Question 1

While teaching how to check for gastric residual,the nurse instructs the caregiver to delay the tube feeding if he/she obtains more than _________ mL of gastric aspirate.

Accepted Answer

The answer of While teaching how to check for gastric...

Question 2

OCDs reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.

Accepted Answer

The answer of OCDs reduce the amount of oxygen the...

Question 3

A patient is discharged and is sent home with enteral feedings.What instructions should the nurse give to the caregiver?

Accepted Answer

Discuss flushing of tube after administration of feedings or medications to prevent clogging.Discuss measures to stabilize feeding tube in patients with abdominal tubes and to protect skin integrity.Perform hand hygiene to reduce transfer of microorganisms.Sterile technique is not needed.Limiting amount of formula "hung" at one time to an amount that can be infused in a 4- to 6-hour period will help limit bacterial growth.

Question 4

Expected outcomes for patients who are being taught how to use a thermometer include which of the following? (Select all that apply.)

Accepted Answer

Expected outcomes following completion of procedure include that the patient is able to correctly measure temperature,demonstrate proper cleaning and storage of equipment,and state normal temperature range and factors that affect temperature,signs and symptoms of fever and hypothermia,and measures to take with abnormal temperatures.

Question 5

In teaching older adult patients how to exercise safely,the nurse realizes that cardiac output is lower in older adults,and that the heart of the older adult cannot adapt as well to sudden demands for increased oxygen.Therefore,the nurse uses the following calculation to determine a safe maximum heart rate during exercise in the older adult population: _______________.

Accepted Answer

The answer of In teaching older adult patients how to...

Question 6

In teaching the patient the best sites for assessing bp,which of the following should the patient be taught to avoid? (Select all that apply.)

Accepted Answer

Explain to avoid applying cuff to arm with an IV catheter with or without
fluids infusing,arteriovenous shunt,breast or axillary surgery,trauma,inflammation,
disease,or cast or bulky bandage.Application of pressure from inflated bladder
temporarily impairs blood flow and compromises circulation in extremity that already has
impaired circulation.There is no restriction on BP cuff site in a heart attack
patient unless he/she has one of the above conditions.

Question 7

Which of the following are signs of hyperthermia? (Select all that apply.)

Accepted Answer

Symptoms of fever: warm,dry,flushed skin; feeling warm; chills; piloerection; malaise; and restlessness.Patient needs to recognize onset of fever in self or family member for early detection and intervention.Symptoms of hypothermia: cool skin,uncontrolled shivering,loss of memory,and signs of poor judgment.

Question 8

Reusable supplies need to be disinfected at least weekly.To disinfect supplies,use which of the methods described below? (Select all that apply.)

Accepted Answer

To disinfect supplies,use one of the methods described: (1)Boil reusable (boilable)supplies for 15 minutes.Allow to cool and dry.(2)Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove,rinse thoroughly,and dry.(3)Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to manufacturer's instructions.Rinse and dry.

Question 9

The nurse is teaching the patient about the signs of hypothermia.She teaches that the signs of hypothermia include which of the following? (Select all that apply.)

Accepted Answer

Symptoms of fever: warm,dry,flushed skin; feeling warm; chills; piloerection; malaise; and restlessness.Patient needs to recognize onset of fever in self or family member for early detection and intervention.Symptoms of hypothermia: cool skin,uncontrolled shivering,loss of memory,and signs of poor judgment.

Question 10

Oxygen-conserving devices (OCD)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that stores oxygen in a chamber during the expiratory phase of respirations is known as the _______________.

Accepted Answer

The answer of Oxygen-conserving devices (OCD)reduce the amount of oxygen...

Question 11

Temperatures in the older adult are different from those in the younger adult.The mean oral temperature for older adults often ranges from ____________.

Accepted Answer

The answer of Temperatures in the older adult are different...

Question 12

The patient needs to be taught the signs of hypoxia.Which of the following are causes of hypoxia? (Select all that apply.)

Accepted Answer

Hypoxia sometimes occurs at home when a patient uses oxygen.Possible causes of hypoxia include poor tubing connections,use of long oxygen tubing,and worsening of patient's physical problem with change in respiratory status.Assess patient for change in respiratory status,such as airway plugging,respiratory tract infection,or bronchospasm.

Question 13

A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.

Accepted Answer

The answer of A ___________________ delivers oxygen through a catheter...

Question 14

While assessing the need to teach a patient about home oxygen therapy,the nurse must assess for which of the following? (Select all that apply.)

Accepted Answer

To enhance home safety,The Joint Commission's 2008 Patient Safety Goals (2007c)require completion of a home risk appraisal that includes presence of working smoke detectors,fire extinguishers,and a home safety plan.A CMN is required only for patients who receive Medicare.

Question 15

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

Accepted Answer

PN increases blood glucose levels,which negatively affects patient outcomes.Frequent monitoring of glucose helps detect problems early.Expect testing frequency to decrease as patient's condition and response to PN stabilize.
Suggest taking PN solution out of the refrigerator for 30 to 60 minutes before scheduled infusion time.Chilled solution often causes discomfort; allowing solution to warm enhances comfort during infusion.If precipitate appears,components of mixture are separated,or color changes,explain that solution needs to be discarded.Explain that PN is incompatible with most medications; do not add medications to the PN that are not ordered to be added.

Question 16

In preparing to teach a patient how to self-administer mediation,the nurse realizes that 80% of patients who self-medicate for preventative care fail to do so.Reasons for this include which of the following? (Select all that apply.)

Accepted Answer

Patients have difficulty in taking prescribed medications regularly for several reasons: patients stop taking medications once symptoms subside,regimens involving multiple drugs at a variety of times are confusing,the consequences of not taking medications are poorly understood,prescriptions are costly,and many patients fear addiction.

Question 17

In teaching the patient how to take his own blood pressure,the nurse instructs the patient to avoid which of the following 30 minutes before taking the blood pressure (BP)? (Select all that apply.)

Accepted Answer

Encourage patient to avoid exercise,caffeine,and smoking for 30 minutes before assessment to avoid inaccurate reading.These factors cause elevations in BP and pulse.
Have patient rest at least 5 minutes before measurement to reduce anxiety that can falsely elevate readings.

Quiz 42: Home Care Teaching