Test 3

Question 1

What are complementary proteins. Give 3 examples that a nurse would suggest.

Answer 1

Beans & rice , peanut butter & enriched bread

Question 2

Which vitamins are important in wound healing

Answer 2

Vitamin a , VITAMIN C , zinc

Question 3

List foods high in fiber

Answer 3

Fruit w skin
Strawberries
Kidney beans
Whole wheat grains

Question 4

Allows unrestricted food selections

Answer 4

Regular diet

Question 5

Water, broth , fruit juice , gelatin , popsicles , clear soft drinks , tea , and coffee

Answer 5

Clear liquid diet

Question 6

Fruit and veggie juices , creamed or blended soups , milk , ice cream , yogurt , pudding , milkshakes , junket , custards and cooked cereals

Answer 6

Full liquid diet

Question 7

Foods you dont need to chew, such as mashed potatoes and pudding

Answer 7

Puréed diet

Question 8

Contains food soft in texture, usually low in residue and readily digestible , contains few or no spices or condiments , provides fewer fruits , veggies , or meats than a light diet

Answer 8

Soft diet

Question 9

Foods that are soft and moist

Answer 9

Dysphasia diet

Question 10

What instructions would you give to a client on a potassium-wasting diuretic

Answer 10

Increase potassium intake like bananas , sweet potatoes , avocado , spinach , oranges

Question 11

What is the Mediterranean diet & give examples

Answer 11

Heart healthy eating plan that emphasizes healthy low fats, whole grain, fruits, veggies, nuts, beans and seeds

Question 12

What are nursing considerations for nutrition in an older adult

Answer 12

Diminished sense of smell and taste , nutritional supplements should be evaluated
Require fewer calories

Question 13

What are nursing considerations for nutrition in the toddler

Answer 13

Decrease in appetite, due to slower growth rate

Small meals at mealtime

Question 14

List 6 need to know for restraint

Answer 14

A. Use slipknot , secure to movable part of bed frame
B. Remove, offer toileting and assess skin care and circulation every 2 hours
C. Document checks every 2 hours
D. Educate family about use
E. Provide ROM exercises
F. Every 24 hours need a provider referral

Question 15

List 7 interventions for fall risks

Answer 15

Keep environment well lit.  
Remove scatter rugs 
Clutter free hallway 
Install hand rails 
Well fitting shoes 
Extension cord to wall 
Nonskid mat on floors

Question 16

List sequence of actions in a fire (RACE)

Answer 16

R: rescue
A: alarm
C: confine the fire
E: extinguish

Question 17

Laceration

Answer 17

Separation of skin , torn tissue , irregular edges

Question 18

Abrasion

Answer 18

Surface are scraped

Question 19

Puncture

Answer 19

Opening caused by sharp pointed object

Question 20

How are pressure ulcers treated

Answer 20

Keep clean & dry, barner ointment , irrigate open ulcers with 0.9% sodium chloride

Question 21

What are lab signs that a wound or ulcer are infected

Answer 21

Elevated WBC

Purulent drainage , odor , brown , yellow , or green depending on pathogen

Question 22

What type of dressing is appropriate for a stage 1 pressure ulcer

Answer 22

Transparent dressing work well

Question 23

What are nursing interventions for evisceration

Answer 23

Be alert any s/s of impaired blood flow such as swelling, localized pallor or mottled appearance, coolness of tissue

Question 24

What are the steps of staple removal

Answer 24

1. Remove wound dressing
2. Wipe cleansing solution directly over the surgical incision
3. Clean the skin along the sides of the incision
4. Remove other staples
5. Remove remaining staples

Question 25

List 5 things that can delay wound healing

Answer 25

1. Age/overall wellness
2. Tissue perfusion and low hgb levels
3. Malnutrition and medications
4. Infection and high wbc
5. Chronic disease/smoking

Question 26

When is humidification necessary in o2 therapy

Answer 26

When administering more than 4ml/min

Question 27

List early and late signs and symptoms of hypoxia

Answer 27

Early: tachypnea, tachycardia, restlessness, anxiety, pale skin, and mucous membranes, elevated BP
Late: stupor, cyanotic skin, bradypnea, bradycardia, diaphoresis hypotension, cardiacdyhsrythmias, use of accessory muscles (retractions)

Question 28

List 5 at home instructions for o2 use

Answer 28

1. Secure portable oxygen cylinders to rigid stance
2. Avoid using petroleum products, aerosol products, products containing acetone where oxygen is used
3. Prohibit the burning of candles
4. Oxygen in use signs whenever oxygen is stored or in use
5. Inspect electrical equipment for frayed wires or loose connections