Nurse Teaches Patient Explained for Students (Easy Guide)

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This topic involves nurse teaches patient. A strong answer should include explanation, application, and examples.

Original Question

1- The nurse teaches a patient who has recently been diagnosed with hypertension about low calorie, low fat, low sodium diet. Which menu preference would best meet the patient’s needs. a) Baked chicken, an apple and a slice of wheat bread. b) Mixed green salad with bleu cheese dressing, crackers, and cold cuts c) Ham sandwich on rye bread with an orange d) Hot dogs baked beans, and carrots sticks 2- The nurse is caring for a patient with dysphagia on a modified diet. The patient is ordered for nectar thick liquids. Which of the following describes the appropriate consistency? a) Apple juice directly from the refrigerator b) Fluid sits on the spoon and does not flow off of it c) Fluid slow drips in dollops off the end of the spoon d) Fluid runs freely off the spoon but leaves a coating on the spoon. 3- Match the vitamins listed below with their major function in the body a) Vitamin K_______ Required for prothrombin synthesis necessary for clotting b) Vitamin D_______ Maintain blood calcium and phosphorous, helps in bone development c) Vitamin A _______ Vision, tissue strength, growth & immune system function d) Folate __________Formation of fetal neural tube e) Vitamin C _______ Aids in building tissues, iron absorption & metabolism 4- A patient who had a stroke has decreased gag reflex, left sided weakness, and drooling. What action will the nurse take when feeding this patient? a) Place the food on the patient’s left side b) Position the patient in the Trendelenburg position c) Offer thin liquids so they are easier to swallow d) Flex the head with chin drawn when swallowing. 5- Which nursing diagnosis has the highest priority for a patient with impaired tactile perception? a) Self-care- deficit; Dressing and grooming b) Activity intolerance c) Risk for in jury d) Impaired adjustment 6- The nurse in the intensive care unit enters the patient’s room and observes the patient is experiencing a seizure. Which are the most appropriate interventions by the nurse? Select all that apply a) Turn the patient to their side b) Pad the siderails of the patient’s bed c) Loosen any restrictive clothing d) Restrain the patient to control his jerking movements e) Insert a tongue depressor into the patient’s mouth 7- A nurse performing a nutritional assessment determines BMI of a 5’5″ female patient who weights 148 pounds. What would be the BMI for this patient?( Do not round this answer/number) Body mass index Formula BMI = 703x weight (lbs)/Height(in)2 a) 22.5 b) 24.6 c) 18.5 d) 28.2 8- A nurse is preparing to administer dextrose 5% in water (DSW) 250 ml bolus to infuse over 30 min. The nurse should set the IV pump to deliver how many ml/hr? ( Round the whole number.) Answer: 500 9- A nurse observes a CNA perform the following interventions for a patient receiving continuous enteral feedings. Which action would require immediate attention by the nurse? a) Placing the patient supine while giving bed bath b) Ambulating the patient with enteral feedings still infusing c) Fastening the tube to the gown with new tape d) Monitoring the patient’s weight as ordered 10- A nurse is caring for patients with a variety of nutrition-related problems. Which problem should the nurse anticipate may eventually require a patient to have a feeding inserted for enteral feeding? a) Difficulty swallowing b) Postoperative c) Malabsorption syndrome d) Vomiting 11- A healthy adult patient admitted to the hospital for major surgery is at risk for which type of sensory alteration? a) Sensory deprivation b) Sensory non-processing c) Sensory deficits d) Sensory Overload 12- Which interventions are necessary to promote patient safety in the unconscious patient? ( select all that apply) a) Perform diligent oral care by filling the patient’s mouth with mouthwash b) Avoid talking to they are conscious to avoid confusion c) Perform passive Range of motion to reduce the risk for contractures d) Give frequent eye care if their blink reflex is absent e) Keep the siderails up and the bed in low position 13- A nurse is admitting an older adult patient to the hospital. The patient appears to be malnourished and dehydrated. Which of the following laboratory values noted on admission should indicate prolonged malnutrition to the nurse? a) Increased sodium b) Increased Blood Urea Nitrogen c) Decreased prealbumin d) Decreased blood glucose 14- A patient is having more than 75% of their nutritional needs met by enteral feeding, so the provider is considering