The nurse is instructing a nursing assistant on how to feed all patients with dysphagia. What information should the nurse include in this instruction?
A) Thicken liquids and cut solids into very small pieces
B) Use a spoon to transport even solid food to the patient's mouth
C) Listen for bowel sounds to make sure the food has reached the stomach
D) Make sure the patient is sitting upright whenever consuming food or fluid
D
Feedback:
One general measure for all persons with dysphagia is to have the patient sitting upright whenever food or fluid is being consumed. The other feeding measures may not be indicated for every person with dysphagia.
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The nurse is caring for a client with a diagnosis of metastatic cancer with a pathogenic bone fracture. The nurse understands that this condition occurs by which mechanism?
A) Increased osteoblastic growth factors (ObGFs) results in a fragile bony structure. B) Increased osteoclast activating factors (OcAFs) result in increased pressure in the bone, resulting in pathogenic fracture. C) Pathogenic fractures occur by either increased pressure in the bone, or breakdown of the bony matrix. D) Pathogenic fractures occur due to the breakdown of the bone network and loss of the bony matrix.
The labor and delivery nurse is caring for a laboring client who has asked for a priest to visit her during labor
The client's mother died during childbirth, and although there are no complications during her pregnancy, the client is fearful of her own death during labor. What is the best response by the nurse? 1. "Nothing is going to happen to you. We'll take very good care of you during your birth." 2. "Would you like to have an epidural so that you won't feel the pain of the contractions?" 3. "The priest won't be able to prevent complications, and might get in the way of your providers." 4. "Would you like me to contact your parish or our hospital chaplain to come see you?"
Peer reviews are frequently included in the overall employee performance appraisal. What values are attributed to the peer review?
a. The nurse has the ability to evaluate based on personal knowledge of the employee's performance. b. Friendships can interfere with peer ap-praisals. c. Selection of peers for appraisals can be biased. d. Frequency of shared work may influence evaluation by peer.
A nurse preceptor is working with a student nurse who is administering medications. Which statement by the student indicates an understanding of the action of an antacid?
a) "The action occurs in the stomach by increasing the pH of the stomach contents and decreasing pepsin activity." b) "The action occurs in the small intestine, where the drug coats the lining and prevents further ulceration." c) "The action occurs in the esophagus by increasing peristalsis and improving movement of food into the stomach." d) "The action occurs in the large intestine by increasing electrolyte absorption into the system that decreases pepsin absorption."