Nursing 185 Exam 2, Nur 185 Exam 2 Questions And Answers 100% Verified.

What are important assessments for a nurse to make on a client before receiving a tube feeding are {Ans: Expiration dates, placement of tubing and patency of tube, skin integrity around nares, allergies, n/v, bowel sounds, amount left in stomach from previous feeding, pH of contents left in stomach and mal nutrition}An 87-year-old man is admitted to the hospital for cellulitis of the left arm. He ambulates with a walker and takes a diuretic medication to control symptoms of fluid retention. Which intervention is most important to protect him from injury? A.Leave the bathroom light on. B.Withhold the client's diuretic medication. C. Provide a bedside commode. D. Keep the side rails up. {Ans: C. Provide a bedside commode. Rationale: The placement of the bedside commode next to his bed will assist in decreasing the number of steps he is required to ambulate. This will assist in protecting him from injury due to falls. Option 1: Leaving the light on would assist the client in locating the bathroom, but would not reduce the risk of fall when rushing to the bathroom. Option 2: The nurse cannot withhold a client's medication without consulting with the primary care provider. Option 4: