Nutrition and Fluid Balance Quiz

Questions and Answers

What is the systolic and diastolic range that qualifies as Stage I Hypertension?

110-119 mmHg systolic and 60-79 mmHg diastolic

130-139 mmHg systolic and 80-89 mmHg diastolic

120-129 mmHg systolic and 60-79 mmHg diastolic (correct)

100-119 mmHg systolic and 50-60 mmHg diastolic

How much water should the nurse instill into the NGT as ordered?

60 mL (correct)

15 mL

30 mL

90 mL

What is the total input and output the nurse should record based on the given information?

Input: 1550 cc and output: 730 cc

Input: 1110 cc and output: 1020 cc

Input: 1350 cc and output: 1020 cc (correct)

Input: 960 cc and output: 440 cc

Which urine output measurement corresponds to the total voided amount by Jermaine?

220 cc Signup and view all the answers

What stage of adaptation does Hans Selye's theory suggest for Royette's physiological response after cutting his finger?

Alarm stage Signup and view all the answers

What does a BUN level of 22 mg/dL indicate in a patient’s assessment?

Possible dehydration or renal impairment Signup and view all the answers

Which of the following liquids does not contribute to Jermaine's total input as recorded?

Cola Signup and view all the answers

How much liquid stool did Jermaine have during his assessment?

290 cc Signup and view all the answers

Which food item contains the highest amount of iron per area of meat?

Pork liver Signup and view all the answers

Which nursing procedure does NOT require sterile technique?

NGT Feeding Signup and view all the answers

What is an early sign of hypoxia that a nurse should be aware of?

Client is tired and dyspneic Signup and view all the answers

What board exam rating may allow a nurse to practice nursing?

GWA of 70 and a rating of 70 in NP II Signup and view all the answers

Which option is NOT a means of earning CPD units under RA 10912?

None of the above Signup and view all the answers

How many units per hour can a nurse earn for being a resource person or keynote speaker under the CPD law of RA 10912?

2 units Signup and view all the answers

Which of the following is an incorrect pairing of CPD unit earning activities?

Observational learning activities - 4 units Signup and view all the answers

Which of the following statements best describes a research statement?

A specific inquiry that guides the research process Signup and view all the answers

Which vital sign assessment indicates cardiogenic shock?

BP: 70/50, HR: 132 (irregular) Signup and view all the answers

What position is best for performing oral care on an unconscious client?

Side-lying position with head of bed lowered Signup and view all the answers

If a nurse notes that a client is no longer experiencing difficulty breathing, cough, and is afebrile after pneumonia treatment, which step of the nursing process does this reflect?

Evaluation Signup and view all the answers

What is the priority intervention for clients with burns during the emergent phase?

Maintain patent airway Signup and view all the answers

For a 31-year-old female client admitted for severe dehydration, what level is the nurse likely to expect for the hematocrit?

48% Signup and view all the answers

When assessing a client, which position is contraindicated for optimal breathing?

Prone with head turned to side Signup and view all the answers

What is the normal expected heart rate range for a resting adult?

60-100 bpm Signup and view all the answers

Which of the following blood pressure readings suggests adequate circulation?

BP: 130/80, HR: 75 (regular) Signup and view all the answers

What is the nurse’s priority action to prevent complications during suctioning?

Hyper oxygenate the client prior to suctioning Signup and view all the answers

At what time will a patient's infusion of NSS end if there are 250 ml left to infuse at a flow rate of 25 gtts/min with a drop factor of 10?

10:15 pm Signup and view all the answers

What therapeutic effect is achieved by prescribing bedrest?

Reduces oxygen demand of tissues Signup and view all the answers

In assessing the patient's abdomen, which sequence of physical examination is correctly ordered?

Inspection, palpation, percussion, auscultation Signup and view all the answers

In which component of the problem-oriented medical record will the nurse find the doctor's orders?

Plan of care Signup and view all the answers

A client receiving heparin therapy should be routinely assessed for which sign?

