Exhibits

The nurse discusses the need to balance energy intake and output to maintain weight.

Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

Introduce calorically dense snacks after exercise

Add healthy foods to increase caloric intake

Get up and walk at least once an hour at work

Avoid food with high carbohydrate levels

Increase exercise intensity

Select foods that are lower in caloric density

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Introduce calorically dense snacks after exercise: Ineffective. This action would increase caloric intake, which is counterproductive for weight loss.

Add healthy foods to increase caloric intake: Ineffective. Increasing caloric intake is not aligned with the client's goal of weight loss.

Get up and walk at least once an hour at work: Effective. This promotes physical activity, which helps burn calories and supports weight loss.

Avoid food with high carbohydrate levels: Ineffective. While managing carbohydrate intake can be part of a balanced diet, avoiding them altogether may not be necessary and could lead to nutritional deficiencies.

Increase exercise intensity: Effective. This can enhance caloric expenditure, supporting weight loss goals.

Select foods that are lower in caloric density: Effective. Lower-calorie foods can help the client feel full while reducing overall caloric intake, aiding in weight loss.

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Correct Answer is B

Explanation

A. While assessing skin condition is important, the priority in this case is managing fluid balance, especially after surgery.

B. Replacing fluids intravenously based on intake and output is crucial to ensure the client is adequately hydrated and to prevent complications related to fluid loss, particularly after surgery for ulcerative colitis. This is vital in maintaining homeostasis and promoting healing.

C. Recording the amount of wound drainage is important for monitoring healing, but it is secondary to managing fluid balance postoperatively.

D. Turning the client every 2 hours is important for preventing pressure injuries, but in this context, ensuring proper fluid management takes precedence.

A. Assign the newly hired UAP to clients who require the least complex level of care. B. Review the UAP's skills checklist and experience with the person who hired the UAP. C. Ask the most experienced UAP on the team to partner with the newly hired UAP. D. Evaluate the newly hired UAP's level of competency by observing the UAP deliver care.

Correct Answer is D

Explanation

A. Assigning the UAP to less complex clients may not adequately assess their competencies.

B. Reviewing documentation provides useful background information, but it does not verify actual competency in performing tasks. Direct observation is necessary.

C. While pairing with an experienced UAP may provide guidance, it does not replace the nurse’s responsibility to assess competency and ensure safe care.

D. The nurse is responsible for ensuring that all team members provide safe and appropriate care. Before assigning tasks, the nurse should assess the newly hired UAP’s competency by directly observing them perform client care. This helps determine their skill level and ensures client safety.

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Exhibits The nurse discusses the need to balance energy intake and output to maintain weight. Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is B

Explanation

A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs. Which intervention should the home health nurse implement to ensure adequate care for all clients?

Correct Answer is D

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

A 4-month-old infant is brought to the clinic by a parent with symptoms of a runny nose, a slight fever and cough for the last two days. Which finding should alert the nurse that the child is in acute respiratory distress?

While preparing to administer a scheduled IV medication, the client tells the nurse that the IV site hurts and refuses to allow the nurse to administer a flush to assess the site. Which intervention should the nurse implement?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

A client arrives to the emergency department with chest pain after taking sildenafil. Based on the client's history, which medication should the nurse withhold?

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

Exhibits After the nurse assesses the client, the healthcare provider writes prescriptions. The nurse reviews the prescriptions. Which 2 prescriptions should the nurse complete first?

Exhibits

The nurse discusses the need to balance energy intake and output to maintain weight.

Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.