Podcast
Questions and Answers
What is the most critical action a nurse must take before administering enteral feeding through a nasogastric tube?
What is the most critical action a nurse must take before administering enteral feeding through a nasogastric tube?
- Ensure that feeding solution is at room temperature
- Aspirate abdominal contents to determine the amount of last feeding remaining
- Verify correct placement of the tube (correct)
- Check that the feeding solution matches the dietary order
Which method is considered definitive for confirming the placement of a nasogastric tube?
Which method is considered definitive for confirming the placement of a nasogastric tube?
- Checking pH level of aspirated contents
- Aspirating stomach contents
- Visualizing the tube's position via x-ray (correct)
- Observing client's comfort level
If a nurse needs to check the placement of a nasogastric tube without x-ray, which alternative method is appropriate?
If a nurse needs to check the placement of a nasogastric tube without x-ray, which alternative method is appropriate?
- Aspirate stomach contents and check for bilirubin (correct)
- Monitor the patient's respiratory rate
- Check the patient’s oral intake record
- Palpate the abdomen for solid contents
What could occur if the nasogastric tube is improperly placed?
What could occur if the nasogastric tube is improperly placed?
During a community meeting, what should the nurse primarily focus on when discussing chiropractic treatment?
During a community meeting, what should the nurse primarily focus on when discussing chiropractic treatment?
What is one of the methods to check the pH of aspirated contents from a nasogastric tube?
What is one of the methods to check the pH of aspirated contents from a nasogastric tube?
What is a potential outcome of using improper feeding solutions for enteral feeding?
What is a potential outcome of using improper feeding solutions for enteral feeding?
Which of the following signs would indicate a possible aspiration in a patient receiving enteral feeding?
Which of the following signs would indicate a possible aspiration in a patient receiving enteral feeding?
Which sign indicates that the morphine drip pump delivering a basal rate may not be functioning properly?
Which sign indicates that the morphine drip pump delivering a basal rate may not be functioning properly?
What is the expected volume of morphine to be remaining in the drip container at noon, given the pump's rate?
What is the expected volume of morphine to be remaining in the drip container at noon, given the pump's rate?
What immediate action should be taken if the client reports they cannot get relief from pain while on a morphine drip?
What immediate action should be taken if the client reports they cannot get relief from pain while on a morphine drip?
If a patient using a morphine pump shows an increase in pain despite normal dosages, which factor is the least likely to affect the pump's effectiveness?
If a patient using a morphine pump shows an increase in pain despite normal dosages, which factor is the least likely to affect the pump's effectiveness?
What is not a recommended practice regarding client care when using oil-based cosmetics?
What is not a recommended practice regarding client care when using oil-based cosmetics?
What is a potential danger of consuming large, heavy meals for someone with coronary artery disease?
What is a potential danger of consuming large, heavy meals for someone with coronary artery disease?
Which laboratory result indicates a condition that requires immediate intervention for a patient with diabetic ketoacidosis?
Which laboratory result indicates a condition that requires immediate intervention for a patient with diabetic ketoacidosis?
Which factor is identified as a risk factor for primary hypertension in African Americans?
Which factor is identified as a risk factor for primary hypertension in African Americans?
What effect does plaque accumulation in arteries have on the body?
What effect does plaque accumulation in arteries have on the body?
What condition is indicated by a serum potassium level of 2.8 mEq/L?
What condition is indicated by a serum potassium level of 2.8 mEq/L?
Which of the following lifestyle factors may reduce the risk of hypertension?
Which of the following lifestyle factors may reduce the risk of hypertension?
What aspect of African American demographics is associated with higher risk for hypertension?
What aspect of African American demographics is associated with higher risk for hypertension?
What is the normal blood potassium range that should not require immediate intervention?
What is the normal blood potassium range that should not require immediate intervention?
What is the primary theory underlying chiropractic care?
What is the primary theory underlying chiropractic care?
Which action is considered a violation of surgical asepsis during wound care?
Which action is considered a violation of surgical asepsis during wound care?
Which nursing diagnosis is most appropriate for the caregiver of a client with chronic cognitive impairment?
Which nursing diagnosis is most appropriate for the caregiver of a client with chronic cognitive impairment?