the discontinuation of the prental nutrition(PN). What next steps should the nurse anticipate? a) Stopping the infusion abruptly b) Increasing the rate to infuse the rest of the bag before turning the PN off c) Hanging 5% dextrose and stopping the infusion d) Tapering the parental nutrition infusion gradually and monitor the patient 15- A nurse is delivering an enteral feeding to a client who has a nasogastric tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. How does the nurse best respond? a) Flushing helps make sure that the tube stays in the right place b) The water helps clear the tube so that it does not get clogged c) Adding the water is necessary to dilute the formula d) Putting the water down the tube helps you get more fluids. 16- A patient has been prescribed a clear liquid diet. What food or fluids will be served? a) Chicken, rice, broccoli b) Cranberry juice, ice cream, chocolate milk c) Jello, seltzer water, apple juice d) Milk, scrambled eggs, fresh fruit 17- Ordered: 200 ml of lactated Ringers IV over 2 hours. The drop factor is 20 gtt/ml Calculate the flow rate in gtt/min. (Round to the nearest whole number). Answer: 18- A nurse is caring for a patient who has a body mass index(BMI) of 16. How will the nurse classify this finding? a) Overweight b) Underweight c) Normal weight d) Obese 19- A nurse is taking a health history on a patient who is deaf and uses a sign language interpreter. Which of the following actions should the nurse take when working with an interpreter? a) Face away from the patient to avoid distraction b) Stand in the background while the interpreter translates the message c) Pace their speech to pillow time for the interpreter to convey the words d) Make eye contact with the interpreter only when explaining a medical procedure 20- A patient is suffering from a flare up of Crohn’s disease and will be NPO for several days. The provider has ordered total parental nutrition(TPN) to be administered. Which of the following does the nurse need to address prior to hanging the TPN? (Select all that apply.) a) The nurse should ensure that blood glucose levels are ordered through therapy. b) The nurse should ensure baseline nutritional labs have been drawn c) The patient needs to have central venous access to initiate TPN d) The nurse should offer additional oral nutritional supplements to encourage the patient to get off of the TPN e) The nurse has to obtain written consent from patient to administer TPN 21- The nurse is caring for a patient (who is conscious) with type 2 diabetes mellitus. The patient’s blood glucose level was obtained prior to breakfast and it was 52mg/dl. Which of the following interventions should the nurse do? ( select all that apply) a) Monitor blood glucose level 15 minutes after snack b) Notify the medical provider if blood glucose remains low despite interventions c) Monitor next blood glucose level at next scheduled time ( before meals and before bedtime) d) Administer a snack or drink with 15 g carbohydrates e) Administer insulin as prescribed 22- The nurse monitors the patient receiving parental nutrition(PN) for complications of the therapy and should assess the patient for which manifestations? a) Increased appetite, excessive thirst, and increased urine output b) Increased nausea, vomiting, and decreased urine output c) Fever, weak pulse, and decreased thirst d) Sweating chills, and decreased thirst 23- A patient is receiving enteral nutrition. What are the primary interventions the nurse should follow to prevent complications of enteral feeding? (select all that apply) a) Change the dressing using sterile technique b) Flush tube with free water after medication administration c) Change the enteral feeding container every 48 hours d) Change the enteral feeding tubing every 24 hours e) Maintain the head of the bed at 30 to 45 degree during tube feedings to prevent aspiration. 24- A nurse establishing a relationship with a patient who is severely visually impaired, is teaching the patient how to contact the nurse for assistance. Which action will the nurse take? a) Place a raised sticker on the call button b) Instruct the patient to tell a family member to get attention of the staff c) Color code the nurse call system d) Explain to the patient that a staff person will stop by once an hour to see if the patient needs anything. 25- A patient who had a stroke, and is now having dysphagia, needs to have a small-bore feeding tube placed. Which technique will the nurse use to verify the initial placement before using the feeding tube? a) Auscultation b) Light palpation over the abdomen c) Chest X-ray d) Modified Barium swollow

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