Nursing 105 Exam 2 Questions with Answers,100% CORRECT

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Nursing 105 Exam 2 Questions with Answers NUR105_M4EQ0077 1.25 points possible (graded, results hidden) Ten minutes after starting a transfusion of packed red cells the patient reports back p... ain. The RN notes an oral temperature of 101.3° F and a heart rate of 114 beats per minute. What is the RN’s priority response? Obtain an ECG. Flush the IV line with normal saline. Notify the physician. Discontinue the transfusion. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0078 1.25 points possible (graded, results hidden) The RN encourages the postoperative patient to use the incentive spirometer. He states “I don’t like this thing. What good does it do anyway?” What is the appropriate RN response? “It helps reduce spasm in the alveolar capillaries.” “It is used to reduce the risk of atelectasis and pneumonia.” “Incentive spirometry is used to strengthen the muscles of respiration.” “Incentive spirometry promotes thinning of secretions to clear the airway.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0079 1.25 points possible (graded, results hidden) The RN is caring for an acutely ill patient with chronic pulmonary disease and notes labored respiration. How would the RN position the patient to promote ventilation of the lung? Partially supine with a small pillow supporting the head. Right Sims position with the knees flexed. Leaning forward with arms resting on over bed table. submitted Semi-Fowlers with arms positioned at shoulder level. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0152 1.25 points possible (graded, results hidden) When assessing a 9-month-old, which finding would require the RN to collect additional data? Abdominal breathing. Irregular depth of respirations. Round chest with visible ribs. submitted Respiratory rate of 44. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0153 1.25 points possible (graded, results hidden) Which instruction would the RN give to a patient when auscultating the lungs? Take a deep breath in and hold it. submitted Breathe slowly in and out. Breathe in through the nose, and then cough. Take a slow, deep breath in through your mouth. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0082 1.25 points possible (graded, results hidden) A patient uses a peak flow meter at home to monitor airflow. Which statement indicates an understanding of the purpose of the procedure? “The airways to my lungs must be really wide open today; I set a new personal high this morning.” submitted “Clamping down on the mouthpiece to my peak flow meter really makes me be able to take a very deep breath.” “I keep my meter next to my bed so I can use it when I am all stretched out just before I put out the light.” “I only had to exhale into my flow meter one time last night because I matched my best flow level on the first try.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0083 1.25 points possible (graded, results hidden) Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of Impaired gas exchange? The patient respirations will be quiet and of normal depth. The patient’s pulse oximetry readings will be 95% or greater. submitted The patient will have a decrease in cyanosis within 2 hours. The patient will be maintained in an upright sitting position. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0084 1.25 points possible (graded, results hidden) Which assessment data supports the nursing diagnosis Ineffective airway clearance? Use of pursed lip breathing after activity. Episodes of non-productive cough with minimal expectoration. Shallow, irregular, hyperventilation pattern. submitted Arterial blood gas analysis indicating respiratory acidosis. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0154 1.25 points possible (graded, results hidden) The RN is performing an assessment on a 5-year-old child. Which is an abnormal finding? Diaphragmatic breathing. Respiratory rate of 24. Enlarged tonsils. Retractions of upper chest muscles. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0086 1.25 points possible (graded, results hidden) Which of the following delivery methods provides the most precise amount of oxygen? Partial rebreather Simple face mask submitted Nasal cannula Venturi mask You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0087 1.25 points possible (graded, results hidden) The RN is caring for a patient with long term pulmonary disease who is receiving oxygen 2 liters per minute via nasal cannula continuously at home. Which of the following statements indicates the patient needs additional teaching? “I’ll check behind my ears for soreness every day.” “I’ll clean the nasal cannula with soap and warm water if it becomes soiled.” “If I get short of breath, I can turn the oxygen up to 4 liters per minute until I feel better.” submitted “It’s important to keep the oxygen away from people who are smoking cigarettes.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0088 1.25 points possible (graded, results hidden) The RN wants to obtain non-invasive estimate of arterial blood oxygen saturation (SaO2). Which diagnostic test or procedure would be performed? Chest X-Ray Pulse Oximetry submitted Peak Flow Meter Arterial Blood Gas Analysis You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0155 1.25 points possible (graded, results hidden) Which lifestyle modification would be included in the teaching plan for a woman who experiences urinary incontinence? Modify diet to avoid constipating foods. Encourage the use of a bladder diary. submitted Use absorbent pads on furniture and bed. Decrease oral fluid intake. