What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux?
a. Encouraging the patient to lie down after meals
b. Drinking two full glasses of liquid after the evening meal
c. Eating smaller, more frequent meals
d. Using caffeine drinks to assist with digestion
ANS: C
Eating smaller and more frequent meals does not enlarge the stomach.
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A nurse is going to take a patient's oral temperature. The patient has been drinking coffee. What action by the nurse is best?
a. Have the patient drink room temperature water. b. Return in 30 minutes to take the patient's temperature. c. Take the patient's temperature rectally instead. d. Document that temperature is unable to be obtained.
The nurse prepares medication for a patient 1 hour after admission. What information about the patient is the nurse's priority assessment before the initial administration of medication?
a. The diet history b. Any drug tolerance c. Any allergy history d. The surgical history
The nurse prepares to insert a patient's nasogastric tube (NGT) for tube feedings. Which patient assessment requires the nurse to collaborate with the patient's healthcare provider before in-itiating the feeding?
a. An intact gag reflex b. An occluded right naris c. Impaired swallowing d. Absent bowel sounds
Temperature-sensitive tape is usually applied to the:
a. Forehead b. Axilla c. Mouth d. Buttock or thigh