Question 1

When being taught clean intermittent self-catheterization (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 2

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 3

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 delivers oxygen only during inspiration is called a _______________.

Accepted Answer

demand oxygen delivery system

Question 4

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 patient/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 patient/caregiver perform it.

Question 5

The patient needs to be taught the signs of hypoxia.Which of the following outcomes 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 
A) Incorrect flow rate 
B) Poor tubing connection 
C) Use of long oxygen tubing 
D) Airway plugging

Question 6

Expected outcomes for patients who are being taught how to use a thermometer include which of the following outcomes? (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 
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

Question 7

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 8

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 9

While teaching how to check for gastric residual volume (GRV),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 10

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 11

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 12

The patient is taking levothyroxine (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 13

The nurse is teaching the patient about the signs of hypothermia.She teaches that signs of hypothermia include which of the following clinical manifestations? (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

Question 14

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

Exam 44: Home Care Teaching

When being taught clean intermittent self-catheterization (CISC),at what interval should the patient be taught to replace the catheter?

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

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 delivers oxygen only during inspiration is called a _______________.

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

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

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

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

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

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

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

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. )

The patient is taking levothyroxine (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?

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

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

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