BASIC COMFORT 3

A client with diabetes insipidus has output described as
1. dysuria.
2. polyuria.
3. oliguria.
4. anuria.
A resident at the assisted living center pushes his tray onto the floor and shouts at the nurse, "This food is terrible! I can't stand this another minute!" What is the nurse's best response?
1. ’That was rude! Now you've ruined dinner for everyone else."
2. "I'm sending you to your room. Another dinner will be delivered there."
3. "Let's find something you might like better. Tell me what sounds good."
4. "You agreed to the behavior rules. Please return to your room."
When applying the principles of pain assessment and management, what the PRIORITY?
1. Client must be educated on side effects.
2. Perception of pain is subjective.
3. Interdisciplinary care is necessary.
4. Management depends on client goals.
A 32-year-old female with no significant history comes to the clinic for a routine check-up. Where is the most appropriate spot to measure this client's pulse?
1. Femoral
2. Radial
3. Carotid
4. Apical
A 65-year-old calls the clinic to report they are experiencing severe left lumbar pain. After diagnostic testing, the client learns they have kidney stones in the left kidney. Initial treatment is provided and the client is instructed on dietary changes. An increase in which of the following will be MOST helpful in preventing a recurrence?
1. Steak
2. Water
3. Eggs
4. Spinach
A pediatric client with a diagnosis of leukemia is experiencing nausea and vomiting from chemotherapy. Which of the following food will be BEST in providing adequate nutrition at this time?
O
1. Cold foods with no smell
2. Warm foods with strong smell
3. High-protein, high-calorie foods
4. Low-calorie, clear liquids
Contraindications for administering an enema include all of the following EXCEPT
1. suspected appendicitis
2. acute myocardial infarction.
3. hypercalcemaia treatment.
4. recent colon surgery.
A client who sustained a fractured femur in a construction accident is admitted to the orthopedic unit directly from surgery. The client is in skeletal traction. Which nursing action is the PRIORITY?
1. Maintain strict and proper body alignment.
2. Perform frequent neurovascular checks.
3. Provide meticulous care at pin insertion sites.
4. Attach an overhead trapeze to the bed.
After a dient was diagnosed with gastroesophageal reflux disease (GERD), the nurse educates the client about diet. Which of the following foods should the client avoid?
1. White bread
2. Grilled salmon
3. Pineapple
4. Bananas
The healthcare provider is preparing a patient for a total colectomy and the placement of an ileostomy. The patient asks where the stoma will be located. The healthcare provider identifies which of the following areas as the correct stoma site?
1. Uppper left quadrant
2. UPper right quadrant
3. Lower Left quadrant
4. Lower right quadrant
Before administering a scheduled 300 ml. enteral feeding bolus to a comatose adult client, the nurse aspirates 100 ml. of gastric residual volume. Which nursing action is MOST appropriate?
1. Administer the bolus as prescribed.
2. Request a different enteral formula.
3. Flush the tubing with warm water.
4. Hold the feeding bolus for two hours.
A patient diagnosed with Crohn's disease has a new colostomy. When assessing the patient's stoma, which of these would alert the healthcare provider that the stoma has retracted?
1. O Pinkish red and moist
2. O Narrowed and flattened
3. Concave and bowl shaped
4. Dry and reddish purple

BASIC COMFORT 3

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