1.
A nurse is estimating caloric requirements for a female patient whose healthy weight
is 120 pounds and whose activity level is moderate. This patient's recommended total
daily calories is:
a.
1,200
b.
1,440
c.
1,560
,d.
1,680
Give this one a try later!
d
1,680
13. A nurse is inserting a nasogastric tube ordered for a patient to monitor bleeding in
his GI tract. When the tube is being passed through the pharynx, the patient begins to
cough and show signs of respiratory distress. What would be the priority action of the
nurse upon this assessment?
a. Keep the tube in place and notify the primary care provider immediately.
b. Stop advancing the tube and pull it back into the nasal area.
c. Ask the patient if he wants the nurse to stop the procedure.
d. Call for help to perform CPR.
Give this one a try later!
b.
As the tube is passing through the pharynx and the patient begins to cough
and show respiratory distress, the nurse should stop advancing the tube
and pull it back into the nasal area. The nurse should also support the
patient as he regains normal breathing ability and composure and have him
try again if he feels able to.
4.
As a nurse is aspirating the contents during a tube feeding, the nurse finds that the
tube is clogged. What would be appropriate nursing interventions in this situation?
(Select all that apply.)
a.
Use warm water and gentle pressure to remove clog.
,b.
Flush with a carbonated beverage such as a cola soft drink.
c.
Use a stylet to unclog the tube.
d.
If necessary, replace the tube.
e.
Ensure that adequate flushing is completed after each feeding.
f.
Administer an antiemetic to the patient.
Give this one a try later!
a, d, e
a.
Use warm water and gentle pressure to remove clog.
d.
If necessary, replace the tube.
e.
Ensure that adequate flushing is completed after each feeding
1. A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who
is extremely obese. The patient's height is 5′6″ and his current weight is 325 pounds.
What would the nurse document as his BMI?
a. 50.5
b. 52.4
c. 54.5
d. 55.2
Give this one a try later!
, b.
weight in pounds(325)/
--------------------------------
(ht in ins)(66)x(ht in inches)(66)
x 703
Special Diets:
Full liquid diet:
Give this one a try later!
- Contain all the items on a clear liquid diet. Additional items allowed
include milk and milk drinks, puddings, custards, plain frozen desserts,
pasteurized eggs, cereal gruels, vegetable juices, and milk and egg
substitutes in addition to clear liquids.
- Liquids that can be poured at room temperature. High-calorie, high-
protein supplements are recommended if this diet is used for more than 3
days.
Prepare the food and tray to optimize patient's ability to feed self as much as possible:
Give this one a try later!
1. open containers
2. cut meat
3. apply condiments
9.
Which nursing action associated with successful tube feedings follows recommended
guidelines?
A nurse is estimating caloric requirements for a female patient whose healthy weight
is 120 pounds and whose activity level is moderate. This patient's recommended total
daily calories is:
a.
1,200
b.
1,440
c.
1,560
,d.
1,680
Give this one a try later!
d
1,680
13. A nurse is inserting a nasogastric tube ordered for a patient to monitor bleeding in
his GI tract. When the tube is being passed through the pharynx, the patient begins to
cough and show signs of respiratory distress. What would be the priority action of the
nurse upon this assessment?
a. Keep the tube in place and notify the primary care provider immediately.
b. Stop advancing the tube and pull it back into the nasal area.
c. Ask the patient if he wants the nurse to stop the procedure.
d. Call for help to perform CPR.
Give this one a try later!
b.
As the tube is passing through the pharynx and the patient begins to cough
and show respiratory distress, the nurse should stop advancing the tube
and pull it back into the nasal area. The nurse should also support the
patient as he regains normal breathing ability and composure and have him
try again if he feels able to.
4.
As a nurse is aspirating the contents during a tube feeding, the nurse finds that the
tube is clogged. What would be appropriate nursing interventions in this situation?
(Select all that apply.)
a.
Use warm water and gentle pressure to remove clog.
,b.
Flush with a carbonated beverage such as a cola soft drink.
c.
Use a stylet to unclog the tube.
d.
If necessary, replace the tube.
e.
Ensure that adequate flushing is completed after each feeding.
f.
Administer an antiemetic to the patient.
Give this one a try later!
a, d, e
a.
Use warm water and gentle pressure to remove clog.
d.
If necessary, replace the tube.
e.
Ensure that adequate flushing is completed after each feeding
1. A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who
is extremely obese. The patient's height is 5′6″ and his current weight is 325 pounds.
What would the nurse document as his BMI?
a. 50.5
b. 52.4
c. 54.5
d. 55.2
Give this one a try later!
, b.
weight in pounds(325)/
--------------------------------
(ht in ins)(66)x(ht in inches)(66)
x 703
Special Diets:
Full liquid diet:
Give this one a try later!
- Contain all the items on a clear liquid diet. Additional items allowed
include milk and milk drinks, puddings, custards, plain frozen desserts,
pasteurized eggs, cereal gruels, vegetable juices, and milk and egg
substitutes in addition to clear liquids.
- Liquids that can be poured at room temperature. High-calorie, high-
protein supplements are recommended if this diet is used for more than 3
days.
Prepare the food and tray to optimize patient's ability to feed self as much as possible:
Give this one a try later!
1. open containers
2. cut meat
3. apply condiments
9.
Which nursing action associated with successful tube feedings follows recommended
guidelines?
