nutrition

A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder?

Helps the client deal with distorted thought processes.

A nurse is caring for a toddler who is postoperative following a cleft palate repair. Which of the following actions should the nurse take?

Restrain the toddler's arms at the elbows.

A nurse is assisting with planning care for a group of older adult clients in an assisted-living facility. Which of the following health promoting behaviors should the nurse suggest to help these clients increase endurance and maintain muscle strength?

Regular exercise program

A nurse is caring for a client who is receiving continuous enteral feedings through an NG tube and develops diarrhea. Which of the following actions should the nurse take?

Request a prescription for an isotonic enteral nutrition formula.

A nurse is contributing to the plan of care for a client who is scheduled to receive total parenteral nutrition (TPN). Which of the following actions should the nurse recommend including the plan? (select all that apply).

Weigh the client daily. Obtain a serum blood glucose every 4 hours. Change the IV tubing every 24 hours.

A nurse is assisting with the planning of an inservice session about nutrition. How many of the amino acids must be obtained from dietary intake?

9

A nurse is reinforcing teaching with the caregiver of a child who has pica. Which of the following statements should the nurse identify as an indication that the caregiver understands the teaching?

"My child might try to eat dirt when we are at the playground."

A nurse is reinforcing teaching about nutrition with an older adult client. The client asks, "Do I need the same amount of nutrients that I did when I was younger?" Which of the following responses should the nurse provide?

"Older adults need an increased amount of calcium."

A nurse is reinforcing teaching with a client regarding nutrition. Which of the following should the nurse include about nutrients?

"Protein builds and repairs body tissue."

A nurse is prioritizing care for a group of clients. The nurse should plan to attend to which of the following clients first?

A client who requires endotracheal suctioning.

A nurse is assisting with the collection of admission data for a client who has anorexia nervosa. The client has lost 11.4 kg (25 lb) over the past month and currently weighs 38.6 kg (85 lb). The nurse should expect which of the following findings?

Amenorrhea

A nurse is reinforcing teaching about nutritional needs with the parents of a 2-year-old toddler. Which of the following pieces of information should the nurse include?

An appropriate serving size of a solid food is 2 tablespoons.

A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse take first?

Ask the client about over the counter medications she is taking.

A nurse is reinforcing discharge instructions with a client who has a new laryngectomy. The nurse should tell the client to be careful while bathing to prevent which of the following complications?

Aspiration of water.

A nurse in a long term care facility is attending to a group of clients. One of the clients is walking in the hallway, bumping into walls, and not responding to his name. Which of the following actions should the nurse perform first?

Accompany the client back to his room.

A nurse is caring for a client who is well hydrated and has no visible evidence of nutritional deficiencies. A laboratory result within the expected reference range for which of the following substances is an indication that the client has adequate protein uptake and synthesis?

Albumin.

A nurse is preparing a presentation for a group of older adults at a senior center about nutrition and exercise. Which of the following strategies should the nurse use in preparing learning activities for this group of clients?

Allow rest periods during the presentation.

A nurse is caring for a 5-year-old child who has pneumonia and is experiencing a poor appetite. Which of the following interventions should the nurse take?

Allow the child to choose foods with a lower nutritional content.

A nurse is contributing to the plan of care for a client with AIDS who has developed stomatitis. Which of the following interventions should the nurse recommend for the plan of care?

Avoid salty foods.

A nurse is contributing to the planning of an in-service session about nutrition. Which of the following nutrient functions should the nurse include in the teaching?

Fats provide energy.

A nurse is assisting with the admission orders for a female adolescent who has anorexia nervosa. The nurse should identify which of the following laboratory tests is the priority to obtain?

Complete metabolic panel (CMP).

A nurse is reviewing the laboratory findings of a client who has protein-calorie malnutrition. Which of the following findings should the nurse expect?

Decreased albumin.

A nurse is collecting data from an older adult client for physiological changes that can occur with aging. Which of the following findings should the nurse expect?

Decreased sense of taste.

A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions is the nurse's priority?

Determine if the client is a danger to herself.

A nurse is caring for a client with a BMI of 29 who expresses a desire to lose weight. Which of the following actions should the nurse take first?