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0160 1.25 points possible (graded, results hidden) Following surgery a patient voids small, frequent amounts of urine. Upon further assessment, the RN applies the nursing diagnosis, Urinary Retention. Which of the following evaluation statements would indicate progress toward resolution of the problem? Urine volume is greater than 125 mL with each patient’s voiding. submitted Patient urinates three in times in a 24 hour period. The patient’s post voiding residual volume is less than 150 mL. Patient verbalizes hesitancy and urgency is decreased. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0092 1.25 points possible (graded, results hidden) The parents of an 11-month-old are worried their infant is constipated because there may be two days without a bowel movement. Which is an appropriate RN response related to this concern? “If the baby is constipated small amounts of liquid stool seep from the anus.” “As long as the stool is soft your baby is not constipated.” submitted “Five to seven days between bowel movements is not uncommon for infants of this age.” “You do not worry about it unless your baby grunts and grimaces when defecating.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0094 1.25 points possible (graded, results hidden) The RN is discussing prevention of constipation with a patient. Which statement would indicate the need for further teaching? “I will exercise regularly 3 to 5 times per week.” “I will avoid consuming large amounts of caffeine and sugar.” “I will take a stool softener if I do not have a bowel movement each day.” submitted “I will eat at least 20-35 grams of fiber every day.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0095 1.25 points possible (graded, results hidden) Which instruction would the RN provide when teaching a patient about changing an ostomy appliance? Apply lotion to the peristomal skin and let dry thoroughly before applying a new appliance. Cut a circular opening on the back of the appliance ¼ inch larger than the stoma diameter. After removing the used appliance, cleanse the stoma with mild soap and water. submitted Ease the appliance over the stoma and press smoothly to the skin holding for 30-60 seconds. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0096 1.25 points possible (graded, results hidden) During the instillation of a large-volume enema, the patient says, “I have cramps and have to let the fluid out.” Which is the appropriate action for the RN to take? Withdraw the enema tube 2-3 inches. Decrease the height of the solution bag. Put the patient on a bed pan. submitted Increase the flow rate of the solution. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0165 1.25 points possible (graded, results hidden) A patient has not had a bowel movement for three (3) days and requests a laxative. The RN notes a PRN order for bisocodyl (Dulcolax) in the patient’s medical record. Which of the following demonstrates safe nursing judgment? Administer the laxative to the patient. submitted Consult with the health care provider about the medication. Instruct the UAP to have the patient drink more fluids. Discuss dietary modification with the dietitian. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0098 1.25 points possible (graded, results hidden) Which patient outcome is appropriate for a patient with the nursing diagnosis Constipation related to inadequate fiber intake? Respond to the urge to defecate. Have a soft formed stool within two days. Eat five servings of vegetables daily. submitted Verbalize correct use of stool softeners. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0099 1.25 points possible (graded, results hidden) The RN assesses a patient who verbalizes “a loss of urine without even realizing my bladder is full.” The RN begins to plan teaching for which type of incontinence? Urge Reflex submitted Transient Stress You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0100 1.25 points possible (graded, results hidden) Which question would the RN ask when assessing a patient’s usual urination pattern? “How many caffeinated beverages do you drink daily?” “Have you noticed a change in the appearance of your urine?” “Have you ever had surgery on your urinary tract?” “Do you get up to urinate during the night?” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0101 1.25 points possible (graded, results hidden) The RN is providing care for a patient who has a wound and requires a high protein diet. Which statement indicates the patient understands the function of proteins? “My stomach needs protein to absorb water to increase fecal bulk.” “Increasing my weight with protein will insulate my body.” “Proteins enable tissue growth and repair.” submitted “Proteins provide support to internal organs.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0162 1.25 points possible (graded, results hidden) A patient on continuous enteral tube feedings reports nausea. Which intervention is collaborative and would require the RN to contact the provider? Slow the rate of the feeding. submitted Administer a prn antiemetic. Flush the tubing with water. Aspirate the residual gastric contents. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0103 1.25 points possible (graded, results hidden) During a home visit the family caretaker informs the RN the patient reports nausea and bloating following intermittent tube feedings. The RN collects additional data to determine if which of the following has occurred? Tube placement may have been disrupted. The feeding may have been administered too rapidly. submitted Ratio of fluid intake to protein content of the feeding may be inadequate. Dumping syndrome may have developed. