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NUR 155 Exam 2 | Galen College of Nursing

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NUR 155 Exam 2 | Galen College of Nursing

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1. A patient is being treated for fluid overload.
NU 155What
Exammight
2 you see in the patient's care
plan regarding nutrition therapy? Select all that apply.
a Patient is placed on fluid restrictions
Patient is placed on a sodium restricted diet
c. Patient is encouraged to drink 1500 mL of water
Batient education on checking food labels for sodium content

2.) A patient who has a colostomy is complaining about having excess gas. You ask the patient
to tell you what he has ate in the past 48 hours. Which food would you suspect is causing the
patient excessive gas?
A. Squash, Spinach, and Pickles
B. Chicken, grapes, and raspberries
Cherries, Radishes, and Watermelon
D. Caraway seeds, tomato soup, and eggs



3. A patient is diagnosed with Congestive Heart Failure and must follow a specific diet. Which
spices are okay for the patient to use daily?
A. Garlic Sodium & Nutmeg
B. Sea Salt & Pepper
? Onion Salt & Garlic Powder
/Ginger & Bay Leaves

4.) A patient with gout should follow what type of diet?
A. High-calcium diet
B. Renal Diet
Low-purine diet
D. Potassium-modified diet


5.The client who was started on total parenteral nutrition (TPN) yesterday has the following
morning lab results. Which result indicates the greatest urgency for the nurse's collaboration
Potassium
with of as 2. 5
the physician?
B. Serum glucose of ee8. 228
C. BUN of 60
D. Prealbumin of 15


6. The nurse is creating a plan of care for a client receiving enteral feedings via a gastrostomy
tube (G-tube). The nurse should plan to include which intervention in the plan of care?
A. Provide oral fluids 3 times per day
Beheck around the stoma site for skin irritation.
C. Medicate with antidiarrheal medications every day

, D. Use sterile technique when administering the tube feedings

7. The nurse instructs a client about a low-fat diet. Which menu selection indicates that the
client understands the nurse's instructions?
A. Shrimp and bacon salad
B. Liver, potato salad, sherbet
Turkey breast, boiled rice, and fruit.
D. Lean hamburger steak and macaroni and cheese




8.A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is
patient?
under the nurse's care. Which nursing intervention should be included in the care plan for the
Administering I.V. and oral fluids.-
B. Clustering necessary activities throughout the day-
C. Assessing color, odor, and amount of sputum-
D. Monitoring serum albumin and total protein levels-


9. Lab tests revealed
manifestation thatnurse
would the the patient's
expect tosodium level [Na+) is 170 mEg/L. Which clinical
assess?
A Tented skin turgor and thirst.
B. Muscle twitching and tetany
C. Fruity breath and Kussmaul's respirations
D. Muscle weakness and paresthesia




10.A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration.
volume deficit? should the nurse perform when caring for a client diagnosed with fluid
Which intervention
Assessing urinary intake and output.
B. Obtaining the client's weight weekly at different times of the day
C. Monitoring arterial blood gas (ABG) results
D. Maintaining I.V. therapy at the keep-vein-open rate


11. You are taking a patient's blood pressure manually. As you pump up the cuff above the
of the following
systolic pressureisfortrue?
a few minutes you notice that the patient develop a carpal spasm. Which

Dhis is known as Trousseau's Sign and is present in patients with Hypocalemia.-
C.
B. This
This is
is known
known as Chvostek's
Trousseau'sSign
Sign and is present in patients with Hypercalemia-

inflated above is
D. The patient the systolic
having pressure
a normal nervous response to an inflating blood pressure cuff that is

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