2. Which laboratory test result would the nurse interpret as indicating that a patient is at risk

NUR 2206 Elimination

• Mr. White has been admitted to the alcoholic referral unit in the local hospi- tal. Based on an

understanding of the effects of alcohol on the GI tract, which of the following would the nurse be most alert for nutritionally?

• vitamin B malnutrition
• obesity
• dehydration
• vitamin C deficiency

Answer

• vitamin B malnutrition

• Which laboratory test result would the nurse interpret as indicating that a patient is at risk

for poor nutritional status?

• decreased serum albumin
• increased lymphocyte count
• decreased blood urea nitrogen level
• increased platelet count

Answer

• decreased serum albumin

• The nurse completing anthropometric measurements for a patient collects which of the

following information?

• height and weight
• serum hemoglobin and hematocrit levels
• diet history
• intake and output

Answer

• height and weight

• Which of the following would the nurse use as the most reliable indicator of a patient's fluid

volume status?

• intake and output
• skin turgor
• complete blood count 1 / 3

• daily weights

Answer

• daily weights

NOT SKIN TURGOR B/C AGE ALREADY DECREASES THAT

• Mr.Yow is refusing to eat. Which intervention would be most helpful in stimulating his

appetite?

• Administering pain medications after meals.
• Encouraging food from home when possible.
• Scheduling his respiratory therapy before each meal.
• Reinforcing the importance of his eating exactly what is delivered to him.-

Answer

• Encouraging food from home when possible.

• Mrs. Lonte is ordered a clear liquid diet for breakfast to advance to a house diet as tolerated.

Which of the following assessments would indicate her diet should NOT be advanced?

• Mrs. Lonte consumed 75% of the liquids on her breakfast tray.
• Mrs. Lonte tells you she is hungry.
• Mrs. Lonte's abdomen is soft and nondistended with normal active bowel sounds in all 4

quadrants.

• Mrs. Lonte reports fullness and diarrhea after breakfast.

Answer

• Mrs. Lonte reports fullness and diarrhea after breakfast.

• Mrs. James has progressed to a full liquid diet. Which items would the nurse expect to see

on her tray?

• Apple juice and chicken noodle soup
• Peanut butter crackers and ginger ale
• Pureed beef and cream of broccoli soup
• Water ice and a glass of milk

Answer 2 / 3

• Water ice and a glass of milk

• Mrs. Podralski, a patient in the hospital, has been encouraged to increase her fluid intake.

Which measure would be most effective for the nurse to implement?

• explaining the mechanisms involved in transporting fluids to and from intracellular

compartments

• keeping fluids readily available for the patient
• emphasizing the long-term outcomes of increasing fluids when she returns home
• planning to offer most daily fluids in the evening

Answer

• keeping fluids readily available for the patient

• Examples of Problems with Voiding

Answer -Urinary Incontinence

-->involuntary escape of urine ----->cannot control -Urinary Retention -->Urine not excreted fully from bladder ------>post prostate surgery/after anesthesia

• Nocturia

Answer awakening at night to urinate

• Urgency

Answer Strong desire to void

• Polyuria

Answer large amounts of urine unrelated to intake

• Dysuria
• / 3