CLIENT CENTERED CARE EXAM 2 LATEST -

CLIENT CENTERED CARE EXAM 2 LATEST -

ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED

ANSWERS | AGRADE

A nurse is discussing healthy lifestyle measures with a group of older adults during a senior seminar. What instructions should you include as accurate information? - ANSWER- Consume sufficient fiber, eat a normal, well-balanced diet, and exercise regularly

An older adult woman of Puerto Rican descent is admitted for persistent anorexia and dehydration. There are no apparent underlying organic causes for loss of appetite. Which interventions would be culturally appropriate? - ANSWER- Determine food preferences, encourage family visits, and provide small amounts of food and fluid frequently.

When working with an obese patient who wants to lose weight, which statement would indicate that the teaching has been understood? - ANSWER- "a program such as weight watchers will help me cut calories and keep on track"

When screening for the presence of risk factors for oral and pharyngeal cancers, which questions would you ask? - ANSWER- How much alcohol do you consume? Have you had any oral lesions? Do you have family members who have cancer? Do you smoke?

You reinforce diet recommendations to a patient with GERD. Which patient statement indicates a need for further teaching? - ANSWER- "I need to wait 30 minutes after eating before laying down" Patient should be waiting at least 3 hours before laying down

A patient who has GERD for many years is diagnosed with Barrett esophagus. Etiologic factors for Barrett esophagus include? - ANSWER- Long term gastroesophageal reflux causing mucosal irritation

A nurse is taking care of a patient who had a modified radical neck dissection surgery. The patients spouse asks "why do you have to apply cold packs and elevate his head?" Which response is most appropriate? - ANSWER- "These interventions reduce neck swelling"

A nurse is reviewing signs and symptoms of esophageal cancer with people who are at risk. Which statement indicates that the participants have understood the information? - ANSWER- "A feeling of fullness in the throat is an early sign"

A patient reports a history of gastric ulcer. Which sign or symptom indicates the need for a priority action of health care provider notification? - ANSWER- Vomit that looks like coffee grounds

While a nurse is obtaining a clinical history, a patient with a known history of peptic ulcers suddenly complains of severe upper abdominal pain of increasing intensity that spreads to the shoulders. The abdomen has boardlike rigidity. Which signs/ symptoms signal worsening condition related to the peptic ulcer? - ANSWER- Increased pulse, belching and flatulence

A patient is receiving continuous enteral feedings. Which intervention will address the most serious problem associated with the feeding therapy? - ANSWER- Raise the head of the bed

You are supervising a nursing student during the care of a patient with a

gastrostomy tube. You should intervene if the student: - ANSWER-

Changes the tubing and bag every 4 hours.Should be changed every 24 hours.

A family member tells you, "dad seems to be having some trouble swallowing lately." What is your priority action? - ANSWER- Observe during "practice swallows"

The older adult is at greater risk for dehydration than the middle-aged adult is because? - ANSWER- Older adults have a diminished sense of thirst, and compensatory mechanisms work less efficiently

An 82-year old male patient is admitted with vomiting and diarrhea. On assessment, you note that he is apprehensive and his skin is cool, dry, and pale. His pulse is rapid, and his blood pressure is lower than normal.These symptoms are indicative of? - ANSWER- Dehydration GI Tract is made up of what The mouth, pharynx, esophagus, stomach, small and large intestines, rectum, and anus.

Accessory organs of the GI The liver, gallbladder, and pancreas

Functions of the upper GI Chewing, swallowing, and breaking down food particles.

Risk factors for oral cancer Cigarette smoking, tobacco use, pipe smoking, excessive alcohol use, infection with HPV, and genetic predisposition

Signs and symptoms of oral cancer Lesions on the tongue or mucosa, sores or discoloration of the lips or mouth that don't heal

treatment of oral cancer radiation, chemotherapy, surgery that may require the creation of a tracheostomy

Nursing care of a patient with oral cancer Involves monitoring respiratory status, nutritional support, and comfort measures

Esophageal cancer/ gastric cancer risk factors Smoking, excessive alcohol use

cause of esophageal cancer Barrett esophagus

Barrett esophagus Precancerous condition due to longstanding GERD, the constant irritation of the esophagus by stomach fluids can cause cells to become malignant.

Signs and symptoms of esophageal cancer dysphagia, hoarseness, persistent cough, halitosis, regurgitation of foods, and weight loss.