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NSG 3100 EXAM 4 2025 | ALL QUESTIONS AND
CORRECT ANSWERS | VERIFIED ANSWERS |
LATEST EXAM | ALREADY GRADED A+
Which of the following foods would be included in a full liquid diet? --------- CORRECT ANSWER-----------------Ice cream What is the most accurate way to verify tube placement prior to initiating enteral feeding? ---------CORRECT ANSWER-----------------Xray When administering a tube feed by gravity, the nurse would adjust the flow rate by raising and lowering the syringe. T or F ---------CORRECT ANSWER-----------------True Prior to administering a bolus tube feeding, the nurse should do what? ------ ---CORRECT ANSWER-----------------Make sure the feeding is at room temperature Check residual contents of the stomach Perform hand hygiene Hypertonic IV solutions cause a shift from: ---------CORRECT ANSWER----- ------------intracellular to extracellular Calculate the total intake: 8 oz coffee, 4 oz orange juice, 16 oz soda. --------
- CORRECT ANSWER-----------------840 mLs
Which nursing intervention is most appropriate for the pt. developing respiratory alkalosis? ---------CORRECT ANSWER----------------- Encouraging slow, deep breaths Trousseau's sign is performed by tapping the client's cheek and observing for facial muscle twitching. T or F ---------CORRECT ANSWER----------------- False A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The action by the nurse that requires correction by the unit manager is: ---------CORRECT ANSWER-----------------Correct Answer: instilling air into the NG tube to check for placement. The mucous membranes of a normally hydrated individual are: --------- CORRECT ANSWER-----------------Correct Answer: moist. Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is: ---------CORRECT ANSWER---------- -------Correct Answer: 42 - year-old with severe vomiting. The single best indicator of fluid status is the nurse's assessment of the client's: ---------CORRECT ANSWER-----------------Correct Answer: daily body weight
Causes of hypernatremia ---------CORRECT ANSWER-----------------Fever Diarrhea Excessive sodium intake Hypernatremia ---------CORRECT ANSWER-----------------high sodium An example of hemoconcentration seen in dehydration is increased hematocrit levels. T or F ---------CORRECT ANSWER-----------------True Signs of fluid overload ---------CORRECT ANSWER-----------------High BP Pitting edema in lower extremities Mental confusion Moist crackles Which is a sign/symptom of hypernatremia? ---------CORRECT ANSWER--- --------------Thirst When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system? --------- CORRECT ANSWER-----------------Neurological While assisting the client with meal selection, the nurse realizes that clients who practice Islam or Judaism share an avoidance of: ---------CORRECT ANSWER-----------------pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends including vitamin C, which is best found in: ---------CORRECT ANSWER-----------------Correct Answer: tomatoes. For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and symptoms consistent with: ---------CORRECT ANSWER-----------------Correct Answer: metabolic acidosis. Which of the following techniques used by the new staff nurse for administering medications via an enteral tube requires correction by the charge nurse? ---------CORRECT ANSWER-----------------Correct Answer: Adding the medications to the tube feeding After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to recommend which one of the following foods for this client? ---------CORRECT ANSWER-----------------Correct Answer: Yogurt While doing a nutritional assessment of a low-income family, the community health nurse determines that the family's diet is inadequate in protein content. The nurse suggests which of the following lower-cost foods to increase protein content? ---------CORRECT ANSWER----------------- Correct Answer: Beans The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the patient: ---------CORRECT ANSWER----------------- Correct Answer:
Causes of hypokalemia ---------CORRECT ANSWER----------------- Prolonged NGT suction Heavy perspiration Diarrhea Potassium must always be diluted appropriately and never given IV push. T or F ---------CORRECT ANSWER-----------------True Signs and symptoms of hypokalemia ---------CORRECT ANSWER------------ -----Muscle weakness Leg cramps Decreased deep tendon reflexes Weak irregular pulses Hypocalcemia ---------CORRECT ANSWER-----------------deficient calcium in the blood Signs and symptoms of hypocalcemia ---------CORRECT ANSWER----------- ------Numbness and tingling of extremities Positive Chvostek's sign Cardiac dysrhythmias respiratory acidosis ---------CORRECT ANSWER-----------------A drop in blood pH due to hypoventilation (too little breathing) and a resulting accumulation of Co2. Causes of respiratory acidosis ---------CORRECT ANSWER----------------- Aspiration of foreign body
