Exam 4
The nurse is providing care to a bedridden patient and raises the height of the bed. What is the ratioanle for the nurse's action?
A. Narrows the nurse's base of support
B. Allows the nurse to bring feet closer together
C. Prevents a shift in the nurse's base of support
D. Shifts the nurses center of gravity farther away from the base of support
C. Prevents a shift in the nurse's base of support.
Raising the height of the bed when performing a procedure prevents bending too far at the waist and shifting the base of support.
The nurse is caring for an older adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. The nurse completes the health history. Which priority concern will require collaboration with social services to address the patients health care needs?
A. The electricity was turned off 3 days ago
B. The water comes from the county water supply
C. A son and family recently moved into the home
D. This home is not furnished with a microwave oven
A. The electricity was turned off 3 days ago.
The nurse is caring for a patient who suddenly becomes confused and tries to remove IV infusion. Which priority action will the nurse take to minimize the patients risk for injury?
A. Assess the patient
B. Gather restraint supplies
C. Try alternatives to restraint
D. Call the HCP for a restraint order
A. Assess the patient
The patient has been diagnosed eith cardiovascular disease and placed on a low fat diet. The patient asks the nurse, "How much fat should I have? I guess the less fat, the better." Which information will the nurse include in the teaching session?
A. Cholesterol intake needs to be less than 300 mg/day
B. Fats have no significance in health and the incidence of disease
C. All fats come from external sources so this can be easily controlled
D. Deficiencies occur when fat intake falls below 10% of daily nutrition
D. Deficiencies occur when fat intake falls below 10% of daily nutrition
A patient expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate?
A. "This is probably a false negative; we should return the test"
B. "You should schedule a colonoscopy as soon as possible"
C. "Are you under a lot of stress?"
D. "Do you take iron supplements?"
D. Do you take iron supplements