Question 1

In teaching the patient how to perform intermittent self-catheterization, the nurse instructs which of the following?

Accepted Answer

A) Only strict aseptic technique should be used. 
B) All hospitals use strict aseptic technique. 
C) Clean intermittent self-catheterization increases the chance for infection. 
D) Clean intermittent self-catheterization is a safe and effective method. 
A) Only strict aseptic technique should be used. 
B) All hospitals use strict aseptic technique. 
C) Clean intermittent self-catheterization increases the chance for infection. 
D) Clean intermittent self-catheterization is a safe and effective method. D

Question 2

The patient's caregiver is checking the patient's nasogastric (NG) tube for gastric residual before proceeding with the patient's next feeding.The patient aspirates 250 mL of residual for the second hour in a row.The caregiver held the tube feeding within the last hour.What should the caregiver do now?

Accepted Answer

A) Hold the feeding again. 
B) Contact the health care provider. 
C) Proceed with the feeding. 
D) Give half of the feeding and see how the patient tolerates it. 
A) Hold the feeding again. 
B) Contact the health care provider. 
C) Proceed with the feeding. 
D) Give half of the feeding and see how the patient tolerates it. B

Question 3

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

Accepted Answer

A) Ability to correctly measure temperature 
B) Ability to properly clean and store the thermometer 
C) Knowledge of normal temperature ranges 
D) Knowledge of signs and symptoms of fever 
E) None of above 
A) Ability to correctly measure temperature 
B) Ability to properly clean and store the thermometer 
C) Knowledge of normal temperature ranges 
D) Knowledge of signs and symptoms of fever 
E) None of above A, B, C, D

Question 4

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

Accepted Answer

250
If gastric aspirates are greater tha

Question 5

Which of the following is essential in teaching the patient how to use a thermometer?

Accepted Answer

A) Reading a digital thermometer 
B) Shaking down the thermometer before use 
C) Using the axillary thermometer 
D) Selecting the most appropriate thermometer 
A) Reading a digital thermometer 
B) Shaking down the thermometer before use 
C) Using the axillary thermometer 
D) Selecting the most appropriate thermometer

Question 6

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

Accepted Answer

A) Dry, warm, flushed skin 
B) Chills and piloerection 
C) Uncontrolled shivering 
D) Loss of memory 
A) Dry, warm, flushed skin 
B) Chills and piloerection 
C) Uncontrolled shivering 
D) Loss of memory

Question 7

What should the nurse instruct the patient to do when teaching the patient how to take a temperature?

Accepted Answer

A) Wait at least 30 minutes after smoking or ingesting hot or cold foods. 
B) Take the temperature immediately upon seeing chills or shivering. 
C) Wear sterile rubber gloves when taking a rectal temperature. 
D) Lubricate an oral thermometer with water-soluble lubricant only. 
A) Wait at least 30 minutes after smoking or ingesting hot or cold foods. 
B) Take the temperature immediately upon seeing chills or shivering. 
C) Wear sterile rubber gloves when taking a rectal temperature. 
D) Lubricate an oral thermometer with water-soluble lubricant only.

Question 8

When teaching the patient about performing trach care, which of the following is an acceptable technique?

Accepted Answer

A) Remove the old ties before applying the new. 
B) Keep two trach tubes of the same size at the bedside. 
C) Place the new trach tie, then remove the old tie. 
D) Dispose of all old supplies and replace with new. 
A) Remove the old ties before applying the new. 
B) Keep two trach tubes of the same size at the bedside. 
C) Place the new trach tie, then remove the old tie. 
D) Dispose of all old supplies and replace with new.

Question 9

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

35° C to 36.1° C (95° F to 97° F)
Mean o

Question 10

The patient is taking Synthroid (a thyroid medication) for hypothyroidism.What should the nurse instruct the patient to do when teaching the patient how to assess her own blood pressure and pulse?

Accepted Answer

A) Withhold the medication if her blood pressure is above the normal range or if her pulse is over 100 beats per minute. 
B) Withhold the medication if her blood pressure is below the normal range or if her pulse is less than 60 beats per minute. 
C) Never withhold her medication.Have the patient take it and notify the physician at the next office visit. 
D) Withhold her medication only if both her blood pressure and pulse rate are too high. 
A) Withhold the medication if her blood pressure is above the normal range or if her pulse is over 100 beats per minute. 
B) Withhold the medication if her blood pressure is below the normal range or if her pulse is less than 60 beats per minute. 
C) Never withhold her medication.Have the patient take it and notify the physician at the next office visit. 
D) Withhold her medication only if both her blood pressure and pulse rate are too high.

Question 11

When being taught CISC, at what interval should the patient be taught to replace the catheter?