Overdose of narcotics or sedatives Chronic lung disease metabolic alkalosis ---------CORRECT ANSWER-----------------metabolic condition in which the pH of tissue is elevated beyond the normal range cause of metabolic alkalosis ---------CORRECT ANSWER----------------- Vomiting Antacids Potassium draining diuretics dysphagia ---------CORRECT ANSWER-----------------difficulty swallowing A client with dysphagia can be observed doing this while eating --------- CORRECT ANSWER-----------------Coughing/gagging Improving appetite includes what actions? ---------CORRECT ANSWER----- ------------Small portions Oral hygiene Relieve illness symptoms Which of the following foods are high in vitamin C? ---------CORRECT ANSWER-----------------Broccoli Signs of malnutrition ---------CORRECT ANSWER-----------------Spoon shaped nails
Food frequency record ---------CORRECT ANSWER-----------------a checklist that indicates how often general food groups or specific foods are eaten food diary ---------CORRECT ANSWER-----------------A record of the kinds and amounts of all foods and beverages consumed for a given time diet history ---------CORRECT ANSWER-----------------a comprehensive assessment of a client's food intake that involves an extensive interview by a nutritionist or dietitian What system does a B12 deficiency effect ---------CORRECT ANSWER----- ------------Neuro Client teachings for overweight individuals ---------CORRECT ANSWER----- ------------Discuss lifestyle factors Choose goal weight Low calorie caffeine free beverages Drink more water Smaller plates Walk Chew more thoroughly Exercise Reduce stress clear liquid diet ---------CORRECT ANSWER-----------------Coffee Tea Sodas
Broth Juice Gelatin full liquid diet ---------CORRECT ANSWER-----------------Al foods on liquid plus: Milk Pudding Ice cream Vege juice Cream of wheat Butter Eggs Peanut butter Yogurt Soft diet ---------CORRECT ANSWER-----------------Foods on clear and full liquid diets and: easy to chew foods Types of NG tubes ---------CORRECT ANSWER-----------------Levin (single lumen-suction), Salem sump (double lumen-suction), Senstaken (triple lumens- irrigation/suction) How to measure fluid volume of ice chips ---------CORRECT ANSWER------- ----------1/2 volume of ice chips Convert mLs to oz ---------CORRECT ANSWER-----------------30 mLs=1 oz
Normal BUN levels ---------CORRECT ANSWER-----------------Males: 0.6-1. Females: 0.5-1. Isotonic fluid volume excess tx ---------CORRECT ANSWER----------------- Diuretics Fluid restriction Sodium restriction Normal sodium levels ---------CORRECT ANSWER----------------- 135 - 145 mEq/L normal potassium levels ---------CORRECT ANSWER-----------------3.5- 5 Nursing interventions hyponatremia ---------CORRECT ANSWER-------------- ---Fluid intake and output monitoring Lab data Increase salt intake Limit water intake Nursing interventions hypernatremia ---------CORRECT ANSWER------------- ----Monitor fluids Behavior changes Labs Diet
Interventions hypokalemia ---------CORRECT ANSWER-----------------Heart rate digitalis toxicity monitoring potassium supplements education Hyperkalemia treatment ---------CORRECT ANSWER-----------------cardiac and ecg diuretics no potassium supp labs education hypocalcemia tx ---------CORRECT ANSWER-----------------monitor heart/respirations mental status calcium supp education hypercalcemia tx ---------CORRECT ANSWER-----------------exercise fluids fiber cran juice education hypocalcemia drug ---------CORRECT ANSWER-----------------calcium gluconate hypercalcemia drug ---------CORRECT ANSWER-----------------calcitonin
low bicarb resp acidosis levels ---------CORRECT ANSWER-----------------low ph high co cause of metabolic acidosis ---------CORRECT ANSWER----------------- prolonged diarrhea cause of metabolic alkalosis ---------CORRECT ANSWER-----------------ng tube antacids isotonic solutions shift ---------CORRECT ANSWER-----------------no shift hypertonic solutions ---------CORRECT ANSWER-----------------pulks from cells into veins hypotonic solutions shift ---------CORRECT ANSWER-----------------veins to cells
