Nutrition A

24 July 2022
4.7 (114 reviews)
60 test answers

Unlock all answers in this set

Unlock answers (56)
question
A nurse is caring for aclient who has a newprescription forparenteral nutrition (PN)containing a mixture ofdextrose, amino acids,and lipids. Prior to administration of thePN, the nurse should report which of the following food allergies to the provider?
answer
eggs
question
A nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse?
answer
check the client's blood glucose level
question
A nurse is teaching about increasing dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should the nurse include in the teaching?
answer
Vitamin A
question
A nurse is providing teaching to a client who is lactating about increasing her protein intake. What food should the nurse recommend?
answer
cottage cheese
question
A nurse is providing teaching about lowering solid fat intake to an adolescent who is overweight. What instructions should the nurse include?
answer
Restrict your daily meat intake to 5 oz
question
A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. What info should the nurse include?
answer
leave the skin on when eating fruit
question
A nurse is caring for a client who is receiving continuous enteral feedings via NG tube. The nurse notices that the tube feeding has stopped infusing. What action is the nurse's priority?
answer
flush the tube with warm water
question
A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's lab results, what finding should the nurse report to the provider?
answer
prealbumin 8
question
A nurse is creating a plan of care for a client who has anorexia nervosa. What intervention should the nurse include?
answer
assign privileges based on direct wt gain
question
A nurse is teaching a client who has CKD about limiting her calium intake. What food choices should the nurse inform the client contains the highest amount of Ca and should be limited in her diet?
answer
1 c low-fat yogurt
question
A nurse is providing teaching to a client who has DM and a HbA1c of 8.7%. What statement by the client indicates an understanding of this lab value?
answer
this shows I have not been following my diet
question
A nurse is providing teaching about proper eating techniques to a client who is experiencing dysphagia following a stroke. What instructions should the nurse include? select all
answer
limit disruptions during mealtime place food on unaffected side of mouth tilt head forward when swallowing
question
A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. What instructions should the nurse include in the teaching?
answer
consume 20 mcg Vit D daily
question
A home health nurse is reviewing the med record of a client who had an open reduction internal fixation of the tibia. What finding should the nurse identify as a risk factor for impaired wound healing?
answer
client consumes 1000 calories daily
question
A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent diagnosis of HTN. What lab findings indicates the client has reached one of the goals of the DASH diet?
answer
total cholesterol 190
question
A nurse is reviewing the lab data of four clients. The nurse should identify that what client is experiencing fluid overload?
answer
a client who has a Na level of 130
question
A nurse is assessing the meal pattern of a client who has diverticular disease and a script for high-fiber. what food choices by the client contains the most fiber?
answer
1/2 c bran cereal
question
A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. What food choices by the client indicates an understanding of the teaching?
answer
two poached eggs and a banana
question
A nurse is developing a teaching plan for a client who has dysphagia and is being d/c home with a script for a mechanical soft diet. What foods should the nurse include in the plan?
answer
mashed potatoes
question
A nurse is caring for a client who has anemia and a new script for an iron supplement. The nurse should recommend the client consume the supplement with what beverage to increase absorption?
answer
tomato juice
question
A nurse is initiating an enteral feeding for a client who has chronic bronchitis. What types of formulas should the nurse anticipate administering to the client?
answer
high calorie
question
A nurse in an ED is reviewing a lab report for an older adult client who is confused and reports nausea/abd cramping. The nurse should suspect the lab results to indicate a dietary deficiency of what mineral?
answer
Na
question
A nurse is providing d/c teaching to a client who has parkinson's and a script for levodopa-carbidopa. What food should the nurse instruct the client to consume with the med?
answer
1 slice wheat toast
question
A nurse is performing a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. What questions should the nurse ask? select all
answer
are you exempt from fasting during illness? does fasting mean eating only a certain type of food? does fasting occur during certain hours of the day? does fasting mean refraining from drinking liquids
question
A nurse is caring for a client who has age-related macular degeneration and asks the nurse if there are any nutritional changes to consider. What response should the nurse make?
answer
increase dietary intake of lutein
question
A nurse is conducting dietary teaching for a group of women who are of childbearing age. What food items should the nurse include as containing the highest amount of folate?
answer
3.5 oz chicken liver
question
A nurse is providing d/c teaching about breast milk use and storage to a client who is postpartum. What statement should the nurse make?
answer
You can not place thawed breast milk back in the freezer
question
A nurse is teaching a client about maximizing absorption when taking calcium. What instructions should the nurse include?
answer
Take a supplement that contains Vitamin D
question
A nurse is planning dietary interventions for a client who is prescribed external radiation for laryngeal cancer. The client reports manifestations of stomatitis. What intervention should the nurse include?
