1. The nurse is contributing to the plan of care for a 78-year-old patient's
elimination needs. Which of the following interventions should the nurse
recommend to reduce complications due to the aging change of slowed
motility? Select all that apply.
1. Decrease ambulation.
2. Decrease fluid intake.
3. Increase dairy products.
4. Increase dietary fiber.
5. Increase activity level.: 4 & 5
2. The nurse is to collect data on a patient who reports diarrhea. What data
should the nurse collect? Select all that apply.
1. Bruising
2. Consistency of stools
3. Color of stools
4. Frequency of stools
5. Antibiotic use
6. Body piercings: 2, 3, 4 & 5
3. The nurse is to palpate the patient's abdomen during data collection.
Which of the following techniques should the nurse use?
1. Firmly place hands on abdomen, depressing tissues 1 to 2 inches.
2. Lightly depress the abdomen 0.5 to 1 inch.
3. Randomly feel the patient's abdomen with fingertips.
4. Light palpation must be completed by an experienced practitioner.: 2 4.
The nurse is caring for a patient who had a barium enema.
5. Which of the following actions should the nurse implement? Select all
that apply.
1. Have patient cough and deep breathe hourly while awake.
2. Encourage fluids.
3. Monitor for return of swallow and gag reflex.
4. Maintain the patient in semi-Fowler position.
5. Keep NPO, or nothing by mouth.
6. Provide ordered laxative.: 2 & 6
5. A patient is admitted with an order for a nasogastric sump tube. The
nurse knows this tube is used for which of the following purposes? Select
all that apply.
1. Supplemental feeding
2. Decompression
3. Irrigation
4. Lavage
5. Gavage
6. Parenteral nutrition: 2, 3 & 4
6. The nurse assisted with inserting a flexible feeding tube into a patient.
Which of the following actions should the nurse take to confirm tube
placement?
1. Aspirate gastric contents to observe for green-colored fluid.
2. Measure the pH of secretions from tube.
3. Obtain ordered chest x-ray results.
4. Look in the back of the mouth for coiling of the tube.: 3
7. The nurse is caring for a patient who is receiving a parenteral nutrition
infusion. The nurse performs blood glucose monitoring every 6 hours to
detect which complication?
1. Hypocalcemia
2. Hyponatremia
3. Hyperglycemia
4. Hyperkalemia: 3
8. To deliver 1,000 mL of 5% dextrose in 0.45 normal saline at 150 mL per
hour using 10 drop tubing, the nurse would monitor the intravenous infusion
at how many drops per minute? Fill in the blank.
Answer: ______________ drops per minute: 25
9. The nurse is planning care for a team of patients. To provide patient-
centered care safely, for which patients should the nurse use specialized
2/8
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