QUESTIONS COVERING
CRITICAL CARE NURSING TOPICS
SUCH AS
CARDIOVASCULAR AND
RESPIRATORY DISORDERS LATEST
EXAM GRADED A+
A nurse is caring for a patient with achalasia. Which nursing
actions should be implemented to help the patient reduce
swallowing difficulty?
(Select all that apply.)
Identify foods that cause the problem
Experiment with different eating positions
Elevate the head of the bed at night
A nurse is preparing to give a tube feeding using a large
syringe. Which action should the nurse implement before
starting the infusion?
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,Check for a residual formula and return the residual to his or her
stomach.
After receiving a tube feeding, a nurse assesses the patient to
be sweaty with abdominal distention and diarrhea. Which
situation is the most likely cause of this response?
dumping syndrome
A nurse administers promethazine (Phenergan) for nausea.
Which extra precautionary action should the nurse implement
because of the common side effect of antiemetic medications?
Put up side rails to prevent falls.
A patient complains about the placement of the total parenteral
nutrition (TPN) line and asks why it cannot be inserted in the
arm. Which fact regarding the placement of this line should
the nurse base a response on?
Subclavian artery allows for rapid dilution
A patient inquires if this newer type of gastric analysis is going
to require passage of a nasogastric tube. Which reply by the
nurse is the most accurate no. you take a dye orally, which will
be excreted in the urine in approximately 2 hours.
A nurse is caring for a patient receiving total parenteral
nutrition (TPN).
Which nursing action is most appropriate to implement?
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,Monitor the temperature for elevation
Which patient assessment indicates hyperglycemia with TPN
feeding?
increase in urine output
The TPN feeding is running at 20 mL and is 1 hour behind
schedule.
Which is the most appropriate initial nursing intervention?
Document the event and inform the charge nurse
Which endoscopic procedure for examining the small intestine
is the most current?
Capsule camera
A nurse has collected several stool specimens for ova and
parasites that are to be sent to the laboratory. Which action is
most appropriate for the nurse to implement?
Immediately take the specimens to the laboratory to be tested for
parasites and ova.
Stool softeners are prescribed to promote normal elimination
of feces. Which is the most appropriate way to ensure the
effectiveness of this type of drug?
Adequate fluid intake
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, Which set of findings best indicates that a patient with
intestinal obstruction has achieved normal hydration?
Pulse and blood pressure are within the patient's norms, mucous
membranes are moist, and fluid intake and output are equal.
After abdominal surgery, a patient must cough and take deep
breaths. Which action explains how the nurse can best achieve
this with this patient?
Help the patient splint the incision with a pillow.
A home health nurse observes a patient with esophageal cancer
tilt his head back while eating. Which complication might this
cause?
increased risk of aspiration
A nurse is caring for a patient with esophageal surgery who has
had stents placed in the esophagus and instructs the patient
how best to avoid regurgitation. Which information should the
nurse include in this instruction?
Eat only small meals
A nurse is constructing a teaching plan for a patient with a
hiatal hernia. Which information should be included in this
plan to help reduce the complaints of heartburn, regurgitation,
and eructation?
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