Question 1

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 2

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 3

Question 3

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 4

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 5

The patient needs to be taught the signs of hypoxia.Which of the following outcomes are causes of hypoxia?

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

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.

Question 7

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?

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 8

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 9

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

Accepted Answer

transtrach

Question 10

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 11

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 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

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 14

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

Exam 44: Home Care Teaching

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

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

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 essential in teaching the patient how to use a thermometer?

The patient needs to be taught the signs of hypoxia.Which of the following outcomes are causes of hypoxia?

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

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?

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

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

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

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?

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?

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

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

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

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