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0158 1.25 points possible (graded, results hidden) The RN is conducting a nutritional assessment on a newly admitted patient. What can be delegated to the Licensed Practical Nurse/Licensed Vocational Nurse? Collaborate with the dietitian. Collect nutritional history. submitted Analyze lab results Perform physical assessment You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0105 1.25 points possible (graded, results hidden) Which information must be documented in the patient’s health record following insertion of a nasogastric tube for temporary enteral nutrition? Select all that apply. The nare in which the tube was inserted. The length of the tube from the tip of the nose. Patient’s response to the procedure. Type of feeding solution that will be ordered. Date and time of insertion. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0106 1.25 points possible (graded, results hidden) The spouse of a patient receiving total parenteral nutrition (TPN) via the subclavian vein requests the catheter changed to an arm vein so it will be more comfortable. On which principle will the RN base a response? The intravenous insertion sites must be changed daily with peripheral veins. There is a high risk of infection associated with arm veins and TPN administration. TPN solutions are hypertonic and need to be infused through a high flow vein for dilution. submitted TPN administration rate must flow into a large vein to allow time for patient adaptation. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0107 1.25 points possible (graded, results hidden) A patient who observes the Mormon religion is on a clear liquid diet and reports being hungry and thirsty. Which item could the RN offer this patient? Ice pop submitted Custard Green Tea Sherbet You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0110 1.25 points possible (graded, results hidden) The RN monitors a patient’s prealbumin. What is the rationale for its role in nutritional assessment? Identify chronic protein depletion. Determine the liver’s ability to synthesize proteins. submitted Detect daily changes in protein status. Indicate level of somatic protein stores. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0111 1.25 points possible (graded, results hidden) What nursing instructions would the RN include when responding to a patient who has asked for assistance stating, “I want to do something about being overweight”? Select all that apply. Write down the desired goals and the plans to achieve them. Inform about the need to drink 32 ounces of water per day. Suggest walking for 20 minutes four times per week. Provide frequent rest periods during activities. Recognize that lifestyle changes need to be long term. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0112 1.25 points possible (graded, results hidden) The RN performs a nutritional screening on an older adult and categorizes which finding as a major indicator of impaired nutritional status? Significant reduction in midarm circumference. Decreased transferrin level. Poor dental status. submitted Change in bowel habits. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0166 1.25 points possible (graded, results hidden) Which action demonstrates the RN applies standards of practice when inserting a nasogastric tube? Tape the tube securely to the forehead. Obstruct each nare to check for air passage through the other. Measure the tube from the nose to the xyphoid process. submitted Position the patient in a low-Fowlers position. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0114 1.25 points possible (graded, results hidden) A patient has been on a mechanical soft diet for 6 days. Which would be a concern to the RN when caring for this patient? Inadequate supply of calories. Risk for constipation. Lack of a high protein supplement. submitted Progression toward nutritious diet. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0116 1.25 points possible (graded, results hidden) Which biochemical test result indicates a patient may be at risk for a nutrition imbalance? Blood urea nitrogen level of 17 mg/dL. Creatinine level of 1.0 mg/dL. Hemoglobin level of 14 g/dL. Serum albumin level of 3.0 g/dL. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0117 1.25 points possible (graded, results hidden) Which patient would the RN expect to have a negative nitrogen level? A man who is overweight. A woman who is breast feeding. A man who has recovering from second degree burns. submitted A woman who is in her first trimester of pregnancy. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0118 1.25 points possible (graded, results hidden) The RN is teaching a patient about the American Heart Association Recommendations to help lower cholesterol levels. What information would be included in the instructions? Select all that apply Eat a variety of whole grains. Limit intake of whole-milk dairy products. Consume fatty fish at least twice weekly. Avoid foods low in saturated fat. Decrease intake of daily protein. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0157 1.25 points possible (graded, results hidden) What assessment data would the RN expect for a patient experiencing malnutrition? Low blood pressure, dry skin, and attentive. Protuberant abdomen, reddened eyes, and increased heart rate. High blood pressure, fainting, and excessive weight loss. submitted Brittle nails, muscle atrophy, and decreased heart rate. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0121 1.25 points possible (graded, results hidden) A patient with osteomalacia requires teaching to prevent further complications. Which statement made by the patient indicates understanding of the teaching provided by the RN? “I should include lemon juice in my morning tea.” “I need to drink fortified milk every day.” submitted “I should eat nuts for my mid-morning snack.” “I need to include dark leafy vegetables in my daily menu.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0168 1.25 points possible (graded, results hidden) The RN developed a plan of care for a patient and included obesity as a priority nursing diagnosis. Which patient statement indicates the need for additional education? “I should eat 5-6 small meals per day.” “I will have my neighbor walk with me when I get home.” “I will keep a food journal.” “My goal is to lose 3-5 pounds per week.