test SAS 16, 17 & 18 NUR 151 CoOA A4

* Required

Questions 1 to 10
An elderly client complains of frequent episodes of constipation. What is an effective
strategy for preventing constipation? *
Use of laxatives daily to establish a regular elimination pattern.
Reducing fluid intake to encourage bulk formation in the intestinal lumen.
Setting a routine for bowel elimination just before bedtime.
A regimen of exercises directed at toning the abdominal muscles.

Which of the following nursing interventions for eating/feeding issues is correct? *

If agitation develops during feeding, continue feeding the client.
Leave the client to feed self.
Telling the client that the food she’s eating has not yet been paid.
Provide nutritious finger food.

The client came to the diabetic clinic for follow-up teaching on the complications of a
diabetes. What is a correct explanation for the result of neuropathy? *
End-stage renal disease
Microvascular damage to the retina
Microangiopathies or metabolic defects that cause by-products to accumulate in the nerve tissue.
Macroangiopathy in the extremities

Undergarments are used to absorb urine from the incontinent patient. The following
should be part of the nursing interventions in taking care of this patient, except: *
choosing indwelling catheter as primary means for managing urinary incontinence.
proper hydration, while restricting fluids at bedtime.
meticulous skin care.
use of moisture barriers and no-rinse cleansers.

A client visits the clinic because of concerns about insomnia and recent weight loss. A
tentative diagnosis of hyperthyroidism is made. In addition to the adaptations noted,
the nurse should further assess this client for: *
Bradycardia
Anorexia
Dry skin
Fatigue

The nurse recognizes that a client with diabetes understands the teaching about the
treatment of hypoglycemia when the client says, "If I become hypoglycemic I should
initially eat: *
Hard candy and fruit juice
Peanut butter crackers and a glass of milk
Chocolate candy and a banana
Sugar and a slice of bread

Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter,

predisposing older persons to risk for impaired swallowing. In managing the symptoms
associated with GERD, the nurse should assign the highest priority to which of the
following interventions? *
Decrease daily intake of vegetables and water, and ambulate frequently.
Drink coffee diluted with milk at each meal, and remain in an upright position for 30 minutes.
Eat small, frequent meals, and remain in an upright position for at least 30 minutes after eating.
Avoid over-the-counter drugs that have antacids in them.

The nurse should teach the client with gastroesophageal reflux disease that after
meals, the client should: *
Rest in a setting position for one-half hour
Lie down for at least 20 minutes
Take a short walk
Drink 8 ounces of water

The primary caretaker for a man who was recently started on an oral hypoglycemic
agent is his wife. The wife should know to watch for which of the following symptoms
of hypoglycemia? *
Significant increase in urine output
Cold sweats, weakness and trembling
Presence of ketones in the urine.
blood sugar reading greater than 250 mg/dL

Nurse Oliver checks for residual volume before administering a bolus tube feeding to a
client with a nasogastric tube and obtains a residual amount of 200 mL. What is
appropriate action for the nurse to take? *
Discard the residual amount and proceed with administering the feeding.
Elevate the client’s head at least 45 degrees and administer the feeding.
Reinstill the amount and continue with administering the feeding.
Hold the feeding.

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