Nutrition
You are interviewing a 63-year-old male, who says he is going to have to buy all new clothes because they are too big. The patient denies that he is dieting or has decreased appetite. This is an example of:
A. Intentional weight loss
B. Unintentional weight loss
C. Overnutrition
D. Malnutrition
What is Unintentional weight loss
Correct answer: B
The patient is losing weight without trying to do so. This may be a sign of underlying disease or a psychosocial/physical disability.
Measures a protein found in blood...
What is Serum Albumin
You are going to assess a BP on a patient who has a renal shunt in her left arm and an intravenous line in her right arm. She weighs 120 lbs. and is 5 feet 4 inches. Where would you take her BP?
A. Left arm, radial artery
B. Right arm, radial artery
C. Left thigh, popliteal artery
D. Right forearm, radial artery
What is Left thigh, popliteal artery
Correct answer: C
A BP cuff should never be placed over any clothing, or on an arm that has an intravenous or dialysis shunt, or the side of a recent mastectomy or surgical procedure.
The RN is working in a long-term care facility and knows that an 82-year-old patient is losing weight. What will the RN assess during mealtime?
A. Note if the patient has dysphagia
B. Observe the patient eating during mealtime
C. Calculate the percentage of intake
D. All of the above
What is All of the above
Correct answer: D
The nurse should observe the patient during mealtime, note if the patient is having any difficulty swallowing, and document the percentage (0 through 100%) of the meal eaten.
Measures the water-soluble B9 vitamin that is absorbed through the intestinal mucosa and absorbed in the liver.
What is Folate Level
Nociceptors are activated by which of the following stimuli?
A. Mechanical
B. Thermal
C. Chemical
D. All of the above
What is All of the above
Correct answer: D
A: Mechanical stimulus (e.g., pressure or stretching)
B: Thermal stimulus (e.g., heat or cold)
C: Chemical stimulus (e.g., bradykinins, serotonin, or histamine)
Signs of weight loss (e.g., loose-fitting clothes, reduced appetite) may indicate that:
A. The patient has had an unplanned weight loss due to an illness
B. The patient is just skinny
C. The patient is eating too much at meal times
D. None of the above
What is The patient has had an unplanned weight loss due to an illness
Correct answer:A
Weight loss can be a health benefit or a sign of illness
A protein manufactured in the liver, spleen, and bone marrow.
What is Ferritin
The patient is complaining of pain in his right upper quadrant that extends to his right thoracic back. This is called _______ pain.
A. Acute
B. Constant
C. Referred
D. Radiating
What is Radiating pain
Correct answer: D
Radiating pain is pain that starts in one area and spreads out to another part of the body.
Your patient reports that they eat 4,000 calories per day. They are 350lbs and have hypertension. What is your best response?
A. 4,000 calories is too much
B. Increased BP can be due to excess weight. That increased weight can have long term health impacts on you. Let's look at how we can decrease your caloric intake, which will help you lose weight and work to improve your BP.
C. Your weight is very high and your BP is high too. If you reduce your caloric intake that would help both.
D. If you reduce your stress in life your BP would go down and then you can focus on losing weight.
Correct Answer: B
Approach is very important. It is a large part of what we do in Nursing. We are also charged with ensuring that we provide facts, and NOT personal biases.
This lab workup consists of the following lab results:
RBC, HGB, HTC, MCV, MCH, PLT
What is a CBC (Complete Blood Count)
You are interviewing a patient in a community health clinic. He shares with you that he has made some bad choices in life. You completely support and accept the patient no matter what he says or does. This is known as:
A. Empathy
B. Genuineness
C. Unconditional regard
D. Caring
What is Unconditional Regard
Correct answer: C
Unconditional regard means providing complete support and acceptance of a patient no matter what the patient says or does.
We need this for our bodies to function
What is nutrition
The protein molecule in RBCs that carries oxygen from the lungs to the body’s tissues and returns carbon dioxide from the tissues to the lungs.
What is Hemoglobin
A patient with Alzheimer’s Dementia is wandering in and out of other residents’ rooms. You redirect the patient to the common area where there are other patients watching television and staff supervision. The patient has a wander guard on her ankle, and she is using a walker because she has an unsteady gait. What QSEN competency is being integrated in this case scenario?
A. Patient-Centered Care
B. Safety
C. Teamwork and Collaboration
D. Quality Improvement
What is Safety
Correct answer: B
The nurse has the knowledge and skill to redirect the patient to an area where she can be supervised. She is wearing a wander guard to prevent her from leaving the facility and has a walker to prevent falls since she has an unsteady gait.