The client has begun diet therapy with enteral nutrition. The nurse writes in the care plan to measure the residual gastric contents every:
1. hour.
2. 4 hours.
3. 8 hours.
4. day.
ANS: 2
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When planning care, for which older patients should the nurse identify as being at risk for malnutrition as a result of hypermetabolism? Standard Text: Select all that apply
1. Patient with a fever 2. Patient with dysphagia 3. Patient with osteoporosis 4. Patient who is a vegetarian 5. Patient with chronic lung disease
MC Oxygen is most accurately delivered by
A. Nasal cannula. B. Simple mask. C. Mask with reservoir bag. D. Venturi mask.
Why should older adults be given the lowest dosage of psychotropic drugs?
A) Because chronic or terminal illness accompany aging B) Because of the risk for amnesia C) Because older adults are susceptible to urinary retention D) Because of the potential for increased adverse reactions and toxicity
At the completion of an assessment, the nurse reviews the list of a patient's stated and observed behaviors. Which of the following would indicate to the nurse that the patient is experiencing stress? Select all that apply
1. Patient stated inability to sleep more than 2 hours per night. 2. Observed patient's hands trembling. 3. Patient asked for water for a dry throat. 4. Patient sat quietly in chair, hands resting in lap. 5. Patient commented on recent pleasant weather. Correct