Hypotension Signup and view all the answers

During which point of the client’s hospital stay does rehabilitation typically begin?

Upon admission Signup and view all the answers

What is the significance of using clean technique during procedures?

It minimizes the risk of infection Signup and view all the answers

What sound should a nurse expect upon percussion of the lung fields in a healthy patient?

Resonance Signup and view all the answers

What should be the initial nursing action when giving gastrostomy feeding?

Check for tube placement Signup and view all the answers

For a burn client, which route is the most effective for administering pain medication?

IV Signup and view all the answers

At what time should the nurse replace a client's TPN if there is 300cc remaining at 6 am and the TPN was started at 12 noon the previous day?

3 pm Signup and view all the answers

What is the best nursing action to verify tube placement in a client receiving enteral feeding?

Instill air and auscultate for gurgling sounds at the client's epigastric region Signup and view all the answers

Which term describes how accurately an instrument measures what it is intended to measure?

Validity Signup and view all the answers

What might indicate a fluid and electrolyte imbalance in a patient?

Increased heart rate Signup and view all the answers

What could be a potential complication of not properly managing a gastrostomy tube?

Aspiration Signup and view all the answers

Study Notes

Fluid and Electrolyte Imbalance

Serum calcium levels can be critical in assessing hydration and nutritional status; a level of 1.8 mEq/L is noted.
BUN (Blood Urea Nitrogen) of 22 mg/dL may indicate dehydration or renal dysfunction.
Albumin levels at 5.0 g/dL suggest good nutritional status; low levels could indicate malnutrition or liver disease.
Urinary creatinine output of 360 mg in a 24-hour period reflects kidney function and hydration status.

Blood Pressure and Hypertension

Stage I Hypertension is categorized as a systolic BP between 130-139 mmHg and diastolic BP between 80-89 mmHg.
Important for nurses to provide accurate education regarding blood pressure classifications.

Nutritional Management via NGT

NGT (nasogastric tube) feeding requires flushing with normal saline to prevent obstructions; a flush of 2 oz is standard.
Essential to maintain proper nutritional intake and to prevent tube blockage.

Nursing Techniques for Interventions

Administer antibiotics prior to suctioning to prevent infection in patients with dysrhythmias.
Use clean technique for procedures such as suctioning to minimize infection risk.

Nursing Assessments

Evaluate intravenous fluid administration and calculate the expected end time based on flow rates and drop factors.
The expected end time for IV fluid depends on the rate of infusion and current volume remaining in the bag.

Patient Positioning for Procedures

Positioning for thoracentesis involves having the patient supine with head of bed elevated at 30 degrees.
For oral care in unconscious patients, a semi-Fowler’s position with the head turned to the side is preferred to prevent aspiration.

Pain Assessment and Management

Pain medication for burn patients is ideally administered IV for better absorption and faster action.
Be vigilant for signs of potential complications, such as bleeding from injuries.

Laboratory Expectations

Hematocrit levels in dehydration may range significantly; a common expectation could be around 40%.

Adaptation Stages in Physiological Responses

Selye's stages of adaptation provide a framework for understanding how individuals cope physiologically after injuries.
The alarm stage indicates initial responses to stressors, while the resistance stage reflects adaptation.

TPN and Nutrition Management

Monitoring of TPN (Total Parenteral Nutrition) is critical; clients may have a set volume needing replacement as per timing of infusion initiation.

Food and Nutrition

Foods high in iron include lean red meats and pork liver; essential for assessing dietary intake in anemic patients.

Communication of Results

Use of tables and graphs can effectively convey study results and aid understanding in nursing reports.

Continuing Professional Development (CPD)

Under RA 10912, various activities can earn CPD units; formal learning, self-directed learning, and non-formal learning are valid methods for earning credits.
License renewal for nurses requires appropriate CPD units to ensure continued professional competence.

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Description

Test your knowledge on nutrition and fluid balance with this quiz. It covers various types of fluids, serum levels, and nutritional assessments. Perfect for students in healthcare and nursing fields.