exam 4 nurs 299 Practice Questions and Answers

exam 4 nurs 299 Practice Questions and Answers A nurse is caring for a client who has been sitting in a chair for 1 hr. which of the following complications is the greatest risk for the client? A- decreased subcutaneous fat B- Muscle atrophy C- pressure injury D- fecal impaction - Ans:-c- pressure injury A nurse is caring for a client who is postoperative. which of the following interventions should the nurse take to reduce the risk of thrombus development? select all A- instruct the client not to perform the Valsalva maneuver B- apply elastic stockings C- place pillows under clients knees and lower extremities ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/26 E- assist the client to change position's often - Ans:-B- elastic stockings promote venous return E- frequent position changes prevents venous states A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement? A- encourage the client to perform antiembolic exercises every 2 hr B- instruct the client to cough and deep breathe every 4 hr C- restrict the clients fluid intake D- reposition the client every 4 hr - Ans:-A- encourage the client to perform antiembolic exercises every 1 to 2 hr to promote venous return A nurse is evaluating a clients understanding of the use of a sequential compression device. Which of the following client statements indicates client understanding? A- this device will keep me from getting sores on my skin B- This device will keep the blood pumping through my leg C- with this device on my leg muscles wont get weak D- this device is going to keep my joints in good shape - Ans:-B- sequential compression devices promote venous return in deep veins ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/26 A nurse is instructing a client who has an injury of the left lower extremity, about the use of a cane. which of the following instructions should the nurse include? select all that apply A- hold the cane on the right side B- keep two points of support on the floor C- place the cane 38 cm in front of the feet before advancing D- after advancing the cane, move the weaker leg forward E- advance the stronger leg so that it aligns evenly with the cane - Ans:-A- client should hold cane on uninjured side to provide support for injured left leg D- the client should put the weaker leg first A nurse is caring for a client who is at high risk for aspiration. Which of the following actions should the nurse take? A- Give the client thin liquids B- instruct the client to tuck their chin when swallowing C- have the client use a straw D- encourage the client to lie down and rest after meals - Ans:-B- tucking the chin when swallowing allows food to pass down the esophagus more easily ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/26 A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following nutrients provides the body with the most energy? A- fat B- protein C- Glycogen D- Carbohydrates - Ans:-D- carbs are the bodys greatest energy source A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which of the following foods on the clients meal tray? A- cooked barley B- pureed broccoli C- vanilla custard D- lentil soup - Ans:-C- a low reside diet includes foods that are low in fiber and easy to digest A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6m (5ft 3in) tall. calculate the BMI and determine whether this clients BMI indicates a health yweight, underweight, overweight or obese. - Ans:-31.25- BMI over 30 is obesity ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/26 A nurse in a senior center is counseling a group of older adults about their nutritional needs & considerations. Which of the following info should the nurse include? Select all. A. Older adults are more prone to dehydration than younger adults are B. Older adults need the same amount of most vitamins & minerals as younger adults do C. Many older men & women need calcium supplementation D. Older adults need more calories than they did when they were younger E. Older adults should consume a diet low in carbs - Ans:-A- sensations and thirst diminish with age B- these requirements don't change with age C- if older adults ingest insufficient calcium in the diet they need supplements to prevent osteoporosis A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? select all that apply A- limit total daily fluid intake B- decrease or avoid caffeine C- take calcium supplements ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/26 D- avoid drinking alcohol E- use the crede maneuver - Ans:-b- caffeine can worsen stress incontinence D- can also worsen incontinence A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? A- check to see whether the catheter is patent B- reassure the client that it is not possible for them to urinate C- recatheterize the bladder with a larger gauge catheter D- collect a urine specimen for analysis - Ans:-A- clogged or kinked catheter causes bladder to fill and stimulates the need to urinate A nurse is caring for a client who has a prescription for 24 hr urine collection. Which of the following actions should the nurse take? A- discard the first voiding B- keep the urine in a single container at room temper