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0124 1.25 points possible (graded, results hidden) The RN notes that a newly-admitted patient lists his religion as Islam. The RN views the meal tray prior to bringing it into the patient’s room. Which item on the patient’s dinner tray would make it inappropriate to serve? Baked chicken Roasted turkey Pork chop submitted Lamb chop You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0167 1.25 points possible (graded, results hidden) A patient on the Medical-Surgical Unit informs the RN that he is a Seventh-Day Adventist. Which menu selection will this patient select from the lunch options provided? Seafood salad on a roll Ham sandwich with chips Tomato soup and grilled cheese submitted Pork chop with potato You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0126 1.25 points possible (graded, results hidden) The RN and the Registered Dietitian are collaborating about an 85-year-old female patient who is experiencing increasing frailty. Which developmental consideration will be applied when developing a plan? The need more nutrients but fewer calories due to the decrease in lean body mass and basic metabolic rate. Reduced renal function requires a reduction in the overall amount of water consumed. More daily calories are needed due to the increase in lean body mass and basic metabolic rate. Avoiding complex carbohydrates to minimize constipation because of diminished gastrointestinal motility. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0127 1.25 points possible (graded, results hidden) A 39-year-old patient requests a vegan diet during his hospital stay. Which menu choices meets the dietary needs of this patient? Broccoli-cheese baked potato Grilled Haddock filet Cheese omelet Red beans and rice submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0128 1.25 points possible (graded, results hidden) The RN is working with a college athletic coach who wants to measure males’ body fat content percentage. Which measure would the RN suggest using? Use a goniometer to measure the triceps muscle. Weigh the patient daily while wearing only his underwear. Use a caliper to measure the subscapular area fat. Calculate the patient’s BMI by comparing height and weight. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0129 1.25 points possible (graded, results hidden) A RN is caring for a patient who is experiencing dysphagia after a stroke. Which precaution is applied when the patient is eating? Offer chewing gum to encourage peristalsis. Intermittently test gag reflex during feeding periods. submitted Provide a drinking straw for liquids. Keep the head of bed elevated for 30 minutes after meals. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0130 1.25 points possible (graded, results hidden) A RN is assisting a patient who is visually impaired with eating. The patient also has a casted right extremity. Which of the following techniques should be used by the RN when providing assistance to this patient? Select all that apply. Maintain the head of the bed at 30° during the meal. Adjust the overbed table so it is within easy reach. Open containers and cut foods into bite sized pieces. Feed the patient, since it will make eating easier. Identify the locations of food on the tray using a clock face. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0131 1.25 points possible (graded, results hidden) The RN is assessing a 14-year-old female whose parents are concerned about her recent habits. Which behaviors suggest the individual may be at risk for an eating disorder? Select all that apply. Avoids exercise or physical activity. Tries to please everyone. Will not eat in front of others. Obsesses about weight and clothing size. Exercises beyond normal expectations. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0132 1.25 points possible (graded, results hidden) A 50-year-old client is ordered a clear liquid diet on the first postoperative day following a bowel resection. The RN knows that the patient will be permitted to consume which of the following? Low-fat milk Orange juice Chicken soup Iced tea submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0133 1.25 points possible (graded, results hidden) An older adult patient has been ordered a full liquid diet. Which is the main disadvantage of this type of diet? It provides overly sufficient calories. It is low in carbohydrates. submitted A high-protein supplement is generally required. A range of nutrients necessitates extra cereals. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0134 1.25 points possible (graded, results hidden) As part of a focused nutritional assessment, the RN is performing an abdominal assessment. Which of the following finding would be related to malnutrition? Ascites submitted Concave abdomen Hypoactive bowel sounds Protuberant abdomen You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0137 1.25 points possible (graded, results hidden) The RN is caring for a four-month-old child who is breastfed by the mother. What stool characteristics would be expected? Green-black stool Firm, dark-brown stool Golden yellow stool submitted Tan stool You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0138 1.25 points possible (graded, results hidden) A patient is prescribed an osmotic laxative. What is the mechanism of action for this medication? Coat the stool with a thin, waterproof layer. Draw water into the bowel from surrounding tissues. submitted Penetrate the stool with moisture and fat. Irritate the intestinal wall, stimulating peristalsis. