Quiz 2 Flashcards
The healthcare provider is assisting a patient with severe anemia with ambulation. The patient suddenly experiences dyspnea. What should the healthcare provider do first?
A) Administer oxygen to the patient.
B) Ask a colleague to get a wheelchair for the patient.
C) Quickly assist the patient back to their bed.
D) Ease the patient to the floor to prevent injury
B) Ask a colleague to get a wheelchair for the patient.
What is a common side effect of anemia?
women of childbearing age reporting of craving ice
What would be a nursing diagnosis for a female patient, age 20, that has been diagnosed with iron-deficiency anemia?
A) Altered tissue perfusion related to inadequate red blood cells from menstrual bleeding.
B) Constipation related to low fiber diet and inactivity.
C) Ineffective health maintenance related to deficient knowledge regarding care of diabetic condition.
D) Risk for skin break breakdown related to immobility.
A) Altered tissue perfusion related to inadequate red blood cells from menstrual bleeding.
The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus includes all of the following EXCEPT:
a. Flexibility in types and amounts of foods consumed
b. Unlimited intake of total fat, saturated fat and cholesterol
c. Including adequate servings of fruits, vegetables, and the dairy group
d. Applicable to with either Type 1 or Type 2 diabetes mellitus
b. Unlimited intake of total fat, saturated fat and cholesterol
When taking a health history, the nurse screens for manifestations suggestive of diabetes type 1. Which of the following manifestations are considered the primary manifestations of diabetes type 1 and would be most suggestive of diabetes type 1 and require follow-up investigation?
a. Excessive intake of calories, rapid weight gain, and difficulty losing weight
b. Poor circulation, wound healing, and leg ulcers
c. Lack of energy, weight gain, and depression
d. An increase in three areas: thirst, intake of fluids, and hunger
d. An increase in three areas: thirst, intake of fluids, and hunger
An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the client to treat hyperglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate
b. 15 to 20 g of a simple carbohydrate
c. 25 to 30 g of a simple carbohydrate
d. 35 to 40 g of a simple carbohydrate
b. 15 to 20 g of a simple carbohydrate
At Tommy’s 2 year check- up, he weighed 27 lbs. At Tommy’s 3 year check-up how much should he weight based upon average weight gain?
a) . 29 lb
b) . 32 lb
c) . 45 lb
d) . No weight change
b). 32 lb
Of the following injuries, which one is the most common among toddlers?
a). Drowning
b). Burns
c). Choking
d). Automobile Accidents
a). Drowning
- Which allergy has the potential to be contraindicated with certain immunizations?
a) . Peanuts
b) . Eggs
c) . Shellfish
d) . Pollen
b). Eggs
What is the main type of liquid to avoid while pregnant?
a) Milk
b) Water
c) Caffeine
d) Apple
c)Caffeine
Which of the following statements by the pregnant patient indicates a need for further teaching?
a) “I will regularly consume tuna”
b) “I will eat foods high in omega 3 fatty acids”
c) “I will choose small amounts of healthy oils”
d) “I will avoid sugary beverages”
a) “I will regularly consume tuna”
Which of the following is a food to avoid while pregnant?
a) Enriched grains
b) Green leafy vegetables
c) Soft cheeses
d) Avocado
c) Soft cheeses
A 5 year old patient is diagnosed with constipation, what are some complications that the patient is at risk for?
a. Fecal impaction, anal fissures and rectal prolapse
b. Anal fissures, seizures and side pain
c. Rectal prolapse, fatigue, dizziness
d. Fecal impaction, vision impairment, tremors
a. Fecal impaction, anal fissures and rectal prolapse
Due to a smaller nutritional reserve the elderly population is at higher risk of which complications when suffering from diarrhea?
a. Falling and Vision impairment
b. Malabsorption and Malnutrition
c. Headaches and Malnutrition
d. Hair loss and confusion
b. Malabsorption and Malnutrition
You are a nurse in a long term care facility and one of your residents needs to be on a high fiber diet because of constipation. What foods would be included in this diet?
a. Water, broth, and tea
b. Beans, bran cereals, and lentils
c. Milk, soup, and pudding
d. White toast, bananas, and rice
b. Beans, bran cereals, and lentils
What are some large concerns with child obesity in toddlers?
snacks or desserts t hat are high in sugar, fat, and sodium
What are some large concerns with child obesity in preschoolers?
overfeeding, soft drinks, inadequate intake of fruits and vegetables
What is a large concern with children obesity 6-12 year olds?
skipping breakfast
How long does the toddler phase last for?
