VATI_Fund_Basic_Care___Comfort.rtf

Question 1 Correct A nurse is teaching parents how care for their newborn. Which of the following statements indicates a good understanding of how to use a bulb syringe to suction excess mucous from the infant’s airway? Select one: a. “The bulb syringe should be sterilized after each use.” b. “I should compress the bulb syringe after I place it in my baby’s mouth.” c. “The bulb syringe should reach to the back of my baby’s throat.” d. “I should suction my baby’s mouth before the nose.” CorrectCORRECT. The mouth should always be suctioned before the nose to prevent aspiration during the gasp response that occurs when the nose is suctioned. Feedback The correct answer is: “I should suction my baby’s mouth before the nose.” Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child’s desire to accomplish which of the following? Select one: a. Gratify their oral fixation. b. Develop their sense of trust. c. Increase their independence. CorrectCORRECT. The drive for independence is expressed by the toddler opposing the desires of those in authority (tantrums) and attempting to do everything for themselves. The Erickson developmental stage for this age is “Autonomy vs. Shame and Doubt.” d. Finish a project they set out to do. Feedback The correct answer is: Increase their independence. Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? Select one: a. This is an early emergence of sexual expression that should be discouraged b. This is a possible infection or irritation in the genital area c. Awareness of body structures and sensations is normal and expected CorrectCORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It should be ignored unless the behavior becomes pervasive, and then it should still be ignored and the child should be distracted to come and do some fun and exciting activity d. Your child is probably imitating behaviors that she has observed Feedback The correct answer is: Awareness of body structures and sensations is normal and expected Question 4 Incorrect Mark 0.00 out of 1.00 Flag question Question text A nurse is completing a dietary evaluation for a client diagnosed with acute glomerulonephritis. Which of the following statements made by the client demonstrates understanding of necessary restrictions? Select one: a. “I should limit my sodium intake to 4 grams per day.” b. “I should increase my consumption of protein.” IncorrectINCORRECT. A low protein diet is recommended for clients with glomerulonephritis. Therefore, increased consumption of protein would be contraindicated. c. “I should consume a diet low in carbohydrates.” d. “I should increase my fluid intake to 8-10 glasses of water a day.” Feedback The correct answer is: “I should limit my sodium intake to 4 grams per day.” Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is assisting a client with bowel training. When should the nurse instruct the client to attempt defecation? Select one: a. When the client has the urge to defecate. CorrectCORRECT. Failure to heed the call to defecate may lead to overdistention of the rectum with hardening of the stool and subsequent constipation. Therefore, the best time to toilet a client to encourage bowel training is when the client has the urge to defecate. b. Every hour while awake. c. When the client feels abdominal cramping. d. Immediately before meals. Feedback The correct answer is: When the client has the urge to defecate. Question 6 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is calculating the client’s intake and output. Based on the information below, which of the following values correctly represents the client’s total output? Sipped 8 oz. clear broth. 100 mL ice chips. Voided 450 mL. IV push pain medication 50 mL. Drank 4 oz. juice and 6 oz. hot tea. Vomited 120 mL and voided 600 mL. Jackson Pratt drain emptied 40 mL. Select one: a. 590 mL b. 680 mL c. 1210 mL Correct1210 mL output is the correct value. Input includes all liquids taken by mouth, including through nasogastric or jejunostomy feeding tubes, IV fluids, and blood or its components. Output includes urine, diarrhea, vomitus, and drainage from tubes such as through gastric suction and drainage from postsurgical wounds or other tubes. d. 1068 mL Feedback The correct answer is: 1210 mL