N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

92. Elsie Jones is an elderly woman who is concerned about having regular bowel movements. Which food should you recommend to promote regularity? a. Eggs b. Lettuce c. Tomato juice d. Kidney beans 93. Carson Harrison is taking a potassium supplement because he is on a loop diuretic. If he begins to have hyperkalemia, the first symptom will most likelybe: a. Hypertension b. Hypersensitivity c. Intestinal distension d. Anxiety and irritability 94. Rachel Linvell has just been admitted to your unit for a mitral valve replacement. As you are performing the initial assessment, you notice that she has crackles and wheezes bilaterally. The most appropriate nursing diagnosis for Rachel would be: a. Ineffective gas exchange b. Ineffective airway clearance c. Ineffective breathingpatterns d. Altered respiratory function 95. Sally Compton, a 78-year-old, is recovering from pneumonia. As youmake your assessment, you notice that she has only had 140 cc of dark amber urine in the past three hours. Since there is no order that contradicts this intervention, which nursing action would be most appropriate? a. Offer cranberry juice b. Encourage fluid intake c. Do nothing since output is adequate d. Irrigate the catheter with sterile saline 96. Your patient, 54-year-old Joe Salinger, has a nursing diagnosis of "communication, impaired verbal." Based on this diagnosis, which statement about his condition must be true? a. He can understand others b. His native language is something other thanEnglish c. He has had a cerebral vascular accident d. He can neither speak nor understand the spokenword

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