An older patient asks the nurse what he can about nausea that occurs after eating because of delayed gastric emptying. What advice should the nurse provide to the patient?
A) Changing to a vegetarian, organic diet
B) Limiting food intake and taking antacids regularly
C) Increasing the amount of soluble and insoluble fiber in his diet
D) Eating several small meals throughout the day rather than three larger ones
Question 2A long-term care facility has experienced an outbreak of scabies among the residents. Which of the following actions are likely to control the spread of the outbreak? (Select all that apply.)
A) Antibiotic treatment for those residents who have tested positive
B) An emphasis on vigilant hand hygiene
C) Disinfection of mattresses and common areas
D) Quarantine of the facility until the outbreak subsides
E) Isolation of all the laundry in the facility
Question 3A 69-year-old patient is admitted with severe diarrhea. His urinalysis report indicates an increased level of ketone bodies. This occurs with
a. kidney disease.
b. starvation or carbohydrate-restricted diets.
c. infection.
d. urolithiasis.
Question 4After receiving new dentures the nurse provides instruction to an older patient on the use and their care. Which patient statement indicates that teaching about the dentures has been effective?
A) I do not have to brush and floss my teeth every day..
B) I suppose that I'll have to get these resized and adjusted from time to time..
C) I'll have to change my diet to include only soft and pureed foods now I suppose..
D) I've had to go to the dentist so often over the last few years and it's a relief not to have to anymore..
Question 5A patient who is currently undergoing surgery has vomited a small amount of emesis. How should the OR nurses best respond to this intraoperative event?
A) Turn the patient on his or her side and perform oral suctioning.
B) Maintain the patient's current position and perform deep suctioning.
C) Administer an antiemetic as ordered and closely monitor the patient for further vomiting.
D) Assist the anesthesiologist with extubating the patient.
Question 6A patient has nephrotic syndrome. Which of these statements made by the patient indicates that she understands the dietary modifications?
a. I will need to increase protein and decrease sodium intake.
b. I will need to drink more milk to get my calcium.
c. Carbohydrate restriction will be difficult.
d. Potassium restriction won't be hard since I don't like fruit.
Question 7An older patient is demonstrating signs of dehydration. Which action should the nurse initiate first?
A) Minimize food intake and maximize fluid intake
B) Advocate for the initiation of intravenous rehydration
C) Initiate monitoring and recording of fluid intake and output
D) Ask that the physician order blood work to confirm or rule out dehydration
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