Week 2 Pre/Post Tests Flashcards
The nurse is caring for a client who is preparing for bariatric surgery. What is the appropriate nursing response when the client states, “I’m not sure what I can eat after this surgery?”
“When you go home, you will want to eat 6 meals a day, beginning with soft foods in small quantities.”
Case study question part 1. The nurse is caring for an 86-year-old patient who is a widow living alone on a low income. He uses a walker to ambulate and doesn’t leave the house except when his daughter assists him. His current concern is that his dentures no longer fit. What data supports a risk for malnutrition? Select all that apply.
- Lives alone
- Widowed
- Low income
- Homebound
- Ill-fitting dentures
- Age
Case study question part 2: The nurse’s assessment reveals dry mucous membranes, generalized weakness, difficulty ambulating, and anorexia. The patient’s weight is down from 112 to 98 pounds over the past 3 months. Which findings indicate the patient has dehydration? Select all that apply.
- Dry mucous membranes
- Generalized weakness
Case Study question part 3: Which result does the nurse anticipate to be abnormal based on the assessment findings?
Albumin
Case study question part 4: Which dietary item will the nurse remove from this client’s nutrition tray?
Granola cereal
An older adult with lactose intolerance requests help with menu choices. What type of food will the nurse encourage the client to avoid?
Skim milk
An older adult client is at risk for undernutrition. Which nursing intervention is appropriate to ensure optimum nutritional intake?
Assisting the client to the toilet before meals
Based on nutritional screening findings and assessments, which client does the nurse identify as meeting the criteria for surgical treatment of obesity?
42
Which factors or conditions increase the risk for a client to develop aspiration pneumonia? (Select all that apply.)
- the patient has a decreased level of consciousness
- the patient just returned from surgery after having general anesthesia
- the patient had a stroke
- the patient is receiving continuous nasogastric tube feedings
The nurse is teaching a group of clients on the importance of realistic lifestyle modifications. Which lifestyle change(s) should the nurse emphasize? (Select all that apply.)
- “Eat a variety of foods, especially grain products, vegetables and fruits.”
- “Engage in physical activity for at least 30 minutes a day (5 days a week) or 150 minutes per week.”
- “Avoid fast food as it tends to be higher in fat and sugar.”
- “Consume a diet that is low in salt, sugar, fats and cholesterol.”
A nurse is providing discharge instructions to the patient after Roux-en-Y gastric bypass surgery. When the patient asks why vitamin supplements are needed what is the best response from the nurse?
“Supplements are needed because fewer nutrients are absorbed in the intestinal tract.”
The postoperative care of a morbidly obese patient is being planned. Which of the following interventions are needed? Select all that apply.
- Assure adequate staffing to assist with toileting, turning and ambulation.
- Obtain an extra large blood pressure cuff and bariatric bed.
- Contact physical therapy to provide a trapeze bar to assist with repositioning.
A bedbound nursing home resident with osteoarthritis is refusing to drink fluids and has not urinated in 8 hours. Which nursing concept should the nurse respond to first?
Fluid balance
The clinic nurse is planning nursing care for a 28-year-old client whose BMI is 35. Which disorders is the client at risk for? Select all that apply.
- Type 2 diabetes
- Certain types of cancer
- Heart disease
- Hypertension
The nurse is assessing a client with a BMI of 40 and concludes the client has activity intolerance. Which of the following supports the findings of activity intolerance associated with a BMI of 40?
The client states inability to walk without becoming short of breath.
