QUESTIONS AND DETAILED ANSWERS
LATEST VERSION
A nurse is assisting with the plan of care for a client who had chronic
obstructive pulmonary disease and is malnourished. Which of the following
recommendations to promote nutritional intake should the nurse include in
the plan?
a. eat high calorie foods first
b. increase intake of water at meals times
c. preform active range of motion exercises before meals
d. keep saltine crackers nearby for snacking -Answer:-a.Eat high-calorie foods
first
Explanation: They either experience a feeling of satiety (fullness). And
therefore they should eat the calorie dense foods first, because they may not
,want to eat a lot and therefore they need the high calories first to supply them
with needed calories even if they don't eat a lot
A nurse is reinforcing teaching with a client who has cystic fibrosis and a
prescription for daily chest physiotherapy. The nurse should instruct the
client that which of the following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to simulate the cough reflex -Answer:-b. To mobilize recreations in the
airway
Explanation:
loosens client's secretions and promote drainage of secretions from the lungs;
includes percussion, vibration and promotion of drainage by gravity
, A nurse is assisting with the development of a teaching plan about how to
prevent an acute asthma attack for a young adult client. Which of the
following points should the nurse plan to discuss first?
a. how to eliminate enviornmental triggers that precipitate attacks
b. clients perception of the disease process and what might have triggered
current and previous attacks
c. client's medication regimen
d. manifestation of respiratory infections -Answer:-Determine the client's
perception of the disease process and what might have triggered the current
attack and past attacks
Explanation: Priority setting framework; the nurse can use the nursing
process to plan to client care and prioritize nursing actions; each step of the
nursing process builds on the previous step, beginning with assessment.
Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify a provider of a change in the client's status, the nurse
must first collect adequate data from the client. Assessing the client will
provide the nurse with knowledge to make an appropriate decision.