STUVIA 2024/2025
BASIC CARE AND COMFORT (82)
" I will walk briskly for 30minutes before bedtime." - ✔✔A nurse who is caring for a
client discusses strategies to promote rest and sleep. Which of the following
statements indicate a need for further teaching?
"I will clean the hearing aid with alcohol wipes."
** Alcohol use can break down the mechanism of the hearing aid. - ✔✔A nurse
provides teaching to a client on proper hearing aid use. Which of the following
statements indicates a need for further instruction?
"I will season foods with dried spices before cooking."
** the client should avoid spices, acidic food, and salty foods b/c they can cause
additional irritation to the oral mucosa. - ✔✔A nurse is providing teaching to a client
who has stomatitis. Which of the following statement by the client indicates a need for
further teaching?
"I will take my bronchodilators after meals."
%
* Bronchodilator should be taken before meals, not after, in order to reduce SOB. -
✔✔A nurse is providing teaching about ways to promote eating to a client with chronic
obstructive pulmonary disease .Which of the following statements by the client
indicates a need for further teaching?
"the formula will be kept cold until each use".
* Tube feeding formula should be administered at room temperature. If the formula is
cold, it can cause gastric cramping, nausea, and vomiting. - ✔✔A nurse provides
enteral tube feeding teaching to a client. WHich of the following statements indicates a
need for further teaching?
"The prosthesis fitting will occur at the time the staples are removed."
** this is false statement. The staples are removed before the shrinking and shaping of
the residual leg is complete. The prosthesis would not fit once this process is complete.
- ✔✔A nurse provides teaching to a client who is being fitted for a prosthetic leg.
Which of the following statements indicate to the nurse a need for further instruction?
stuvia
, STUVIA 2024/2025
1140ml. - ✔✔Q nurse completes the I&O record for a client who consumed breakfast
and lunch as follows:
Intake: 4 oz clear soda, 1 pice of toast, 12 oz of water, 1 cup of fruit-flavor gelatin, 1/2
cup of chicken broth
300 ml of 0.9% sodium chloride IV.
Output: 460 ml of urine.
90ml of drainage from the suction drainage system.
What should the nurse document as the client's intake?
1170 ml.
1 cup = 8oz.
1oz = 30ml - ✔✔a nurse is calculating the total fluid intake for a client during a 4-hr
period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup
of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should
record how many ml on the client's intake and output record?
%
790 ml - ✔✔A nurse is caring for a client and is to maintain I&O. What is the client's
intake during an 8hr period based on the following data?
breakfast -- 4oz juice and 6 oz hot tea.
Voided 450ml after breakfast.
IV bolus of 150ml at 0900.
100ml of ice chips before lunch.
Lunch -- 8oz of clear broth.
Vomited 120ml and voided 600ml after lunch.
Jackson Pratt drain emptied of 40ml bloody drainage at 1330ml.
890 ml.
** 1g = 1ml. - ✔✔A nurse is implementing strick intake and output on a client. the
client's output for the past 12hr includes the following:
jackson-Pratt drain 35ml
NG suction 120 ml
Incontinence pads weighing 240g, 275g, 310g, and 270g.
stuvia
BASIC CARE AND COMFORT (82)
" I will walk briskly for 30minutes before bedtime." - ✔✔A nurse who is caring for a
client discusses strategies to promote rest and sleep. Which of the following
statements indicate a need for further teaching?
"I will clean the hearing aid with alcohol wipes."
** Alcohol use can break down the mechanism of the hearing aid. - ✔✔A nurse
provides teaching to a client on proper hearing aid use. Which of the following
statements indicates a need for further instruction?
"I will season foods with dried spices before cooking."
** the client should avoid spices, acidic food, and salty foods b/c they can cause
additional irritation to the oral mucosa. - ✔✔A nurse is providing teaching to a client
who has stomatitis. Which of the following statement by the client indicates a need for
further teaching?
"I will take my bronchodilators after meals."
%
* Bronchodilator should be taken before meals, not after, in order to reduce SOB. -
✔✔A nurse is providing teaching about ways to promote eating to a client with chronic
obstructive pulmonary disease .Which of the following statements by the client
indicates a need for further teaching?
"the formula will be kept cold until each use".
* Tube feeding formula should be administered at room temperature. If the formula is
cold, it can cause gastric cramping, nausea, and vomiting. - ✔✔A nurse provides
enteral tube feeding teaching to a client. WHich of the following statements indicates a
need for further teaching?
"The prosthesis fitting will occur at the time the staples are removed."
** this is false statement. The staples are removed before the shrinking and shaping of
the residual leg is complete. The prosthesis would not fit once this process is complete.
- ✔✔A nurse provides teaching to a client who is being fitted for a prosthetic leg.
Which of the following statements indicate to the nurse a need for further instruction?
stuvia
, STUVIA 2024/2025
1140ml. - ✔✔Q nurse completes the I&O record for a client who consumed breakfast
and lunch as follows:
Intake: 4 oz clear soda, 1 pice of toast, 12 oz of water, 1 cup of fruit-flavor gelatin, 1/2
cup of chicken broth
300 ml of 0.9% sodium chloride IV.
Output: 460 ml of urine.
90ml of drainage from the suction drainage system.
What should the nurse document as the client's intake?
1170 ml.
1 cup = 8oz.
1oz = 30ml - ✔✔a nurse is calculating the total fluid intake for a client during a 4-hr
period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup
of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should
record how many ml on the client's intake and output record?
%
790 ml - ✔✔A nurse is caring for a client and is to maintain I&O. What is the client's
intake during an 8hr period based on the following data?
breakfast -- 4oz juice and 6 oz hot tea.
Voided 450ml after breakfast.
IV bolus of 150ml at 0900.
100ml of ice chips before lunch.
Lunch -- 8oz of clear broth.
Vomited 120ml and voided 600ml after lunch.
Jackson Pratt drain emptied of 40ml bloody drainage at 1330ml.
890 ml.
** 1g = 1ml. - ✔✔A nurse is implementing strick intake and output on a client. the
client's output for the past 12hr includes the following:
jackson-Pratt drain 35ml
NG suction 120 ml
Incontinence pads weighing 240g, 275g, 310g, and 270g.
stuvia