Determine the client's intention to change current eating habits.

A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN) and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?

Diaphoresis.

A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report?

Impaired mobility.

A nurse is caring for a toddler who has gastroenteritis caused by salmonella. Which of the following actions is the priority for the nurse?

Initiate contact precautions.

A nurse is assisting with the planning of an inservice training session regarding nutrition. Which of the following minerals should the nurse include as a factor oxygen transportation?

Iron.

A nurse is presenting an in-service session about nutrition. Which of the following simple sugars should the nurse identify as the carbohydrate found in milk?

Lactose.

A nurse is reinforcing dietary teaching with the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse?

Provide a high-fat diet for the toddler.

A nurse is caring for a 4-year old child who has a superficial partial-thickness burns over 50% of his body. To meet the nutritional needs of the child, which of the following actions should the nurse plan to take?

Supplement the child's feedings with enteral feedings.

A nurse is collecting data from an older adult client who has right sided heart failure. Which of the following findings is the nurse's priority to report?

Weight increase of 0.91 kg (2 lb) in 24 hours.

A nurse is reinforcing teaching with a guardian of a child who has scarlet fever. Which of the following pieces of information should the nurse reinforce?

"Provide a soft or liquid diet for your child until the pain in your child's throat improves."

A nurse is reinforcing teaching with the guardian of an adolescent. The guardian reports that the adolescent sleeps for about 10 hours on weekend nights. Which of the following responses should the nurse make?

"Adolescents need more sleep due to rapid growth."

A nurse is reinforcing teaching with a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include in the teaching?

"Consume 1,000 milligrams of dietary calcium daily"

A nurse is reinforcing teaching with a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include in the teaching?

"Consume 1,000 milligrams of dietary calcium daily."

A nurse is reinforcing teaching with the parent of an 8 year old child who has AIDS. Which of the following instructions should the nurse highlight?

"Everyone in the home should practice good hand hygiene."

A nurse is reinforcing preoperative teaching with a client who will undergo a total laryngectomy. Which of the following statements should the nurse identify as an indication that the client understands the impact of the surgery?

"I understand that I will have a permanent tracheostomy after the surgery."

A nurse pediatric unit is caring for a child who is not eating well. Which of the following suggestions should the nurse reinforce with the parents to promote the child's food intake?

"Let the child eat with others when possible."

A nurse is reinforcing teaching with a client regarding nutrition. Which of the following statements should the nurse include about nutrients?

"Protein builds and repairs body tissue."

A nurse is assisting the provider with a preschooler's annual exam. The parent expresses concern about the child's 1.8 kg (4 lb)

"Your child's weight change is expected for this age group."

A nurse is collecting data regarding a client's nutritional status during a community health screening. The nurse determines the client is consuming 500 calories per day more than his energy level requires. When will the client have gained 4.5 kg (10lb)?

10 weeks.

A nurse is assisting with a nutritional screening for a 12-year old client who weighs 41kg (90 lb) and has a height of 1.5 m (60 in). Which of the following values is the client's body mass index (BMI)?

18.2

A nurse is collecting data from a client who has an arteriovenous (AV) fistula for hemodialysis. At which of the following locations should the nurse listen for a bruit? (using the hot spots in the artwork, select only the area that corresponds to the answer.)

A- the arm or forearm

A nurse is reinforcing teaching with the parents of an infant who has a cleft palate. The parents ask the nurse how long they should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes?

Difficulty with language acquisition.

A nurse is assisting with the plan of care for a client who has chronic obstructive pulmonary disease (COPD) and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan?

Eat high calorie foods first.

A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take?

Elevate the client's head of bed 45 degrees before the feeding.

A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania. Which of the following interventions should the nurse recommend including in the plan?

Encourage the client to have frequent rest periods.

A nurse is caring for a client who is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room?

Grapefruit juice.

A nurse is assisting with planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse suggest?

Limit drinking liquids when eating food.

A nurse is assisting with the care of a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer?

Lorazepam.

A nurse is contributing to the pan of care for a client who is receiving mechanical ventilation. Which of the following recommendations should the nurse make?

Maintain the head of the bed at 30 degrees.