Accepted Answer

A) With each use 
B) Daily 
C) Weekly 
D) Monthly 
A) With each use 
B) Daily 
C) Weekly 
D) Monthly

Question 12

When teaching the patient and family about CISC, why is it important for the nurse to teach about the signs and symptoms of complications?

Accepted Answer

A) Although rare, complications are always severe. 
B) It is part of the process; complications almost never occur. 
C) Urinary complications are common with CISC. 
D) The only major complication is infection. 
A) Although rare, complications are always severe. 
B) It is part of the process; complications almost never occur. 
C) Urinary complications are common with CISC. 
D) The only major complication is infection.

Question 13

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

Accepted Answer

A) Incorrect flow rate 
B) Poor tubing connection 
C) Use of long oxygen tubing 
D) Airway plugging 
E) None of above 
A) Incorrect flow rate 
B) Poor tubing connection 
C) Use of long oxygen tubing 
D) Airway plugging 
E) None of above

Question 14

What should the nurse first assess when preparing to teach a patient and/or family member how to read a thermometer?

Accepted Answer

A) Patient's actual temperature 
B) Patient's ability to manipulate the thermometer 
C) Family member's temperature 
D) Patient's ability to take a pulse and respiratory rate as well 
A) Patient's actual temperature 
B) Patient's ability to manipulate the thermometer 
C) Family member's temperature 
D) Patient's ability to take a pulse and respiratory rate as well

Question 15

Which of the following is an appropriate step when teaching temperature monitoring in the home?

Accepted Answer

A) Suggest aspirin to decrease fevers. 
B) Recommend using only tympanic membrane sensors. 
C) Encourage the use of alcohol rubs to reduce fevers. 
D) Demonstrate the technique and have the client/caregiver perform it. 
A) Suggest aspirin to decrease fevers. 
B) Recommend using only tympanic membrane sensors. 
C) Encourage the use of alcohol rubs to reduce fevers. 
D) Demonstrate the technique and have the client/caregiver perform it.

Question 16

Oxygen-conserving devices (OCDs) 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

reservoir nasal cannula
The re

Question 17

What is the principal difference in tracheostomy care between care given in the acute care setting and care given in the home care environment?

Accepted Answer

A) In the acute care setting, the inner cannula is cleaned. 
B) In the home care setting, dressings are not necessary. 
C) In the acute care setting, hydrogen peroxide is used for cleaning. 
D) In the home care setting, the procedure may be done with clean technique. 
A) In the acute care setting, the inner cannula is cleaned. 
B) In the home care setting, dressings are not necessary. 
C) In the acute care setting, hydrogen peroxide is used for cleaning. 
D) In the home care setting, the procedure may be done with clean technique.

Question 18

The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home? (Select all that apply.)

Accepted Answer

A) Boil reusable (boilable) supplies for 5 minutes.Allow to cool and dry. 
B) Boil reusable (boilable) supplies for 15 minutes.Allow to cool and dry. 
C) Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove, rinse thoroughly, and dry. 
D) Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to the manufacturer's instructions.Rinse and dry. 
A) Boil reusable (boilable) supplies for 5 minutes.Allow to cool and dry. 
B) Boil reusable (boilable) supplies for 15 minutes.Allow to cool and dry. 
C) Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove, rinse thoroughly, and dry. 
D) Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to the manufacturer's instructions.Rinse and dry.

Question 19

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

demand oxygen delivery system

Question 20

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

Accepted Answer

A) Piloerection 
B) Restlessness 
C) Cool skin 
D) Uncontrolled shivering 
A) Piloerection 
B) Restlessness 
C) Cool skin 
D) Uncontrolled shivering

Exam 42: Home Care Teaching

In teaching the patient how to perform intermittent self-catheterization, the nurse instructs which of the following?

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

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

Which of the following is essential in teaching the patient how to use a thermometer?

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

What should the nurse instruct the patient to do when teaching the patient how to take a temperature?

When teaching the patient about performing trach care, which of the following is an acceptable technique?

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

The patient is taking Synthroid (a thyroid medication) for hypothyroidism.What should the nurse instruct the patient to do when teaching the patient how to assess her own blood pressure and pulse?

When being taught CISC, at what interval should the patient be taught to replace the catheter?

When teaching the patient and family about CISC, why is it important for the nurse to teach about the signs and symptoms of complications?

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

What should the nurse first assess when preparing to teach a patient and/or family member how to read a thermometer?

Which of the following is an appropriate step when teaching temperature monitoring in the home?

Oxygen-conserving devices (OCDs) 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 _______________.

What is the principal difference in tracheostomy care between care given in the acute care setting and care given in the home care environment?

The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home? (Select all that apply.)

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 _______________.

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

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety and Quality Improvement

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Specimen Collection

Diagnostic Procedures

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