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0139 1.25 points possible (graded, results hidden) The RN is performing a focused assessment for a patient admitted with abnormal bowel elimination patterns. Which assessment finding would be documented as normal bowel sounds? Very high-pitched, very frequent bowel sounds on auscultation. No bowel sounds present after 4 minutes of auscultation. High-pitched, moderately frequent bowel sounds on auscultation. submitted Low-pitched, infrequent, quiet bowel sounds on auscultation. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0159 1.25 points possible (graded, results hidden) The RN is caring for a patient whose stools have become black and tarry in color. The RN recognizes the need to communicate this information to the health care provider in order for follow up for which potential health problem? Lower intestinal tract bleeding Intestinal obstruction Bile duct obstruction Upper GI bleeding submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0164 1.25 points possible (graded, results hidden) Which nursing interventions are applied to promote defecation in a patient taking opioid analgesics? Select all that apply. Ambulate the patient. Allow patient to squat during defecation. Provide extra dietary fiber. Encourage increased water intake. Encourage consumption of caffeinated beverages. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0142 1.25 points possible (graded, results hidden) A RN is preparing to administer an enema to an adult patient. Which factors are considered when determining patient response to the enema? Select all that apply. Solution container height. Solution total volume. Resistance of rectum. Solution concentration. Speed of solution flow. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0143 1.25 points possible (graded, results hidden) A RN is educating a patient with a new colostomy who is concerned about noticeable odors or gas that may occur. Which food should the RN encourage the patient to avoid after the patient informed the RN what they commonly eat? Toast Peanut butter Cranberry juice Yogurt submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0144 1.25 points possible (graded, results hidden) The RN is observing an unlicensed assistive personnel (UAP) provide a bedpan to a patient who is on bedrest. Which action would indicate to the RN the UAP is applying safe practices? Rinsing the bedpan under cool water and dry it. Raising the siderail on the opposite side. submitted Placing the patient into high-Fowler’s position. Placing the bed into its lowest position. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0145 1.25 points possible (graded, results hidden) The RN is performing chest physiotherapy on a patient with a nursing diagnosis of Ineffective airway clearance. Which of the following components are included in this treatment modality? Select all that apply. Suctioning Chest percussion Postural drainage Chest vibration Deep breathing submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0146 1.25 points possible (graded, results hidden) The RN is counseling a group of long-term smokers about the health benefits of smoking cessation. Which of the following are benefits of smoking cessation? Blood pressure increases. Risk of heart attack returns to nonsmoker level in 6 months. Blood carbon dioxide levels increase within 4 hours. Blood oxygen levels improve within 8 hours. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0147 1.25 points possible (graded, results hidden) A RN is caring for a patient and documents Kussmaul’s respirations in the electronic health record. Which assessment finding supports this documentation? Regular rhythm, somewhat increased respiratory rate, abnormally deep respirations. submitted Gradually increasing depth of respirations, then a gradual decrease in depth, followed by apnea. Irregular, shallow respirations alternating with periods of apnea. Steady, rapid respiratory rate of 28 breaths per minute. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0148 1.25 points possible (graded, results hidden) The RN is completing a focused respiratory assessment and hears rhonchi on auscultation. What is the RN’s priority action? Notify the healthcare provider. Document the findings as a normal finding. Ask the patient to cough and reassess. submitted Administer the prescribed bronchodilator. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0150 1.25 points possible (graded, results hidden) The RN is assessing a patient who was admitted to the hospital for shortness of breath. Which of the following patient assessments describes conversational dyspnea? Inability to speak complete sentences without stopping to breathe. submitted Difficulty breathing unless propped up on three (3) pillows. A high-pitched, harsh inspiratory sound caused by partial obstruction of the larynx. Sudden awakening from sleep with shortness of breath. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0171 1.25 points possible (graded, results hidden) What signs and symptoms would the RN expect to observe for a patient who is having a hemolytic reaction to a blood transfusion? Urticaria, wheezing, flushing. Hypertension, respiratory crackles, cough. Fever, hypotension, shortness of breath. submitted Flushed skin, body aches, fever. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0173 1.25 points possible (graded, results hidden) A 71-year-old was admitted with a diagnosis of chronic obstructive pulmonary disease. The RN has chosen Impaired gas exchange as the primary NANDA-I nursing diagnosis. Which is an expected outcome for this NANDA-I nursing diagnosis? The patient will ambulate 20 feet without shortness of breath by the end of the shift. The patient will use nasal cannula when ambulating. The patient will use pursed lipped breathing when short of breath. The patient will maintain pulse oximetry greater than 93% by discharge. