A nurse is teaching a client and his son about how to position when administering enteral feedings at home. Which of the following statements by the client indicates an understanding of the teaching?

"I will turn him every 2 hours during the feeding."

"I will have him sit in his chair during the feeding."

"I will elevate the head of the bed 10 degrees during the feeding."

"I will allow him to be in the position where he is most comfortable during the feeding."

Answer and Explanation

The Correct Answer is B

A. "I will turn him every 2 hours during the feeding.": Turning during feeding is unnecessary and could increase the risk of aspiration.

B. "I will have him sit in his chair during the feeding.": A sitting or high Fowler's position reduces the risk of aspiration during enteral feedings.

C. "I will elevate the head of the bed 10 degrees during the feeding.": The head of the bed should be elevated at least 30-45 degrees to prevent aspiration.

D. "I will allow him to be in the position where he is most comfortable during the feeding.": Proper positioning is essential for safety and cannot be based solely on comfort.

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Correct Answer is B

Explanation

A. Brown stools: Cirrhosis often leads to clay-colored stools due to reduced bile excretion.

B. Firm, enlarged liver: Cirrhosis initially causes liver enlargement and firmness; as the disease progresses, the liver may shrink.

C. Clear, amber urine: Clients with cirrhosis often have dark urine due to bilirubin buildup.

D. Moist skin: Cirrhosis can cause pruritus and dry skin due to bile salt accumulation.

A. Large body stature B. History of bone fracture during childhood C. Drinks one alcoholic beverage per day D. Smokes 1 pack of cigarettes per day

Correct Answer is D

Explanation

A. Large body stature: A large body stature is not a risk factor for osteoporosis. Smaller or thinner individuals are at higher risk due to lower bone mass.

B. History of bone fracture during childhood: Childhood fractures are not typically associated with osteoporosis unless linked to a condition causing low bone density.

C. Drinks one alcoholic beverage per day: Moderate alcohol consumption is not a significant risk factor for osteoporosis. Excessive alcohol use is a risk.

D. Smokes 1 pack of cigarettes per day: Smoking is a well-established risk factor for osteoporosis as it decreases bone density and impairs calcium absorption.

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A nurse is teaching a client and his son about how to position when administering enteral feedings at home. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

Correct Answer is B

Explanation

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Correct Answer is D

Explanation

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