Nokea
The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?
- A. a high-protein meal
- B. a high-fat meal
- C. a large meal regardless of nutrient content
- D. a high-carbohydrate meal
Correct Answer: D
Rationale: Meals that are high in carbohydrates promote rapid gastric emptying. The other options are associated with decreased emptying time.
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The client began wearing hearing aids 5 weeks earlier. Which statement to the nurse demonstrates that the client is successfully adapting to the hearing aids?
- A. I need to wear the hearing aids only when I go out in public.
- B. I clean my ears with a cotton-tipped swab before I insert them.
- C. I place the hearing aids in the protective box to store them at night.
- D. I soak the plastic parts of the hearing aids in mild soap and water weekly.
Correct Answer: C
Rationale: C: Hearing aids are expensive and delicate, and they should be stored in a protective container in a dry, safe place. A: Hearing aids should be worn daily to adjust to their use. B: Cotton-tipped swabs should not be inserted into the ear canal due to possible injury and infection. D: Hearing aids should be kept dry except when cleaning the ear mold with mild soap and water.
Common problems for supervisors include all of the following except:
- A. the supervisor facilitates development of staff members.
- B. the supervisor micromanages staff members.
- C. the supervisor wants to control the style in which a staff member correctly performs a task.
- D. the supervisor does not delegate.
Correct Answer: A
Rationale: Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
- A. provide oxygen
- B. promote healthy nutritional practices
- C. treat complications of malnutrition
- D. increase weight
Correct Answer: B
Rationale: Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional problems. Choice A is incorrect because it is a nursing intervention, not a goal statement. Choice C is incorrect because it is a therapeutic treatment. Choice D is incorrect because weight gain is an appropriate goal only if the client is underweight.
A spinal change occurring with pregnancy that alters mobility is:
- A. scoliosis.
- B. kyphosis.
- C. lordosis.
- D. ankylosing spondylitis.
Correct Answer: C
Rationale: The spinal change occurring with pregnancy is lordosis. This occurs due to the weight of the enlarging uterus and the affect of gravity.
Which of the following devices may be applicable to a bedridden patient to address potential venous insufficiency? A .Shear-reducing mattress B. Sequential compression devices C. Compression stockings D.Non-skid socks
- A. B and C
- B. A and D
- C. B and D
- D. A and C
Correct Answer: A
Rationale: For a client with venous insufficiency, sequential compression devices (SCDs) and compression stockings can be applied to improve venous return from the lower extremities.