answer
Provide meals at room temperature
question
A nurse is assessing a client who experienced a 5% wt loss in the last 30 days. What clinical manifestations should the nurse identify as an indication of malnutrition?
answer
ankle edema
question
A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. What food is the best source of zinc?
answer
pinto beans
question
A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. What action should the nurse take to reduce the client's diarrhea?
answer
decrease the rate of the feeding
question
A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. What action should the nurse plan to take?
answer
provide the formula as a continuous infusion
question
A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. What action should the nurse take? select all
answer
suggest pickles as a snack offer citrus fruits gargle with mouthwash
question
A nurse is caring for a client who is receiving continuous enteral tube feedings. What action should the nurse take to prevent aspiration?
answer
monitor gastric residuals every 4 hr
question
A nurse is providing dietary teaching for a client who is postop following gastric bypass. What instructions should the nurse include?
answer
start each meal with a protein
question
A nurse is assessing a client's risk for pressure ulcers using the Braden scale. The client eats more than half of most meals but occassionally refuses a meal. What info should the nurse document on the nutrition category of the Braden scale?
answer
3 (adequate)
question
A nurse is discussing dietary factors to assist in blood pressure management for a client who has HTN. What client statement indicates an understanding?
answer
I should choose whole grain pastas when selecting my foods
question
A nurse is providing teaching about cancer prevention to a group of clients. What client statement indicates an understanding of the teaching?
answer
I will eat five servings of fruits and vegetables each day
question
A nurse is caring for an older client who has a pressure ulcer. The client practices Orthodox Judaism and strictly follows kosher dietary laws. What foods should the nurse provide for this client?
answer
Mac and cheese
question
A nurse is creating a plan of care for a client who has mucositis following head and neck radiation therapy for cancer. What intervention should the nurse include in the plan?
answer
increase fluid intake to 2 L per day
question
A nurse is caring for a client who is prescribed captopril. The nurse is away that what food can cause a potential med interaction?
answer
cantaloupe
question
A nurse is providing nutritional teaching to the parents of a 2 yr old. What snakc foods should the nurse recommend?
answer
1 cup yogurt
question
A nurse is providing dietary instructions for a client who has a script for warfarin. What foods should the nurse recommend the client eat in moderation while taking this med?
answer
green leafy vegetables
question
A community nurse is planning to teach a class about wt management for cardiovascular health. What statement should the nurse plan to make to the participants?
answer
plan to lose weight gradually at 0.5-1 lb per week
question
A nurse is caring for a client who has cirrhosis and ascites. What dietary instructions should the nurse provide for this client?
answer
Decrease NA to 1-2 grams per day
question
A nurse is providing teaching to a client who is at 24 wks gestation and reports constipation. What instruction should the nurse include? select all
answer
increase daily fiber drink eight 240mL glasses of water daily perform exercises regularly using large muscle groups
question
A nurse is caring for a client who develops diarrhea while receiving continuous enteral tube feeding/ What action should the nurse take?
answer
warm the formula to room temperature
question
A nurse is teaching an adolescent who has a new dx of celiac disease. What statement by the client indicates an understanding of the teaching?
answer
I need to eliminate rye from my diet
question
A nurse is assessing a client who has end-stage kidney disease. What dietary habits increases the client's risk for dysrhythmias?
answer
eating a diet rich in potassium
question
a nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. What info should the nurse include?
answer
include two servings per day of nuts when on a vegetarian diet
question
A nurse is calculating the daily protein allowance of a client who weighs 176 lbs. The client's daily protein allowance is 0.8g/kg. How many grams of protein should the client consume/day?
answer
64
question
A nurse is teaching an older adult client about nutritional recommendations. What statement should the nurse make?
answer
You should increase your daily protein intake
question
A nurse is providing info to a client who has a new script for atorvastatin. What beverages should the nurse include in the info as a contraindication?
answer
grapefruit juice
question
A nurse is providing dietary teaching to a client who has celiac disease. What statement by the client indicates an understanding of the teaching?
answer
I can have tapioca pudding for dessert
question
A nurse is reviewing the lab results of a client who is receiving continuous TPN. What results should the nurse report to the provider?
answer
Glucose of 248
question
A nurse is assessing a client who has type 2 DM. The nurse should recognize what manifestation of hypoglycemia?
answer
confusion
question
A nurse is caring for a client who is receiving TPN. The current bag is empty and a new bag is not avaialble on the unit. What solution should the nurse infuse until a new bag is available?
answer
dextrose 10% in water
question
A nurse is caring for a client who has acute inflammatory bowel disease. What nutritional supplement should the nurse anticipate providing to this client?
answer
hydrolyzed formula
question
A nurse is caring for an infant who has cleft lip/palate. What position should the nurse place the infant for bottle feeding?
answer
upright