Quiz
MOD. 5 (NURS 200)
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Questions in this quiz (15)
1Which of the following steps should the nurse take when administering an enteral tube feeding? (Select all that apply)
- AElevate the head of the bed 15 degrees
- BFlush the tube with water after the feeding
- CCheck for aspirate
- DAllow the feeding to flow in by gravity
- ESet up for a sterile procedure
2The nurse is caring for a patient who has just been given bolus tube feedings through a nasogastric (NG) tube. How high should the nurse position the head of the bed?
- A15 degrees
- B90 degrees
- C25 degrees
- D45 degrees
3A nurse calculates a patient's body mass index (BMI) as 32kg/m2. This finding indicates that the patient is suffering from which of the following alterations in nutrition?
- AUnderweight
- BObesity
- COverweight
- DProtein-calorie malnutrition
4The nurse understands that the gallbladder is found in which of the four abdominal quadrants?
- ARight lower quadrant
- BRight upper quadrant
- CLeft lower quadrant
- DLeft upper quadrant
5Which of the following should the nurse monitor in a patient who has been receiving total parental nutrition (TPN) for 3 days?
- AFrequent finger stick blood sugar results to monitor for hyperglycemia.
- BThe amount, color, and consistency of the aspirate from the feeding.
- CFrequent finger stick blood sugar results to monitor for hypoglycemia.
- DLung sounds and pulse oximetry measurements to assess for aspiration of feeding.
6Calculate the patient's intake and output. For breakfast the patient left 3 oz of an 8 oz cup of coffee, had 3 oz of orange juice, and 4 oz of oatmeal. At 0930 the patient consumed 6 oz of water with medications. Following the medication administration, the patient had an emesis of 200 mL. The patient urinated 350 mL, and the abdominal drain collected 50 mL of bloody drainage.
- AIntake = 480 mL, output = 550 mL
- BIntake = 420 mL, output = 600 mL
- CIntake = 450 mL, output = 350 mL
- DIntake = 540 mL, output = 400 mL
7A Mexican-American patient is receiving discharge teaching on diabetes management and carbohydrate counting. Which statement by the nurse best reflects an understanding of the ethnic and cultural impact on dietary choices?
- A"Make sure you measure out your rice before you cook it. A ½ cup of dry rice is 75 carbohydrates."
- B"Beans are a complex carbohydrate and are more difficult for your body to breakdown, therefore the impact on your blood sugar is lower."
- C"As a diabetic you will need to make sure you eat less rice, beans, and tortillas and more chicken, fish, and vegetables."
- D"Do you have any personal, cultural, or ethnic food preferences? What foods do you eat most often?"
8A patient who needs to follow a clear liquid diet may eat which of the following foods?
- AYogurt
- BPureed soup
- CVegetable juices
- DPopsicles
9A patient has decided to become a vegetarian and is concerned about obtaining adequate protein intake. Which of the following food combinations would provide a complete protein source?
- AA brown rice barley medley
- BA mixture of almonds and brazil nuts
- CRye toast with jam
- DBrown rice with kidney beans
10When completing an abdominal assessment, which of the following methods of examination must occur first to prevent false assessment findings?
- AAuscultation
- BInspection
- CPercussion
- DPalpitation
11A nurse places a nasogastric tube into a patient. Which is the best method the nurse should use to confirm placement prior to initiating tube feedings?
- AEnsure chest x-ray verifies correct tube placement
- BMeasure the pH of the aspirated fluid
- CAuscultate for a "whooshing" sound over the stomach while injecting air through the NG tube
- DConfirm the length of the tube insertion is consistent with the height of the patient
12Bowel sounds that are extremely soft and infrequent and associated with manipulation of the bowel during surgery or inflammation are described as which of the following?
- AAudible
- BHyperactive
- CDiaphragmatic
- DHypoactive
13Which of the following characteristics is a normal finding upon palpitation of the abdomen?
- ATenderness
- BSuperficial masses
- CHypersensitivity
- DSmooth, consistent tension
14 Which type of nutritional assessment data is the nurse collecting when reviewing hemoglobin, serum albumin, and total lymphocyte lab values?
- AAnthropometric data
- BClinical data
- CDietary data
- DBiochemical data
15 The nurse determines that a patient has absent bowel sounds. Which of the following characteristics support this finding?
- AThe presence of rough, grating sounds upon auscultation
- BThe presence of borborygmi upon auscultation
- CUnable to hear bowel sounds for over 4 minutes upon auscultation
- DAble to auscultate bowel sounds in 3 out of 4 quadrants
Information
- Description
- Abdominal
- Author
- Natalie Jenkins
- Language
- English
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