SOLVED QUESTIONS UPDATED.
◍ You are caring for a patient who is becoming malnourished because
nothing tastes good, what could the nurse recommend for the client?
Answer:Take sips of water between eating different foods
◍ You are taking care of a patient who complains of abdominal pain,
urinary retention, & frequent small liquid stools, what should the
nurse do next? Answer:Assess the patient for fecal impaction.
◍ You are a nurse who is caring for an older patient, you suspect they
are experiencing dysphagia and/or aspiration, which of the following
observations leads you to believe this? Answer:Excessive throat
clearing and drooling
◍ You are caring for a patient who has history of dementia and is
incontinent of stool because they cannot communicate their need to
defecate, what is your priority? Answer:Begin a prompt toileting
program
◍ You have a 70 year-old client with mild memory impairment
related to a recent dementia diagnosis. The family is concerned about
increased episodes of urinary incontinence. Which prescription
ordered by the physician would you question for this patient?
Answer:placing an indwelling catheter.
, ◍ A nurse is assessing a client who is at risk for dehydration, which
statement made by the patient indicates further teaching is required?
Answer:"I stop drinking fluids in the afternoon to avoid making trips
to the bathroom at night."
◍ You are caring for an olde adult client who you suspect is suffering
from under-nutrition. What could be the possible cause of the the
under-nutrition? Answer:Recovering from a recent hip replacement
surgery.
◍ You are caring for a patient in a nursing home who has been
diagnosed with poor nutrition who has trouble taking in adequate
food. All attempts to nourish this patient have not worked. What do
you need to consider prior to placing a permanent feeding tube?
Answer:Review the patient's advance directives and determine if there
are any ethical considerations
◍ Using the mnemonic SAFE DRIVE, which of the following should
you include? Answer:Safety, record, family report, attention skills
◍ You are discussing care with a family member of a patient with
early-stage dementia. The family member is concerned that the patient
should no longer be driving, which statement made by the nurse is
appropriate? Answer:You should begin having discussions now, then
reevaluate the patient's driving ability every 6 months.