A 57-year-old woman was diagnosed with osteoarthritis (OA) by her primary care provider several months ago and claims that she is achieving acceptable control of her symptoms by taking acetaminophen several times daily.
The nurse should perform further assessment to ensure that the patient is doing which of the following?
A) Taking her acetaminophen with food
B) Not exceeding 2,000 mg of acetaminophen in any 24-hour period
C) Drinking sufficient amounts of fluids
D) Not exceeding three doses per day
Question 2Total parenteral nutrition (TPN) has been ordered for a male patient who has been experiencing a severe and protracted exacerbation of Crohn's disease. Before TPN can be initiated, the patient requires:
A) A random blood glucose level of 160 mg/dL
B) Angiography to determine the patency of his vascular system
C) The insertion of a central venous access device
D) A fluid challenge to assess his renal function
Question 3A nurse is aware that even though tube feedings are generally well-tolerated by most patients, there is a still a risk of dumping syndrome.
Which of the following actions has the greatest potential to reduce a patient's risk of experiencing dumping syndrome?
A) Administering feedings at a low, continuous rate rather than by bolus
B) Administering diuretics prior to initiating a feeding
C) Diluting feedings at a 1:2 ratio of feedings to water
D) Administering feedings with the patient in a supine position to slow motility
Question 4A nurse who works in a long-term care setting is responsible for the care of numerous older adult residents who have osteoarthritis (OA).
When performing health education to promote activities of daily living, the nurse should recommend which of the following?
A) Activity limitation to preserve energy
B) A treatment plan that is centered around dietary supplements
C) Efforts to reduce body weight if the individual is obese
D) Weight-bearing exercise as tolerated
Question 5An older woman has been receiving enteral feeds by nasogastric (NG) tube for the past several days due to a decrease in her level of consciousness. How can the nurse best assess the patient's tolerance of the current formula and rate of delivery?
A) Carefully document the number and consistency of bowel movements.
B) Aspirate and measure the stomach contents on a regular basis.
C) Monitor the patient's skin turgor and the color of her sclerae.
D) Perform regular chest auscultation and monitor her oxygen saturation levels.
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