Answers/100% Correct/Graded A+.(Galen College of
Nursing)
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is
to monitor the status of which body system? - ANSWERNeurological
While assisting the client with meal selection, the nurse realizes that clients who
practice Islam or Judaism share an avoidance of: - ANSWERpork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - ANSWERCorrect Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse
suspects signs and symptoms consistent with: - ANSWERCorrect Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering
medications via an enteral tube requires correction by the charge nurse? -
ANSWERCorrect Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - ANSWERCorrect Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health
nurse determines that the family's diet is inadequate in protein content. The nurse
suggests which of the following lower-cost foods to increase protein content? -
ANSWERCorrect Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should
offer the patient: - ANSWERCorrect Answer:
apple juice.
The majority of body fluid is located in which area? - ANSWERCorrect Answer:
Intracellular
, The nurse recognizes that the client, on the basis of the imbalance that is present, will
require fluid replacement with isotonic solution. One of the isotonic solutions that may
be ordered by the physician is: - ANSWERCorrect Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - ANSWERCorrect Answer:
tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse
observes for: - ANSWERCorrect Answer:
Chvostek sign
Chvostek sign - ANSWERan abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings.
The action by the nurse that requires correction by the unit manager is: -
ANSWERCorrect Answer:
instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - ANSWERCorrect
Answer:
moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a
fluid volume deficit is: - ANSWERCorrect Answer:
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: -
ANSWERCorrect Answer:
daily body weight
The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag
and becomes dyspneic. Which action should the nurse take? - ANSWERCorrect
Answer:
Withdraw the tube and start again.
It is recommended that adults consume approximately how much of their diet from
carbohydrates? - ANSWERCorrect Answer:
50%
A critical measure for clients with hypocalcemia and hypomagnesemia is: -
ANSWERCorrect Answer:
implementing seizure precautions.
For the client who needs fluid replacement, which of the following should be avoided? -
ANSWERCoffee