Ch. 44 Nutrition

Question 1

A client follows an ovolactovegetarian diet. Which food item is consumed in this diet?

A) poultry
B) Fish
C) meat
D) eggs

Answer 1

D) eggs

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Question 2

The home care nurse is seeing the following clients. Which of the clients is at greatest risk for inadequate nutrition?

A) a 55-yr-old obese man recently diagnosed w/ diabetes mellitus
B) a recent widowed 76-year-old woman recovering from a mild stroke
C) a 22-yr-old mom w/ a 3-yr-old toddler who had a tonsillectomy
D) a 46-yr-old man recovering from @home from coronary artery bypass surgery

Answer 2

B) he recently went out at 76-year-old woman recovering from a mild stroke
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Question 3

The desired BMI range for healthy adults:

Answer 3

18.5-24.9 kg/m²

Question 4

Overweight BMI:

Answer 4

25-29.9 kg/m²

Question 5

Morbidly Obese BMI:

Answer 5

40 kg/m² or greater

Question 6

A nurse records the assessment findings of a client. The findings are: (a) BMI is 33, (b) heart rate is 72 bpm, (c) pale conjunctiva, (d) pink-colored gingiva, and (e) spoon-shaped nails. Which of the following is a sign of good nutrition in this client?

Answer 6

D) pink-colored gingiva

Question 7

What test should be performed to confirm the correct placement of an NG feeding tube before the start of feedings?

A) an x-ray study
B) auscultation of the abdomen
C) assessment of stomach content pH
D) assessment of residual stomach contents

Answer 7

A) an x-ray study

Question 8

A nurse is planning a diet for a two-year-old client. Which food item should be included in the diet plan?

A) whole grapes
B) nuts
C) raw vegetables
D) whole milk

Answer 8

C) raw vegetables

– whole milk provides necessary fatty acid for the brain and neurological development.
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Question 9

The nurse has inserted an NG tube into a client. However, when the first feeding is administered, the client has pulmonary aspiration. Which action would have prevented this complication?

A) starting the enteral feeding at a slow rate
B) administering a milk-based formula
C) verifying the placement of the tube through x-ray
D) auscultating the bowel sounds before feeding

Answer 9

C) verifying the placement of the tube through x-ray

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Question 10

Which statement made by an adult client demonstrates understanding of healthy nutrition teaching?

A) I need to stop eating red meat
B) I will increase the servings of fruit juice to four a day
C) I will make sure that I eat a balanced diet and exercise regularly
D) I will not eat so many dark green vegetables and eat more yellow vegetables

Answer 10

C) I will make sure that I eat a balanced diet and exercise regularly
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Question 11

What is the advantage of enteral feeding over parenteral feeding?

A) it’s more satisfying for the client
B) it allows the client to be ambulatory
C) it maintains intestinal function and integrity
D) it reduces the risk of foodborne illness

Answer 11

C) it maintains intestinal function and integrity

Question 12

A 70-year-old client is admitted to the hospital post stroke. The client suffers from right-sided hemiplegia and dysphagia. Identify the complication of dysphagia that the nurse might observe in the client.

A) aspiration pneumonia
B) excess fluid intake
C) improved nutritional status
D) Weight gain

Answer 12

A) aspiration pneumonia