CLIENT CENTERED CARE EXAM 2 LATEST 2023-2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT

DETAILED ANSWERS | AGRADE

CLIENT CENTERED CARE EXAM 2 LATEST 2023-2024

ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED

ANSWERS | AGRADE

A nurse is discussing healthy lifestyle measures with a group of older

adults during a senior seminar. What instructions should you include as

accurate information? - ANSWER- Consume sufficient fiber, eat a

normal, well-balanced diet, and exercise regularly

An older adult woman of Puerto Rican descent is admitted for persistent

anorexia and dehydration. There are no apparent underlying organic

causes for loss of appetite. Which interventions would be culturally

appropriate? - ANSWER- Determine food preferences, encourage

family visits, and provide small amounts of food and fluid frequently.

When working with an obese patient who wants to lose weight, which

statement would indicate that the teaching has been understood? -

ANSWER- "a program such as weight watchers will help me cut

calories and keep on track"

When screening for the presence of risk factors for oral and pharyngeal

cancers, which questions would you ask? - ANSWER- How much

alcohol do you consume? Have you had any oral lesions? Do you have

family members who have cancer? Do you smoke?

You reinforce diet recommendations to a patient with GERD. Which

patient statement indicates a need for further teaching? - ANSWER- "I

need to wait 30 minutes after eating before laying down"

Patient should be waiting at least 3 hours before laying down

A patient who has GERD for many years is diagnosed with Barrett

esophagus. Etiologic factors for Barrett esophagus include? - ANSWERLong term gastroesophageal reflux causing mucosal irritation

A nurse is taking care of a patient who had a modified radical neck

dissection surgery. The patients spouse asks "why do you have to apply

cold packs and elevate his head?" Which response is most appropriate? -

ANSWER- "These interventions reduce neck swelling"

A nurse is reviewing signs and symptoms of esophageal cancer with

people who are at risk. Which statement indicates that the participants

have understood the information? - ANSWER- "A feeling of fullness in

the throat is an early sign"

A patient reports a history of gastric ulcer. Which sign or symptom

indicates the need for a priority action of health care provider

notification? - ANSWER- Vomit that looks like coffee grounds

While a nurse is obtaining a clinical history, a patient with a known

history of peptic ulcers suddenly complains of severe upper abdominal

pain of increasing intensity that spreads to the shoulders. The abdomen

has boardlike rigidity. Which signs/ symptoms signal worsening

condition related to the peptic ulcer? - ANSWER- Increased pulse,

belching and flatulence

A patient is receiving continuous enteral feedings. Which intervention

will address the most serious problem associated with the feeding

therapy? - ANSWER- Raise the head of the bed

You are supervising a nursing student during the care of a patient with a

gastrostomy tube. You should intervene if the student: - ANSWERChanges the tubing and bag every 4 hours.

Should be changed every 24 hours.

A family member tells you, "dad seems to be having some trouble

swallowing lately." What is your priority action? - ANSWER- Observe

during "practice swallows"

The older adult is at greater risk for dehydration than the middle-aged

adult is because? - ANSWER- Older adults have a diminished sense of

thirst, and compensatory mechanisms work less efficiently

An 82-year old male patient is admitted with vomiting and diarrhea. On

assessment, you note that he is apprehensive and his skin is cool, dry,

and pale. His pulse is rapid, and his blood pressure is lower than normal.

These symptoms are indicative of? - ANSWER- Dehydration

Your male patient has been ill with pneumonia and was admitted

yesterday to start IV antibiotic therapy. He has a history of heart failure

adn is taking digitalis and fuosemide. He has not been eating well the

past 3 days because he was feeling so bad. The primary care provider

ordered fluids and daily lab work yesterday. The patient seems more

confused this morning and is very weak. His urine output has fallen. To