Question 1

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 on yourself or a family member rather than on the patient D

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

Question 3

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

Question 4

While assessing the need to teach a patient about home oxygen therapy,the nurse must assess for which of the following? (Select all that apply.)

Accepted Answer

A)   Working smoke detectors
B)   The presence of fire extinguishers
C)   The presence of a home safety plan
D)   The presence of a certificate of medical necessity (CMN)

Question 5

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 following a heart attack

Question 6

Which of the following 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

Question 7

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

Question 8

When being taught CIC,at what interval should the patient be taught to replace the catheter?

Accepted Answer

A)   With each use
B)   Daily
C)   Weekly
D)   Monthly

Question 9

Reusable supplies need to be disinfected at least weekly.To disinfect supplies,use which of the methods described below? (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 manufacturer's instructions. Rinse and dry.

Question 10

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

The answer of OCDs reduce the amount of oxygen the...

Question 11

In teaching older adult patients how to exercise safely,the nurse realizes that cardiac output is lower in older adults,and that the heart of the older adult cannot adapt as well to sudden demands for increased oxygen.Therefore,the nurse uses the following calculation to determine a safe maximum heart rate during exercise in the older adult population: _______________.

Accepted Answer

The answer of In teaching older adult patients how to...

Question 12

Oxygen-conserving devices (OCD)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

The answer of Oxygen-conserving devices (OCD)reduce the amount of oxygen...

Question 13

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

Accepted Answer

A)   Symptoms subside
B)   Medication regimens are confusing
C)   Prescriptions are costly
D)   Many patients fear addiction
E)    None of above

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 tooth brushing and oral hygiene daily
D)   Having the patient take two to three deep breaths after the procedure

Question 15

When teaching the patient and family about CIC,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 CIC
D)   The only major complication is infection

Question 16

What is an expected finding when one is evaluating the patient with a tracheostomy in the home?

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

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

Question 18

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

Accepted Answer

A)   How to read a digital thermometer
B)   How to shake down the thermometer before use
C)   How to use the axillary thermometer
D)   How to select the most appropriate thermometer

Question 19

Expected outcomes for patients who are being taught how to use a thermometer include which of the following? (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)   Signs and symptoms of fever
E)    None of above

Question 20

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

Exam 42: Home Care Teaching