Nokea
List several nursing responsibilities related to providing meals to residents in long-term care facilities.
- A. Ensure meals meet dietary restrictions; prevents adverse health effects.
- B. Assist with feeding if needed; ensures adequate nutrition.
- C. Monitor food intake; identifies nutritional deficiencies.
- D. Provide a pleasant dining environment; promotes appetite and social interaction.
Correct Answer: A,B,C,D
Rationale: These responsibilities ensure nutritional needs are met while promoting resident comfort and health.
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Anticoagulant drugs (sometimes called 'blood thinners') are broken down (metabolized) in the liver. Which of the following might be an outcome if a patient has undiagnosed liver disease but is started on anticoagulants?
- A. There will be an increase in bleeding tendencies.
- B. The drugs will be ineffective, leading to an increase in clotting tendencies.
- C. The drugs will be excreted from the body unchanged.
- D. The drugs will cause more harm to the liver, possibly leading to liver failure.
Correct Answer: A
Rationale: Undiagnosed liver disease impairs anticoagulant metabolism, leading to drug accumulation and increased bleeding risk due to prolonged effects.
List several interventions that are required when caring for patients/residents with impaired mobility.
- A. Assist with repositioning every 2 hours; prevents pressure ulcers.
- B. Use assistive devices like walkers; promotes safe mobility.
- C. Provide physical therapy exercises; maintains muscle strength.
- D. Ensure clear walkways; reduces fall risk.
Correct Answer: A,B,C,D
Rationale: These interventions enhance safety, prevent complications, and support functional mobility.
Decreased renal function is associated with old age. Which of the following tests give information about renal function?
- A. Blood urea nitrogen (BUN), creatinine, and glomerular filtration rate (GFR)
- B. Blood urea nitrogen (BUN), white blood cell count, and hematocrit
- C. Blood urea nitrogen (BUN), creatinine, and white blood cell count
- D. Creatinine, hematocrit, and liver function tests (LFTs)
Correct Answer: A
Rationale: BUN, creatinine, and GFR are specific tests that assess renal function, indicating kidney performance.
Which organs of the body are primarily responsible for metabolizing and eliminating medications from the body?
- A. Gastrointestinal tract and kidneys
- B. Pancreas and lungs
- C. Liver and gastrointestinal tract
- D. Liver and kidneys
Correct Answer: D
Rationale: The liver metabolizes medications, and the kidneys eliminate them, making these organs primarily responsible for drug processing in the body.
Mr. Kaufmann, a 77-year-old man with Alzheimer's disease, has become combative with the nursing staff. You assign a male UAP to his care. Choose the best answer from the following possible explanations about this delegation decision.
- A. It is a good delegation decision because the male UAP can handle a patient who is combative better than a female UAP can.
- B. It is not a good delegation decision because two UAPs will be needed to provide his care.
- C. It is a good delegation decision only if you make yourself available to help if the patient is confused.
- D. It is a good delegation decision only if the patient who is combative is in wrist restraints.
Correct Answer: C
Rationale: The delegation is appropriate if the nurse ensures availability to assist, as combative behavior in Alzheimer's patients may require additional support, regardless of the UAP's gender or restraints.