RN NCLEX Basic Care and Comfort

RN NCLEX Basic Care and Comfort Related

Review RN NCLEX Basic Care and Comfort related questions and content

The nurse is caring for a comatose client with a Salem sump tube. Which action by the nurse is correct regarding care of this client?

  • A. clamp the air vent during tube feedings
  • B. place the client on the left side in a high-Fowler's position
  • C. assess the position of the Salem sump before each feeding
  • D. infuse bolus feedings with a pump or by gently plunging into the stomach
Correct Answer: C

Rationale: Assessing tube position (C) ensures correct placement and prevents complications. Air vent remains open (A), high-Fowler's is preferred over left side (B), and bolus feedings are avoided in comatose clients (D).

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The nurse is caring for a client who adheres to a lactovegetarian diet. Which meal tray would the nurse deliver to the client?

  • A. chicken sandwich, brown rice, yogurt, and milk
  • B. steamed vegetables with rice and apple slices
  • C. scrambled eggs, cottage cheese, dry toast, and milk
  • D. baked zucchini, spinach salad with cheese, and yogurt
Correct Answer: B

Rationale: A lactovegetarian diet excludes meat and eggs but allows dairy. Only option B (vegetables, rice, apples) is free of animal products other than dairy, which is not included here.

The nurse is caring for a client whose lab results show triglycerides of 380 and cholesterol level of 240. Which foods would the nurse educate the client about including in his diet when he is discharged? Select all that apply.

  • A. wheat toast with sugar-free jelly
  • B. grilled salmon seasoned with herbs
  • C. an egg-white omelet with vegetables
  • D. natural honey from a local farmer's market
  • E. plain grilled steak prepared with pepper only
Correct Answer: A,B,C

Rationale: Wheat toast with sugar-free jelly (A), grilled salmon (B), and egg-white omelet with vegetables (C) are low in saturated fats and support heart health. Honey (D) is high in sugar, and steak (E) is high in saturated fat, which can worsen lipid levels.

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