NUTRITION 2019 Flashcards
A nurse is assessing an older adult client who has dysphagia and is experiencing dehydration. Which of the following findings should the nurse expect? Tachycardia Distended neck vein Hypertension Decreased respiratory rate
Tachycardia (tachycardia is an attempt to maintain to maintain blood pressure, a manifestation of fluid deficit) **
A nurse is caring for a client who had a stroke and has manifestation of dysphagia. Which of the following interventions should the nurse take? Page 68
Place the client in a semi-fowler’s position
Add a thickening agent to liquids
Use liquids to clear food from the clients mouth
Tilt the clients head backwards to facilitate swallowing
Add a thickening agent to liquids
A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include? Page 72
“Limit sodium intake to3,200 miligrams per day”
“Increase intake of refined carbohydrates”
“Consume foods that are high in calcium”
“Consume ten percent of total calories from saturated fat”
Consume foods that are high in calcium
A nurse is assessing a client who is receiving total parenteral nutrition (TPN). The nurse should recognize that which of the following is a metabolic complication associated with an infusion of TPN? Thrombosis Azotemia Endocarditis Sepsis
Azotemia
A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?
Floss dentures as part of daily cleaning
Use a washcloth to clean the dentures surfaces
Wrap gloved fingers with gauze to remove dentures
Wrap dentures before storing them in a dry container at night
Wrap gloved fingers with gauze to remove dentures
A nurse is assessing a client who is receiving total parenteral nutrition (TPN). The nurse should identify which of the following findings as an adverse effect of TPN? Page 62 Hemoglobin 16 g/dL Weight gain of 1.5 kg (3.3 lb) per day Temperature 36.1° C (97° F) Blood glucose 98 mg/dL
Weight gain of 1.5 kg (3.3 lb) per day (His Answer) **
A nurse is reviewing the laboratory findings of an older adult client. The nurse should identify which of the following findings as an indication of malnutrition? Prealbumin 10 mg/dL Hemoglobin 16 g/dL WBC count 7,000/mm3 RBC count 5 million/mm3
Prealbumin 10 mg/dL (His Answer) (15-36 mg/dl) page 16
A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
Advice the client to add 500 calories per day to the diet
Recommend a total fiber intake of 12 g each day
Refer the client to a weight-loss support group
Refer the client to a weight-loss support group
(normal 18.5-24.9) page 42
A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?
Weigh the client once per week
Restrict the client protein intake
Provide the client with 3 large meals per day
Reduce the clients sodium intake
Reduce the clients sodium intake
A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?
Drinking ice tea with meals can increase the amount of iron absorbed
Cooking in a stainless steel skillet increases the amount of iron in the food
Fish and poultry are primary source of heme iron
Drinking orange juice with iron supplements can decrease absorption
Fish and poultry are primary source of heme iron (His Answer) page 8
A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select? Page 81 Rye toast with herbal tea Poached eggs with wheat bagel Rice cereal with sliced bananas Graham crackers with peanut butter
Rice cereal with sliced bananas (His Answer) (BRAT~ bananas, rice, apples, toast
A nurse is providing teaching to a client about high-fiber foods. Which of the following foods should the nurse include as containing the highest amount of fiber? ½ cup cooked broccoli ½ cup corn flakes with skim milk 1 slices whole wheat bread 1 medium apple with peel
1 medium apple with peel**
But if theres a choice 1/2 cup of bran daily then choose that**
A nurse is teaching a client ways to manage anorexia while receiving radiation therapy. Which of the following instructions should the nurse include in the teaching?
“Consume nutrition-dense foods first”
“Eat hot foods rather than cold foods”
“avoid overeating during ‘good’ days”
“Limit high-kilocalorie supplements to between meal”
“Consume nutrition-dense foods first”
A nurse is teaching about managing hypoglycemia with carbohydrates to a client who has diabetes mellitus. Which of the following foods should the nurse include in the teaching as containing the most carbohydrates? 1 glucose tablet 1 tsp honey 4 pieces hard candy 4 oz fruit juice
4 oz fruit juice
A nurse is teaching a client who is receiving bolus feedings through a nasogastric tube about dumping syndrome. The nurse should instruct the client to report which of the following manifestations? Page 78 Bradycardia Drowsiness Constipation Dizziness
Dizziness
*RISK FOR FALLS
A nurse is receiving the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess? BUN 8 mg/dL Hgb 15 g/dL Sodium 140 mEq/dL Creatinine 0.8 mg/dL
BUN 8 mg/dL (His Answer)- 10-20 mg/dl
A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective?
Client reports ability to complete ADLs
Client has soft, formed bowel movements
Clients blood glucose level is within the expected reference range
Clients mucous membranes are pink
Client has soft, formed bowel movements
A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 oz of protein? ½ cup peas 1 scrambled egg 1 slice of bread 2 tbsp peanut butter
1 scrambled egg
page 23
A nurse is assisting a client at mealtime who is at risk for aspiration following a stroke. Which of the following actions should the nurse take?
Encourage the client to rest 10 min before mealtime
Tell the client to lie down after eating a meal
Instruct the client to tuck her chin when swallowing
Place the client in a semi-fowler’s positions to eat
Instruct the client to tuck her chin when swallowing
A nurse is teaching a client who is 24 hr postpartum about breastfeeding. Which of the following client statements indicates an understanding of the teaching?
“I will alternate the first breast that I offer my baby with each feeding”
“I will offer my baby water between feedings”
“I will nurse my baby once every 4 hours”
“I will store my breastmilk in the refrigerator up to 48 hours”
“I will alternate the first breast that I offer my baby with each feeding” page 39
“I will nurse my baby once every 4 hours” = every 2 hrs
“I will store my breastmilk in the refrigerator up to 48 hours” = can only be stored up to 24 hrs when refrigerated
A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies? Vitamin C Folic acid Magnesium Vitamin D
Vitamin D
page 22
A nurse in a provider's office is reviewing the laboratory values of a client who reports a poor appetite. Which of the following values should the nurse report to the provider? Hgb 10 g/dL Serum creatinine 0.9 mg/dL HDL 60 mg/dL Fasting blood glucose 90 mg/dL
Hgb 10 g/dL
*LAB LEVEL IS LOW, OTHER LABS WITHIN NORMAL RANGE
A nurse is teaching an in-service about manifestation of hypoglycemia to a group[ of newly licensed nurses. Which of the following should the nurse include in the teaching? Kussmaul respiration Vomiting Blurred vision Bradycardia
Blurred vision
page 89
A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following complications should the nurse include in the teaching? Type 1 diabetes mellitus Juvenile rheumatoid arthritis Hypertension Hypothyroidism
Hypertension
A nurse is assessing a client who has a wound that is not healing. Which of the following dietary supplements should the nurse recommend? Vitamin C Potassium Vitamin D Calcium
Vitamin C
A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select that contains the greatest amount of potassium? 1 oz of cheddar cheese One medium raw tomato 1 cup of brown rice One small baked potato
One medium raw tomato
page 7
A nurse is providing teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identify as the highest risk for allergies in toddlers? Milk Bananas Eggs Citrus fruits
Eggs
A nurse is caring for an older adults client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client? Tuna fish Dried fruit Roast beef Apple slices
Tuna fish
