Question 1

While teaching how to check for gastric residual volume (GRV),the nurse instructs the caregiver to refeed the tube feeding if he or she obtains less than _________ mL of gastric aspirate.

Accepted Answer

The nurse instructs to refeed the tube feeding if the gastric residual volume is less than 250 mL, as this is generally considered a safe threshold to continue feeding without significant risk of aspiration or other complications.

Question 2

Expected outcomes for patients who are being taught how to use a thermometer include which of the following outcomes? (Select all that apply.)

Accepted Answer

Patients should be able to correctly measure temperature, properly clean and store the thermometer, know normal temperature ranges, and recognize signs and symptoms of fever as part of comprehensive education on thermometer use.

Question 3

In teaching the patient how to take his or her own blood pressure,the nurse instructs the patient to avoid which of the following actions 30 minutes before taking blood pressure (BP)? (Select all that apply.)

Accepted Answer

Exercise, caffeine, and smoking can all increase blood pressure, so it is important to avoid these activities 30 minutes before taking a blood pressure reading.

Question 4

The patient needs to be taught the signs of hypoxia.Which of the following outcomes are causes of hypoxia? (Select all that apply.)

Accepted Answer

The answer of The patient needs to be taught the...

Question 5

Which of the following clinical findings are signs of hyperthermia? (Select all that apply.)

Accepted Answer

Symptoms of fever: warm,dry,flushed skin;feeling warm;chills;piloerection;malaise;and restlessness.The patient needs to recognize the onset of fever in self or family member for early detection and intervention.Symptoms of hypothermia: cool skin,uncontrolled shivering,loss of memory,and signs of poor judgment.

Question 6

In preparing to teach a patient how to self-administer mediation,the nurse realizes that many patients who are instructed to self-medicate for preventative care fail to do so.Reasons for this include which of the following rationales? (Select all that apply.)

Accepted Answer

Patients may fear adverse events, find medication regimens inconvenient, struggle with the cost of prescriptions, or simply forget to take their medication, all of which can lead to non-compliance with self-medication instructions.

Question 7

In teaching the patient the best sites for assessing blood pressure (BP),which of the following actions should the patient be taught to avoid? (Select all that apply.)

Accepted Answer

The patient should be taught to avoid applying the cuff to an arm with an IV catheter with or without fluids infusing,an arteriovenous shunt,breast or axillary surgery,trauma,inflammation,disease,or a cast or bulky bandage.Application of pressure from an inflated bladder temporarily impairs blood flow and compromises circulation in the extremity that already has impaired circulation.There is no restriction on the BP cuff site in a heart attack patient unless he or she has one of the above conditions.

Question 8

A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.

Accepted Answer

A transtracheal oxygen catheter is a device that delivers oxygen directly into the trachea, allowing the patient to speak and bypassing anatomical dead space.

Question 9

Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that stores oxygen in a chamber during the expiratory phase of respirations is known as the

Accepted Answer

The reservoir nasal cannula stores oxygen in a chamber during the expiratory phase, allowing for more efficient use of oxygen.

Question 10

Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.

Accepted Answer

A demand pulsing oxygen-delivery system delivers oxygen only during the inspiration phase, conserving oxygen and reducing costs.

Question 11

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

Accepted Answer

The answer of What instructions should the nurse provide when...

Question 12

The nurse is teaching the patient about the signs of hypothermia.He or she teaches that signs of hypothermia include which of the following clinical manifestations? (Select all that apply.)

Accepted Answer

The answer of The nurse is teaching the patient about...

Question 13

The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home? (Select all that apply.)

Accepted Answer

To disinfect supplies,use one of these methods as described: (1)Boil reusable (boilable)supplies for 15 minutes.Allow to cool and dry.(2)Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove,rinse thoroughly,and dry.(3)Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to the manufacturer's instructions.Rinse and dry.

Question 14

Temperatures in the older person are different from those in the younger adult.The nurse knows that older persons' normal temperatures often range less than

Accepted Answer

Older adults often have a lower baseline body temperature, and a normal range for them can be around 36.1°C (97°F) or slightly lower, compared to younger adults.

Quiz 43: Self-Care Teaching in the Community

While teaching how to check for gastric residual volume (GRV) ,the nurse instructs the caregiver to refeed the tube feeding if he or she obtains less than _________ mL of gastric aspirate.

Expected outcomes for patients who are being taught how to use a thermometer include which of the following outcomes? (Select all that apply.)

In teaching the patient how to take his or her own blood pressure,the nurse instructs the patient to avoid which of the following actions 30 minutes before taking blood pressure (BP) ? (Select all that apply.)

The patient needs to be taught the signs of hypoxia.Which of the following outcomes are causes of hypoxia? (Select all that apply.)

Which of the following clinical findings are signs of hyperthermia? (Select all that apply.)

In preparing to teach a patient how to self-administer mediation,the nurse realizes that many patients who are instructed to self-medicate for preventative care fail to do so.Reasons for this include which of the following rationales? (Select all that apply.)

In teaching the patient the best sites for assessing blood pressure (BP) ,which of the following actions should the patient be taught to avoid? (Select all that apply.)

A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.

Oxygen-conserving devices (OCDs) reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that stores oxygen in a chamber during the expiratory phase of respirations is known as the

Oxygen-conserving devices (OCDs) reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN) ?

The nurse is teaching the patient about the signs of hypothermia.He or she teaches that signs of hypothermia include which of the following clinical manifestations? (Select all that apply.)

The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home? (Select all that apply.)

Temperatures in the older person are different from those in the younger adult.The nurse knows that older persons' normal temperatures often range less than