Question 1

Of the following types of thermometers available, which is not recommended for home use?

Accepted Answer

A) Digital 
B) Tympanic 
C) Mercury 
D) Disposable single-use 
A) Digital 
B) Tympanic 
C) Mercury 
D) Disposable single-use

Question 2

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 3

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

Accepted Answer

A) PN solution should be kept refrigerated until time of administration. 
B) Remixing separated mixture components by shaking the bag is common. 
C) PN is compatible with most intravenous (IV) medications. 
D) Blood glucose monitoring will be necessary. 
A) PN solution should be kept refrigerated until time of administration. 
B) Remixing separated mixture components by shaking the bag is common. 
C) PN is compatible with most intravenous (IV) medications. 
D) Blood glucose monitoring will be necessary.

Question 4

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 5

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 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

In teaching the patient the best sites for assessing BP, which of the following 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 8

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? (Select all that apply.)

Accepted Answer

A) Fear of adverse events 
B) Inconvenient medication regimens 
C) Costly prescriptions 
D) Forgetfulness 
E) None of above 
A) Fear of adverse events 
B) Inconvenient medication regimens 
C) Costly prescriptions 
D) Forgetfulness 
E) None of above

Question 9

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 10

A ___________________ delivers oxygen through a catheter permanently inserted into the trachea, thus allowing the patient to speak and bypassing anatomical dead space.

Accepted Answer

transtracheal oxygen catheter
A transtra

Question 11

In teaching the patient how to take his own blood pressure, the nurse instructs the patient to avoid which of the following 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 12

What should the nurse instruct the parents to do when teaching them about temperature monitoring for a child?

Accepted Answer

A) Use only a glass mercury thermometer. 
B) Take the temperature after shivering subsides. 
C) Avoid the use of tepid water sponging for fever. 
D) Take the temperature, but adjust the reading if the child has eaten a popsicle. 
A) Use only a glass mercury thermometer. 
B) Take the temperature after shivering subsides. 
C) Avoid the use of tepid water sponging for fever. 
D) Take the temperature, but adjust the reading if the child has eaten a popsicle.

Question 13

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 14

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.

Exam 42: Home Care Teaching

Of the following types of thermometers available, which is not recommended for home use?

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

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

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

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

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

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

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? (Select all that apply.)

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

A ___________________ delivers oxygen through a catheter permanently inserted into the trachea, thus allowing the patient to speak and bypassing anatomical dead space.

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

What should the nurse instruct the parents to do when teaching them about temperature monitoring for a child?

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?

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

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

Filters