A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?

Maintaining adequate hydration.

A nurse is contributing to the plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client?

Permitting the client to spend some quiet time alone after each meal.

A nurse is caring or a client who has smoke inhalation and full thickness burns covering 63% of her body. Which of the following nursing actions is the nurse's priority?

Monitor respiratory status.

A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following actions should the nurse take?

Monitor the client's blood glucose level.

A nurse is assisting with planning postoperative education for a client who will undergo a radical neck dissection for cancer of the larynx. The nurse should suggest including which of the following topics? (select all that apply.)

NPO status. Alternative methods of communication. Changes in body image. Swallowing exercises.

A nurse is using the Braden scale to predict the pressure-ulcer risk for a client in a long term care facility. Using this scale, which of the following parameters should the nurse evaluate?

Nutrition.

A nurse is caring for a client who had a stroke and requires assistance performing ADL's. The nurse should collaborate with which of the following members of the interprofessional care team when caring for this client?

Occupational therapist.

A nurse is reinforcing anticipatory nutritional teaching with the caregivers of a 5-month-old infant. Which of the following points should the nurse include in the teaching?

Offer the infant finger foods such as crackers after 6 months of age.

A nurse is contributing to the plan of care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child?

Oral rehydration solution.

A nurse is caring for a client who had a gastric resection to treat adenocarcinoma of the stomach. The client tells the nurse in the PACU that he does not remember why the surgeon said he had to have a tube in his nose. The nurse should explain that the NG tube serves which of the following purposes?

Preventing excessive pressure on suture lines.

A nurse is contributing to the planning of an in-service session about nutrition. Which of the following pieces of information should the nurse recommend for the teaching?

Protein serves as an energy source when other sources are inadequate.

A nurse is assisting with the plan of care for a client who has vegetative signs of depression. Which of the following actions should the nurse include in the plan?

Provide decaffeinated beverages.

A nurse is caring for a client who has dementia and paces during meals. Which of the following actions should the nurse take?

Provide finger foods for the client.

A nurse is caring for an older adult client with dementia who gets up frequently to pace during meals and eats sparingly. Which of the following actions should the nurse take?

Provide finger foods for the client.

A nurse is reinforcing teaching with a group of clients about nutrition. Which of the following definitions of the recommended dietary allowance (RDA) should the nurse include in the teaching?

The RDA defines the level of nutrient intake that meets the needs of healthy people in various groups.

A nurse is reinforcing discharge teaching with a client who is postpartum and plans to breastfeed her infant. Which of the following pieces of information should the nurse reinforce with the client? (select all that apply.)

Thaw frozen breast milk with warm water. Massage breast milk onto the nipples after breastfeeding. Frequent swallowing by the infant indicates adequate suckling.

A nurse is reinforcing teaching about nutrition with a middle adult client who has a sedentary job. Which of the following factors should the nurse consider?

The basal metabolic rate could decrease.

A nurse is collecting data from a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?

The client is having 1-2 bowel movements per day.

A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of information should the nurse include?

Toddlers can be given up to 120 to 180 mL (4 to 6 oz) of juice per day.

A nurse is caring for a client who has pernicious anemia. Which of the following factors is associated with this condition?

Vitamin B12 deficiency.

A nurse is reinforcing nutrition education to a client who has osteomalacia. The nurse should identify that osteomalacia is caused by a deficiency of which of the following nutrients?

Vitamin D.

A nurse is caring for a client who has delirium. Which of the following items should the nurse use to promote optimal cognitive function for this client?

Wall calendar.

A nurse is caring for a client who has smoke inhalation and full thickness burns covering 63% of her body. Which of the following nursing actions is the nurse's priority?

Weigh the client daily. Obtain a serum blood glucose every 4 hours. Change the IV tubing every 24 hours.

A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease (COPD) and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching?

"I should add grated cheese to sauces and vegetables."

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm^3. Which of the following foods should the nurse prohibit the family member from bringing to the client?

A fresh fruit basket.

A nurse is preparing a client for discharge following a bronchoscopy. Which of the following assessments is the nurse's monitoring priority?

Confirming the gag reflex.