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A nurse is planning to collect a stool specimen for ova and parasites from a
client who has diarrhea. Which of the following actions should the nurse take
when collecting the specimen? A. Instruct the client to defecate into the
toilet bowl
-incorrect: The nurse should have the client defecate into a bedpan or
a container for stool collection. The toilet water can dilute and
contaminate the liquid specimen.
B. Transfer the specimen to a sterile container
-incorrect: The nurse should place the stool specimen in a clean
container using a tongue depressor.
C. Refrigerate the collected specimen
-incorrect: The nurse should send the collected stool specimen immediately to
the laboratory after labeling the specimen properly to prevent contamination
with microorganisms and keep the specimen from getting cold.
D. Place the stool specimen collection container in a biohazard bag
,-The nurse should place the specimen collection container in a biohazard
bag with the client label on the container and the bag for easy
identification. This will also prevent contamination with microorganisms.
A nurse is caring for a client who has a tracheostomy and
requires suctioning. Which of the following actions should the nurse
take?
A. Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate
the client for several minutes prior to suctioning.
B. Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during
inhalation C. Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk
of damage to the tracheal mucosa and removes oxygen from the
airways. D. Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
A nurse is caring for a client who has bilateral cats on her hands.
Which of the following actions should the nurse take when assisting the
client with feeding?
A. Sit at the bedside when feeding the client
,-The nurse should avoid appearing to be in a hurry. Sitting at the bedside
provides the client with the nurse’s full attention during the feeding B. Order
pureed foods
-incorrect: Without any mouth or throat injuries that make chewing or
swallowing difficult, the client should be served foods of an appropriate
variety of textures. Pureed foods are for clients who cannot chew, have
difficulty swallowing, or do not have teeth. C. Make sure feedings are
provided at room temperature
-incorrect: The nurse should ask the client if the food is the
correct temperature D. Offer the client a drink of fluid after every
bite
-incorrect: If the client is unable to communicate, the nurse should offer the
client fluids after every 3 or 4 mouthfuls. However, there is no indication that
this client is unable to communicate. Therefore, the client should tell the
nurse when she would like a drink.
A nurse is providing teaching to a client regarding protein intake.
Which of the following foods should the nurse include as an example of
an incomplete protein?
Eggs
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
, B. Soybeans
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
Lentils
-Incomplete proteins are missing 1 or more of the essential amino acids
necessary for the synthesis of protein in the body. Examples of incomplete
proteins include lentils, vegetables,
grains, nuts, and seeds.
D. Yogurt
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
5888 A nurse is caring for a client who was admitted to a long-term care
facility for rehabilitation after a total hip arthroplasty. At which of the
following times should the nurse begin discharge planning?
A. One week prior to the client’s discharge
-incorrect: Beginning to plan for the client’s discharge a week prior to the
event might not allow sufficient time for planning. The nurse should begin
discharge planning at the time of admission.
B. Upon the client’s admission to the care facility