NUR 115- Evolve Questions-Exam 6

Which response would the nurse expect when assessing a client who is dehydrated? Select all that apply. One, some, or all responses may be correct.

Confusion,Sunken eyeballs, Decreased blood pressure

A nurse is planning dietary measures for an older client who is experiencing dysphagia. Which action would the nurse include in the plan of care?

Monitoring the client during meals to ensure that food is swallowed

The nurse is reviewing medical records to assigned clients on the 7 am to 7 pm shift. Which client will the nurse monitor most closely for excessive fluid volume?

 An 85-year-old client receiving intravenous (IV) therapy at a rate of 100 mL/hr

A nurse is caring for a client who is receiving intermittent feedings by way of a nasogastric tube. Before feeding the client, the nurse checks tube placement and determines correct placement, then takes which action?

Checks the residual volume

Which food would the nurse offer to a client who has been prescribed a full liquid diet?

 Cooked custard

A client has a prescription for insertion of a nasogastric tube. Which action would the nurse anticipate will be taken to insert the tube safely and easily?

Asking the client to swallow as the tube is being advanced

A nurse checks the residual volume from a client's nasogastric tube feeding before administering an intermittent tube feeding and finds 35 mL of gastric contents. What would the nurse do before administering the prescribed 100 mL of formula to the client?

 Pour the residual volume into the nasogastric tube through a syringe with the plunger removed.