndrome who has been in the intensive care unit on a ventilator for four days. Which of the following would be most appropriate in assessing for complications of immobility? Select all that apply. - correct answers.The correct answer is: Performing range of motion on the client's ankles, knees, and hips., Assess the character of bowel sounds and frequency of stools., Observe skin color over sacral, heels, and scapulae areas. Potential complications of immobility could include the following: loss of joint motion and contractures, decreased gastrointestinal motility and constipation, deep vein thrombosis with erythema and swelling of the calf areas, and skin breakdown with early evidence of pallor, erythema, blistering over bony prominences. An 87-year-old client has been admitted repeatedly to the acute care setting for pneumonia. The client's family asks what measures can help prevent recurrent respiratory issues. Which of the following measures should the nurse discuss to prevent respiratory issues? Select all that apply. - correct answers.Ambulate the client regularly, daily., Use a humidifier to moisten the air in the client's room, when needed., Reassure the client during respiratory distress. Encourage structured activities, after learning the client's physical capabilities and provide rest periods to prevent dyspnea. Using a humidifier during drier seasons can help prevent secretions from becoming thick and difficult to expectorate. If a client is having difficulty breathing, the caregiver(s) should provide support and reassurance to decrease the client's anxiety. A nurse is assisting a client with an advance directive. Which of the following nursing responsibilities should be included regarding advance directives? Select all that apply. - correct answers.: Confirm that the advance directive is current., Document the client's advance directive in the medical chart., Provide written information to the client about advance directives. The nursing responsibility regarding advance directives is to ensure that the advance directive is current and reflective of the client's current decisions. Which of the following client care assignments is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? Select all that apply. - correct answers.Obtain vital signs every 4 hours for a client with ulcerative colitis., Assist a client with a new transurethral prostectomy with perineal care., Transport a client who is utilizing oxygen and has a peripheral IV catheter. Assisting followers in identifying situations appropriate for delegation is considered an effective leadership function. Assisting followers to use delegation as a time management strategy and team-building tool is considered an effective leadership function. Functioning as a role model, supporter, and resource person in delegating tasks to subordinates are leadership functions that are associated with delegation. A nurse is managing client care. Which of the following should be implemented when prioritizing care? Select all that apply. - correct answers.: Prepare a written list., Postpone items that do not have immediate deadlines. Preparing a written list is a function considered in prioritizing client care. Items that are marked as to do later reflect trivial problems or those that do not have immediate deadlines; thus, they may be postponed when prioritizing care. An older adult client with a history of heart failure is admitted to the hospital with a diagnosis of digoxin toxicity. Which of the following assessment findings should the nurse expect? Select all at apply. - correct answers.Digoxin level 1.5 ng/ml, Heart rate of 52 bpm, Yellow vision
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fundamentals alternate item format quiz
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