Chapter 47 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 47 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep. What instruction should the nurse give this parent?

1. Make the baby wait at least 3 hours between feedings.
2. Continue to feed the baby with this on-demand schedule.
3. When the baby gets sleepy during feeding, use techniques such as moving around and tickling to encourage wakefulness.
4. Offer the baby less formula to prevent waste.

Correct Answer: 2

Rationale 1: Making the baby wait longer between feedings may result in feeding difficulties later in childhood.

Rationale 2: Newborns are often fed following an on-demand schedule. This might include feedings every 2 hours at first.

Rationale 3: Trying to keep the baby awake to feed may result in feeding difficulties later in childhood.

Rationale 4: Offering less formula may result in feeding difficulties later in childhood.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 4. Identify nutritional variations throughout the life cycle.

MNL Learning Outcome: 4.9.1. Implement interventions to support nutritional intake in clients who are unable to eat.

Page Number: 1135

Question 2

Type: MCSA

What criteria should the nurse use to evaluate to determine if an infant’s regurgitation, or spitting up, should be further investigated?

1. How often the baby spits up
2. How much the baby spits up at a time
3. If the baby is gaining weight adequately
4. The consistency of the regurgitated matter

Correct Answer: 3

Rationale 1: Many babies spit up after every meal and some seem to spit up a great deal.

Rationale 2: How much the baby spits up at a time is not included in criteria to evaluate if the regurgitation should be further investigated.

Rationale 3: As long as the baby is gaining weight adequately, it is not abnormal for regurgitation or spitting up to occur.

Rationale 4: The consistency of the regurgitated material may be thin (just consumed) or curdled (has been partially digested) and either case is normal.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 4. Identify nutritional variations throughout the life cycle.

MNL Learning Outcome: 4.9.1. Implement interventions to support nutritional intake in clients who are unable to eat.

Page Number: 1135

Question 3

Type: MCSA

The parents of a 7-month-old child have started offering solid foods to their baby. The baby has enjoyed and tolerated rice cereal, applesauce, and other fruits. Which food should the nurse recommend to be introduced next?

1. Strained beef
2. Green beans
3. Squash
4. Strained chicken

Correct Answer: 3

Rationale 1: Meat should be introduced last.

Rationale 2: Yellow vegetables should be offered before green vegetables.

Rationale 3: As the baby develops, foods are offered in the sequence in which they are generally best tolerated. Most experts recommend introducing cereals, fruits, yellow vegetables (e.g., squash), green vegetables (e.g., green beans), and then meats.

Rationale 4: Meat products should be introduced last.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 4. Identify nutritional variations throughout the life cycle.

MNL Learning Outcome: 4.9.1. Implement interventions to support nutritional intake in clients who are unable to eat.

Page Number: 1135

Question 4

Type: MCSA

The nurse has advised the client to consume alcohol only in moderation. What guideline should the nurse provide as a “moderate” alcohol intake?

1. Two drinks per week for women, three for men
2. Two drinks per day for women, three for men
3. One drink per day for women, two for men
4. One drink per week for women, two for men

Correct Answer: 3

Rationale 1: Moderate alcohol consumption is considered one drink per day for women, two drinks per day for men.

Rationale 2: Moderate alcohol consumption is considered one drink per day for women, two drinks per day for men.

Rationale 3: Moderate alcohol consumption is considered one drink per day for women, two drinks per day for men.

Rationale 4: Moderate alcohol consumption is considered one drink per day for women, two drinks per day for men.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8. Describe nursing interventions to promote optimal nutrition.

MNL Learning Outcome: 4.9.1. Implement interventions to support nutritional intake in clients who are unable to eat.

Page Number: 1141