edition full chapter
1. When assessing patient with nutritional needs, which patients will
require follow-up from the nurse? (Select all that apply.)
a. A patient with infection taking tetracycline with milk
b. A patient with irritable bowel syndrome increasing fiber
c. A patient with diverticulitis following a high-fiber diet daily
d. A patient with an enteral feeding and 500 mL of gastric residual A patient
with dysphagia being referred to a speech-language
e. pathologist
ANS: A, C, D
The nurse should follow up with the tetracycline, diverticulitis, and
enteral feeding. Tetracycline has decreased drug absorption with milk
and antacids and has decreased nutrient absorption of calcium from
binding.
, Nutritional treatment for diverticulitis includes a moderate- or low-
residue diet until the infection subsides. Afterward, prescribing a
high-fiber diet for chronic diverticula problems ensues. A patient with
a gastric residual volume of 500 mL needs to have the feeding
withheld and reassessed for tolerance to feedings. All the rest are
normal and expected and do not require follow-up. Patients manage
irritable bowel syndrome by increasing fiber, reducing fat, avoiding
large meals, and avoiding lactose or sorbitol-containing foods for
susceptible individuals. Initiate consultation with a speech-language
pathologist for swallowing exercises and techniques to improve
swallowing and reduce risk of aspiration for a patient with dysphagia.
2. To honor cultural values of patients from different ethnic/religious
groups, which actions demonstrate culturally sensitive care by the
nurse? (Select all that apply.)
a. Allows fasting on Yom Kippur for a Jewish patient
b. Allows caffeine drinks for a Mormon patient
c. Serves no ham products to a Muslim patient
d. Serves kosher foods to a Christian patient
e. Serves no meat or fish to a Hindu patient
ANS: A, C, E
The Jewish religion fasts 24 hours on Yom Kippur and must adhere to
kosher food preparation methods. Hinduism requires no meats or
fish. Muslims do not eat pork. Mormons do not drink caffeinated or
alcoholic drinks.
MULTIPLE CHOICE
1. The nurse is caring for a surgical patient, when the family member
asks what perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily in the postanesthesia care unit.
Perioperative nursing includes activities before, during, and after
c. surgery.
, Perioperative nursing includes activities only during the surgical
d. procedure.
ANS: C
Perioperative nursing care occurs before, during, and after surgery.
Preadmission testing occurs before surgery and is considered
preoperative. Nursing care provided during the surgical procedure is
considered intraoperative, and in the postanesthesia care unit, it is
considered postoperative. All of these are parts of the perioperative
phase, but each individual phase does not explain the term
completely.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient’s
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
2
ANS: B
Reviewing the patient’s laboratory tests and allergies is done before
surgery in the preoperative phase. Perioperative means before,
during, and after surgery. Intraoperative means during the surgical
procedure in the operating suite; postoperative means after the
surgery and could occur in the postanesthesia care unit, in the
ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The
patient has developed profuse bleeding from the surgical site, and the
surgeon has determined the need to return to the operative area. How will
the nurse classify this procedure?
a. Major
b. Urgent