The nurse outlines nutritional needs for the patient with multiple sclerosis (MS). Which dietary instruction(s) is/are most important for the nurse to emphasize? (Select all that apply.)
a. Maintain fluid intake of at 1500 mL each day.
b. Include intake of high-fiber foods in the diet.
c. Include high intake of carbohydrates.
d. Add supplemental calcium and vitamin D to the diet.
e. Increase intake of high-fat foods.
Question 2Following an outpatient procedure for which the patient received general anesthesia, which finding(s) indicate(s) to the nurse that the patient is ready to be discharged? (Select all that ap-ply.)
a. The patient ambulates to the bathroom with minimal assistance.
b. The patient cannot read and voice an un-derstanding of discharge instructions.
c. The patient has been awake for 2 hours.
d. The patient is able to empty the bladder.
e. The patient plans to drive home.
Question 3The home care nurse is caring for a patient with a severe immune deficiency disorder. What information about infection prevention is most important for the nurse to include in the teaching plan?
a. Check your temperature daily.
b. Wash your hands frequently.
c. Check daily for signs of infection.
d. Seek medical advice at the first sign of infection.
Question 4A patient in Russell traction with a Pearson attachment for a fracture of the tibia complains of intense pain at the fracture site. The nurse assesses a temperature of 102 F and increased swel-ling at the fracture site.
Which complication do these findings suggest?
a. Osteomyelitis
b. Fat embolism
c. Traction misalignment
d. Nonunion of the fracture
Question 5The nurse is caring for an older adult patient who is diabetic. The nurse cautions against the technique of tight control of hyperglycemia. Which statement explains why this management method is not recommended?
a. Older adults may not accurately test and administer sliding-scale insulin.
b. Older adults possess lower risk for hyper-glycemia.
c. Older adults may experience cardiovascu-lar problems from hypoglycemia.
d. Older adults possess an unstable metabolic rate.
Question 6Which preventative measure(s) may protect against development of cardiovascular disease? (Select all that apply.)
a. Exercising regularly for at least 30 minutes a day
b. Maintaining high-density lipoprotein (HDL) greater than 50 mg/dL
c. Refraining from smoking
d. Obtaining and maintaining a healthy weight
e. Maintaining triglycerides above 150 mg/dL
Question 7The nurse is preparing a care plan for a person with late-stage Parkinson disease. The nurse should plan interventions to address which problem(s)? (Select all that apply.)
a. Dysphagia
b. Hallucinations
c. Immobility
d. Insomnia
e. Urinary incontinence
Question 8The nurse is caring for a patient who reports feeling very stressed about her new diagnosis of fibromyalgia. Which response is most beneficial in addressing the patient's stress?
a. I can't imagine how it must feel to have this disorder.
b. What worries you the most about your fibromyalgia?
c. Light exercise and relaxation techniques may really help alleviate your stress.
d. You can talk to your doctor about your stress and ask him to prescribe some anti-anxiety medication.
Question 9The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates that the nurse's teaching has been successful?
a. I will need to stay in bed when the mon-itor is reading my heart waves.
b. This test will help determine if I have a blockage in my arteries.
c. If there is a problem with my heart valves, it will show up with telemetry.
d. The nurses will be able to monitor my heart rate and rhythm.
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