Question 1

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 D

Question 2

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 3

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)
35° C to 36.1° C
95° F to 97° F
Mean oral temperature for older adults often ranges from 35° C to 36.1° C (95° F to 97° F);therefore,temperatures considered within the normal range sometimes reflect a fever in the older adult.

Question 4

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 5

When teaching the patient and family about clean intermittent self-catheterization (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 6

In teaching the patient how to take his own blood pressure,which of the following is true?

Accepted Answer

A) Blood pressure cuffs that are too small will give a falsely low reading. 
B) Blood pressure cuffs that are too large will give a falsely high reading. 
C) Electronic blood pressure cuffs are just as accurate as other methods. 
D) The cuff should be placed directly over the skin and not over clothing. 
A) Blood pressure cuffs that are too small will give a falsely low reading. 
B) Blood pressure cuffs that are too large will give a falsely high reading. 
C) Electronic blood pressure cuffs are just as accurate as other methods. 
D) The cuff should be placed directly over the skin and not over clothing.

Question 7

What is an expected outcome after tracheostomy care is successfully performed?

Accepted Answer

A) A stoma site that is hard to the touch 
B) An inner cannula that is free of secretions 
C) Copious secretions obtained from suctioning 
D) Bloody secretions that have been suctioned 
A) A stoma site that is hard to the touch 
B) An inner cannula that is free of secretions 
C) Copious secretions obtained from suctioning 
D) Bloody secretions that have been suctioned

Question 8

When teaching the patient about performing trach care,which of the following actions 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

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

Accepted Answer

A) Fear of adverse events 
B) Inconvenient medication regimens 
C) Costly prescriptions 
D) Forgetfulness 
A) Fear of adverse events 
B) Inconvenient medication regimens 
C) Costly prescriptions 
D) Forgetfulness

Question 10

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 11

What is an appropriate technique to use when teaching an older patient about self-medication in the home?

Accepted Answer

A) Speak very loudly. 
B) Teach the family separately. 
C) Provide frequent pauses. 
D) Provide fewer but longer teaching sessions. 
A) Speak very loudly. 
B) Teach the family separately. 
C) Provide frequent pauses. 
D) Provide fewer but longer teaching sessions.

Question 12

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

Accepted Answer

A) Flush the tube out after administering medications. 
B) Keep the tube loose to allow for patient movement. 
C) Use sterile technique when preparing and administering feedings. 
D) Hang enough formula each time to cover 8 to 12 hours of feeding. 
A) Flush the tube out after administering medications. 
B) Keep the tube loose to allow for patient movement. 
C) Use sterile technique when preparing and administering feedings. 
D) Hang enough formula each time to cover 8 to 12 hours of feeding.

Question 13

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

Accepted Answer

A) Sites with intravenous catheters 
B) Arms with arteriovenous shunts 
C) Arms on the side of mastectomy 
D) The left arm after a heart attack 
A) Sites with intravenous catheters 
B) Arms with arteriovenous shunts 
C) Arms on the side of mastectomy 
D) The left arm after a heart attack

Question 14

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 15

What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?

Accepted Answer

A) Add formula to formula already hung to prevent waste. 
B) Store unused formula at room temperature to prevent spasm. 
C) Hang only enough formula that will be infused in a 4- to 6-hour period. 
D) Change the administration set every 48 hours. 
A) Add formula to formula already hung to prevent waste. 
B) Store unused formula at room temperature to prevent spasm. 
C) Hang only enough formula that will be infused in a 4- to 6-hour period. 
D) Change the administration set every 48 hours.

Question 16

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.

Question 17

Information that should be provided to the caregiver of a patient with a nasogastric (NG)tube includes:

Accepted Answer

A) keeping the head of the bed lowered for feedings. 
B) keeping unused formula at room temperature. 
C) aspirating every 4 hours when receiving continuous drip feedings. 
D) providing half of the feeding if the residual exceeds 250 mL. 
A) keeping the head of the bed lowered for feedings. 
B) keeping unused formula at room temperature. 
C) aspirating every 4 hours when receiving continuous drip feedings. 
D) providing half of the feeding if the residual exceeds 250 mL.

Question 18

The nurse is teaching the patient and family how to perform tracheal suctioning.What does proper technique include?

Accepted Answer

A) Teaching how to instill normal saline before suctioning 
B) Suctioning the nasal and oral pharynx before the trachea 
C) Encouraging daily brushing of the teeth and oral hygiene 
D) Having the patient take two to three deep breaths after the procedure 
A) Teaching how to instill normal saline before suctioning 
B) Suctioning the nasal and oral pharynx before the trachea 
C) Encouraging daily brushing of the teeth and oral hygiene 
D) Having the patient take two to three deep breaths after the procedure

Question 19

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

Accepted Answer

A) Exercise 
B) Caffeine 
C) Smoking 
D) Resting 
A) Exercise 
B) Caffeine 
C) Smoking 
D) Resting

Question 20

Which of the following clinical findings 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

Exam 44: Home Care Teaching

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

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

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

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 _______________.

When teaching the patient and family about clean intermittent self-catheterization (CISC),why is it important for the nurse to teach about the signs and symptoms of complications?

In teaching the patient how to take his own blood pressure,which of the following is true?

What is an expected outcome after tracheostomy care is successfully performed?

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

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

What is an appropriate technique to use when teaching an older patient about self-medication in the home?

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

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

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

What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?

Information that should be provided to the caregiver of a patient with a nasogastric (NG)tube includes:

The nurse is teaching the patient and family how to perform tracheal suctioning.What does proper technique include?

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

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

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Filters