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0174 1.25 points possible (graded, results hidden) Which is the priority action an RN should perform when a chest tube accidently disconnects from a chest drainage system? Immerse the distal end of the tube in a bottle of sterile water submitted Notify the physician Start O2 at 10 L/min via non-rebreather mask Assess vital signs, including pulse oximetry You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0189 1.25 points possible (graded, results hidden) Which dietary recommendation should the RN offer to the client who has microcytic hypochromic erythrocytes? Take an iron supplement daily submitted Consume orange vegetables daily Switch to sugar substitute Drink low-fat milk daily You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M4EQ0176 1.25 points possible (graded, results hidden) Which statement by the new RN indicates the need for further instruction? “I will ask the NAP to perform oral care.” “I will ask the LPN to start the parenteral nutrition.” submitted “I will ask the nutritionist to provide dietary teaching.” “I will ask another RN to insert the nasogastric tube.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0177 1.25 points possible (graded, results hidden) A client who is actively dying and says to the RN “Please stop bringing meal trays to me.” Which would be the best response for the RN to make? “I will put in a request to stop your meal trays.” “I will have the dietician come to speak to you about your meals.” “I will request that your favorite foods are sent on your tray.” “I will need to inform your next of kin of your request.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0178 1.25 points possible (graded, results hidden) The RN is providing teaching to a client with a skin disorder. Which statement by the client indicates understanding of the foods that would help their condition? “I will add eggs, yellow fruit and green leafy vegetables to my diet.” “I will add milk, yogurt, and salmon to my diet.” “I will add whole grains, red meat and avocados to my diet.” “I will add enriched breads, peanuts and tuna to my diet.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0179 1.25 points possible (graded, results hidden) Which statement by the caregiver of a client with a percutaneous endoscopic gastrostomy (PEG) tube to the home-care RN indicates the need for further teaching? “I will make sure the client is sitting upright for an hour after the feeding.” “I will flush the PEG with tap water before and after the feeding.” “I will wash the feeding equipment with soap and water every day.” “I will make sure the feedings are chilled when infusing to prevent spoilage.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0180 1.25 points possible (graded, results hidden) Which assessment findings would the RN expect to find in a client with the nursing diagnosis of Ineffective Breathing pattern? Bradypnea, nasal flaring, pursed-lip breathing submitted Bradycardia, peripheral cyanosis, somnolence Difficulty verbalizing, diminished breath sounds, restlessness O2 saturation below 92%, ineffective cough, barrel chest You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0181 1.25 points possible (graded, results hidden) Which of these outcomes should a RN establish with a client who has a nursing diagnosis of Ineffective Airway clearance? The client will use the incentive spirometer every two hours The client will have clear breath sounds by discharge submitted The client will have less coughing The client will maintain adequate hydration You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0182 1.25 points possible (graded, results hidden) Which of these instructions should an RN not include in a plan for teaching a group of senior citizens about nutritional needs? Use chewing gum between meals submitted Eat three meals a day Remain upright after meals Eat diet high in fiber You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0183 1.25 points possible (graded, results hidden) The RN is developing a plan of care with a client who is receiving total parenteral nutrition (TPN). Which outcome should receive priority in the plan? The patient will remain afebrile throughout therapy submitted The glucose will be checked every 4-6 hours The patient will gain weight rapidly The dressing will be changed every 24 hours You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0184 1.25 points possible (graded, results hidden) The RN receives an order to infuse one unit containing 250ml of packed red blood cells over 3 hours. What rate should the Intravenous Control Device be set? 62 mL/hour 125 mL/hour 91 mL/hour 83 mL/hour submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0185 1.25 points possible (graded, results hidden) The RN is providing discharge instructions to the parents of a 2-year-old with pneumonia. Which statement by the parent indicates the need for further education? “I will discourage deep breathing and coughing.” submitted “I will see that my child drinks a lot of fluids.” “I will raise the head of the bed for my child.” “I will use a room humidifier in my child’s bedroom.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0186 1.25 points possible (graded, results hidden) The RN receives an order for diphenhydramine 25mg every 6 hours as needed for cough. The pharmacy label reads 12.5mg/5mL. How many mL should the RN administer per dose? 12.5mL 10 mL submitted 7.5 mL 5 mL You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR105_M4EQ0172 1.25 points possible (graded, results hidden) The RN is caring for a client who is receiving a blood transfusion and reports hives and itching. What are the RN’s priority actions? Select all that apply Contact the healthcare provider. Treat shock Stop the blood transfusion. Administer antibiotics Start a saline infusion. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. [Show More]

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