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NSG 300 EXAM 2 FROM GRAND CANYON
UNIVERSITY (GCU) INCLUDES ACCURATE
AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS,
CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION, EVIDENCE BASED
PRACTICE
In providing diet education for a patient on a low-fat diet, which
information is important for the nurse to share? - CORRECT
ANSWER✔✔CORRECT ANSWER:
Saturated fats are found mostly in animal sources.
Explanation:
Most animal fats have high proportions of saturated fatty acids, whereas
vegetable fats have higher amounts of unsaturated and polyunsaturated
fatty acids. Diet recommendations include limiting saturated and trans
fat to less than 10%.
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A nurse is performing an assessment on a patient who has not had a
bowel movement in 3 days. The nurse will expect which other assessment
finding?
- CORRECT ANSWER✔✔CORRECT ANSWER:
Hypoactive bowel sounds
Explanation:
Three or more days with no bowel movement indicates hypomotility of
the GI tract. Assessment findings would include hypoactive bowel sounds,
a firm distended abdomen, and pain or discomfort upon palpation.
Increased fluid intake would help the problem; a decreased intake can
lead to constipation. Jaundice does not occur with constipation but can
occur with liver disease.
The health care provider has ordered a hypotonic intravenous (IV)
solution to be administered. Which IV bag will the nurse prepare? -
CORRECT
ANSWER✔✔CORRECT ANSWER:
0.45% sodium chloride (1/2 NS)
Explanation:
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0.45% sodium chloride is a hypotonic solution. NS and LR are isotonic.
D5LR is hypertonic.
A nurse is evaluating an unlicensed assistive personnel's (UAP) care for a
patient with an indwelling catheter. Which action by the UAP will cause
the nurse to intervene? - CORRECT ANSWER✔✔CORRECT
ANSWER:
Placing the drainage bag on the side rail of the patient's bed
Explanation:
Placing the drainage bag on the side rail of the bed could allow the bag to
be raised above the level of the bladder and urine to flow back into the
bladder. The urine in the drainage bag is a medium for bacteria; allowing
it to reenter the bladder can cause infection. A key intervention to prevent
catheter-associated urinary tract infections is prevention of urine back
flow from the tubing and bag into the bladder. All the rest are correct
procedures and do not require follow-up. The drainage bag should be
emptied when half full; an overfull drainage bag can create tension and
pulling on the catheter, resulting in trauma to the urethra and/or urinary
meatus and increasing risk for urinary tract infections. Urine specimens
are obtained by temporarily kinking the tubing; a prolonged kink could
lead to bladder distention. Failure to secure the catheter to the patient's
thigh places the patient at risk for tissue injury from catheter
dislodgment.
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A nurse is preparing a bowel training program for a patient. Which
actions will the nurse take? Select all that apply. - CORRECT
ANSWER✔✔CORRECT
ANSWERs
Choose a time based on the patient's pattern to initiate defecation-control
measures.
Record times when the patient is incontinent.
Help the patient to the toilet at the designated time.
Maintain normal exercise within the patient's physical ability.
Explanation:
A successful program includes the following: Assessing the normal
elimination pattern and recording times when the patient is incontinent.
Choosing a time based on the patient's pattern to initiate
defecationcontrol measures. Maintaining normal exercise within the
patient's physical ability. Helping the patient to the toilet at the
designated time. Offering a hot drink (hot tea) or fruit juice (prune juice)
(or whatever fluids normally stimulate peristalsis for the patient) before
the defecation time. Instruct the patient to lean forward at the hips while
sitting on the toilet, apply manual pressure with the hands over the
abdomen, and bear down but do not strain to stimulate colon emptying.
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NSG 300 EXAM 2 FROM GRAND CANYON
UNIVERSITY (GCU) INCLUDES ACCURATE
AND VERIFIED QUESTIONS COVERING
FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS,
CRITICAL THINKING, PATIENT SAFETY,
COMMUNICATION, EVIDENCE BASED
PRACTICE
In providing diet education for a patient on a low-fat diet, which
information is important for the nurse to share? - CORRECT
ANSWER✔✔CORRECT ANSWER:
Saturated fats are found mostly in animal sources.
Explanation:
Most animal fats have high proportions of saturated fatty acids, whereas
vegetable fats have higher amounts of unsaturated and polyunsaturated
fatty acids. Diet recommendations include limiting saturated and trans
fat to less than 10%.
Page 1 of 55
,2 | Page
A nurse is performing an assessment on a patient who has not had a
bowel movement in 3 days. The nurse will expect which other assessment
finding?
- CORRECT ANSWER✔✔CORRECT ANSWER:
Hypoactive bowel sounds
Explanation:
Three or more days with no bowel movement indicates hypomotility of
the GI tract. Assessment findings would include hypoactive bowel sounds,
a firm distended abdomen, and pain or discomfort upon palpation.
Increased fluid intake would help the problem; a decreased intake can
lead to constipation. Jaundice does not occur with constipation but can
occur with liver disease.
The health care provider has ordered a hypotonic intravenous (IV)
solution to be administered. Which IV bag will the nurse prepare? -
CORRECT
ANSWER✔✔CORRECT ANSWER:
0.45% sodium chloride (1/2 NS)
Explanation:
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0.45% sodium chloride is a hypotonic solution. NS and LR are isotonic.
D5LR is hypertonic.
A nurse is evaluating an unlicensed assistive personnel's (UAP) care for a
patient with an indwelling catheter. Which action by the UAP will cause
the nurse to intervene? - CORRECT ANSWER✔✔CORRECT
ANSWER:
Placing the drainage bag on the side rail of the patient's bed
Explanation:
Placing the drainage bag on the side rail of the bed could allow the bag to
be raised above the level of the bladder and urine to flow back into the
bladder. The urine in the drainage bag is a medium for bacteria; allowing
it to reenter the bladder can cause infection. A key intervention to prevent
catheter-associated urinary tract infections is prevention of urine back
flow from the tubing and bag into the bladder. All the rest are correct
procedures and do not require follow-up. The drainage bag should be
emptied when half full; an overfull drainage bag can create tension and
pulling on the catheter, resulting in trauma to the urethra and/or urinary
meatus and increasing risk for urinary tract infections. Urine specimens
are obtained by temporarily kinking the tubing; a prolonged kink could
lead to bladder distention. Failure to secure the catheter to the patient's
thigh places the patient at risk for tissue injury from catheter
dislodgment.
Page 3 of 55
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A nurse is preparing a bowel training program for a patient. Which
actions will the nurse take? Select all that apply. - CORRECT
ANSWER✔✔CORRECT
ANSWERs
Choose a time based on the patient's pattern to initiate defecation-control
measures.
Record times when the patient is incontinent.
Help the patient to the toilet at the designated time.
Maintain normal exercise within the patient's physical ability.
Explanation:
A successful program includes the following: Assessing the normal
elimination pattern and recording times when the patient is incontinent.
Choosing a time based on the patient's pattern to initiate
defecationcontrol measures. Maintaining normal exercise within the
patient's physical ability. Helping the patient to the toilet at the
designated time. Offering a hot drink (hot tea) or fruit juice (prune juice)
(or whatever fluids normally stimulate peristalsis for the patient) before
the defecation time. Instruct the patient to lean forward at the hips while
sitting on the toilet, apply manual pressure with the hands over the
abdomen, and bear down but do not strain to stimulate colon emptying.
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