An older patient is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this patient's risk of aspiration?
1. Administer formulas that contain fiber.
2. Keep the head of the bed elevated at a 30 to 45 degree angle.
3. The risk of aspiration no longer exists after a permanent feeding tube has been placed.
4. Flush the tube with water before and after each medication administered through the tube.
2
Rationale: Formulas that contain fiber help stimulate normal bowel function.
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The self-care goal of a patient with diabetes is to keep the blood sugar within normal limits. What causes hyperglycemia to occur?
a. Blood glucose levels rise, stimulating the production of insulin. b. Insulin conversion of glycogen to glucose is inhibited. c. The body responds to glucose-starved tis-sues by changing stored glycogen into glucose. d. Glycogen is unable to be stored in the liver and muscles.
What is the most significant barrier to effective interpersonal communication?
A) Incongruence between verbal and nonverbal messages B) Incongruence between telephone and written messages C) Incongruence between verbal and written messages D) Incongruence between telephone and nonverbal messages
The nurse uses the electronic medical record to document client care. What measures does the nurse take to protect the client's privacy when using a computer?
1 . Always log off when finished accessing information. 2 . Share the password with the student nurse to complete documenting client care. 3 . Always keep the screen protected from clients and family members. 4 . Keep the screen protected to prevent others from reading information about medications. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
Which of the following phrases describes one of the purposes of the ANA's nursing's social policy statement?
a. to describe the nurse as a dependent caregiver b. To provide standards for nursing educational programs c. to regulate nursing research d. to describe nursing's values and social responsiblity