12 to 36 months of age
What are common injuries with toddlers?
falls, drowning, burns, chocking, allergies
What is the most common allergy related to childhood ailments?
hay fever
What are the 2 main things that children have food allergies to?
peanuts, milk
What is type 1 diabetes?
triggered by genetics or a viral infection
What is type 2 diabetes?
genetic factors and obesity
What is hypoglycemia?
an abnormally low blood glucose level
What is hyperglycemia?
an abnormally high blood glucose level (take meds or insulin)
What is a normal blood glucose level?
70-100 mg/dL
What type of diabetes is recognized during the second and third trimester of pregnancy?
glucose intolerance (gestational diabetes)
What do you look for to diagnose diabetes for children?
increase thirst and frequent peeing, extrme hunger, weight loss, fatigue, yeast infection
What type of diabetes do elderly normally get?
type 2
Whats an example of rapid acting insulin?
humalog
Whats an example of short acting insulin?
humulin
Whats an example of long acting insulin?
lantus
Whats an example of intermediate acting insulin?
humulin N
Why is pre pregnancy nutrition important?
early fetal development happens before a woman may realize she is pregnant
What are 4 health conditions that put the fetus at higher risk for defects?
anorexia
obesity
diabetes
allergies
What complications can occur with a pregnant woman who is anorexic?
premature labor, low birth weight, delayed fetal growth, respiratory problems, gestational diabetes
What are some ways to impliment plans for positive outcomes with a anorexic pregnant woman?
decrease stress at meal times
remove items that can decrease appetite
small, frequent meals
What are 5 necessary components in a diet for a pregnant woman?
fluids, folic acid, iron, protein, omega 3 fatty acids
What are foods to avoid for pregnant women?
alcohol/caffiene, raw fish, fish with mercury, hotdogs, cold cuts, raw eggs, soft cheese
What are the 4 phases of wound healing?
inflammatory, epithelization, proliferative, remodeling
What are 4 main nutrients for wound healing?
carbs, fats, proteins, and fluids
What are 3 vitamin/minerals for wound healing?
Vitamin A vitamin C and Zinc
The nurse has just received a transfer patient to the floor who has recently suffered a stroke. During the patient’s first meal, the nurse notices that she is having trouble swallowing and coughing frequently when trying to consume liquids. After notifying the provider, what test can the nurse expect to be ordered for the patient?
a. an x-ray of the patients esophagus
b. an MRI of the head and neck
c. a barium swallow study
d. a speech pathology test
c. a barium swallow study
When caring for a patient with dysphagia with a dietary order for chopped diet with unthickened liquids, what are the primary nursing actions to ensure the SAFETY of the patient? (Select all that apply)
a. Always provide a straw when a patient is given liquids
b. Elevate the head of the bed to 90 degrees during and 30 mins after mealtime
c. Finely chop all solid foods to no larger than the size of your pinky fingernail
d. After mealtime check for food gathered in cheeks, also known as “pocketing”
b. Elevate the head of the bed to 90 degrees during and 30 mins after mealtime
c. Finely chop all solid foods to no larger than the size of your pinky fingernail
d. After mealtime check for food gathered in cheeks, also known as “pocketing”
Which of the following are appropriate NURSING diagnoses for a patient who has been diagnosed with dysphagia following a stroke? (Select all that apply)
a. risk of aspiration
b. dietary restrictions, puree all foods
c. impaired swallowing
d. monitor at all meals
a. risk of aspiration r/t dysphagia
c. impaired swallowing r/t stroke as evidenced by left sided muscular deficit clinically diagnosed dysphagia