What does the term 'subluxation' refer to in chiropractic theory?
What does the term 'subluxation' refer to in chiropractic theory?
Which of the following practices ensures surgical asepsis?
Which of the following practices ensures surgical asepsis?
How might chronic cognitive impairment manifest in a patient?
How might chronic cognitive impairment manifest in a patient?
Why is considering a 1″ (2.5-cm) edge around a sterile field as contaminated important?
Why is considering a 1″ (2.5-cm) edge around a sterile field as contaminated important?
What is a potential consequence of interference in the transmission of mental impulses?
What is a potential consequence of interference in the transmission of mental impulses?
Which risk is least likely for a patient with poorly fitting dentures and type 2 diabetes?
Which risk is least likely for a patient with poorly fitting dentures and type 2 diabetes?
What should the nurse emphasize regarding meals for a client with coronary artery disease?
What should the nurse emphasize regarding meals for a client with coronary artery disease?
What is a likely dietary concern for a patient with denture problems?
What is a likely dietary concern for a patient with denture problems?
Which aspect of diet management is critical for a client with type 2 diabetes?
Which aspect of diet management is critical for a client with type 2 diabetes?
Patients with poorly fitting dentures may experience which of the following nutritional issues?
Patients with poorly fitting dentures may experience which of the following nutritional issues?
What should be a dietary focus for older adults with diabetes and denture challenges?
What should be a dietary focus for older adults with diabetes and denture challenges?
For a client with coronary artery disease, which dietary change should be avoided?
For a client with coronary artery disease, which dietary change should be avoided?
In managing diabetes, which symptom is likely more prevalent due to dietary challenges?
In managing diabetes, which symptom is likely more prevalent due to dietary challenges?
Study Notes
Patient Care and Diet Considerations
- Predictable behavior is less stressful for patients, aiding in better functioning with daily activities (ADLs).
- For a 70-year-old with poorly fitting dentures and type 2 diabetes, the least likely risk is hyperglycemia; hypoglycemia is more probable.
- Patients with dental issues often can only manage liquid or pureed foods, increasing the risk of malnutrition and dehydration.
Nutrition Education for Coronary Artery Disease
- Important to advise patients with coronary artery disease to avoid heavy meals to prevent blood from diverting from the heart necessary for digestion.
- Accumulation of plaque in arteries from poor eating habits can hinder oxygen delivery to vital organs.
Laboratory Values and their Significance
- A serum potassium level of 2.8 mEq/L indicates hypokalemia and requires immediate intervention.
- Other values such as finger stick glucose of 70 mg/dL, serum osmolality of 280 mOsm/kg, and blood ketones of 0.3 mg/dL are within normal limits.
Risk Factors for Hypertension
- An African American male, aged 45, may face heightened risk for primary hypertension due to race.
- Low serum lipids and an active lifestyle are not factors that increase risk.
Enteral Feeding Procedures
- The first priority when administering enteral feeding via a nasogastric tube is to verify the correct placement to prevent aspiration.
- Tube placement can be confirmed by X-ray, aspirating stomach contents for pH testing, and verifying for bilirubin.
Chiropractic Treatment Insights
- Chiropractic care focuses on spinal column manipulation, addressing issues related to the vertebrae that could interfere with organ function.
Surgical Asepsis Violations
- Pouring solution onto a sterile field cloth breaches surgical asepsis; moisture can carry microorganisms into sterile areas.
- Maintaining sterility includes holding objects above the waist and recognizing contaminated edges.
Cognitive Impairment and Caregiver Support
- For an 80-year-old patient with chronic cognitive impairment, a fitting nursing diagnosis for the caregiver is caregiver role strain, reflecting the demands placed on them.
Pain Management and IV Pumps
- In pain management, if drug levels at set intervals (e.g., 100 ml at 8 AM and 80 ml at noon) show less than expected, the pump may not be delivering medication effectively.
- Understanding expected dosages assists in recognizing pump malfunctions and addressing patient discomfort promptly.
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Description
This quiz explores the relationship between predictable behavior and patient care in nursing. It highlights how understanding patients' abilities to perform Activities of Daily Living (ADLs) can enhance care. Test your knowledge on effective nursing strategies that support patient functionality.
