Nutrition exam 2

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a nurse is education the parents of a toddler about appropriate snack foods. which of the following foods should the nurse include?

1. graham crackers 2. apple slices 3. cheese cubes

a nurse is providing teaching for a client who has a new diagnosis of hypertension and a prescription for a low-sodium diet. Which of the following client statements indicate an understanding of the teaching?

1. I need to read food labels when grocery shopping 2. I will stop eating frozen dinners for lunch at work 3. I know that deli meats are usually high sodium 4. I can refer to the heart American association's website for dietary guidelines

a nurse is performing dietary needs assessments for a group of clients. A blenderized(pureed) liquid diet is appropriate for which of the following clients?

1. a client who has a wired jaw due to a motor vehicle crash 2. a client who is 24 hr postoperative following temporomandibular joint repair 3. a client who has difficulty chewing due oral surgery

a nurse is assessing a 6-months-old infant who has a lactose intolerance. which of the following findings should the nurse expect?

1. abdominal distention 2. flatus 3. occasional diarrhea

a nurse is planning care for a client who has mechanical fixation of the jaw following a motorcycle crash. which of the following actions should the nurse include in the plan of care ?

1. assist the client to use a straw to drink liquids 2. encourage intake of fluid between meals

a nurse is teaching a group of clients who are pregnant about iron-rich foods. which of the following foods should the nurse include?

1. beans. 2. fish 3. lean red meats

a school nurse is teaching a group of adolescents about healthy snack food choices. which of the following foods should the nurse include?

1. carrot sticks with low-fat dip 2. cheese and crackers 3. unbuttered popcorn

a nurse is caring for a client following an appendectomy who has a postoperative prescription that reads "discontinue NPO status; advance diet as tolerated." which of the following are appropriate for the nurse to offer the client initially?

1. chicken broth 2. cranberry juice

a charge nurse is providing information about fat emulsion added to total parenteral nutrition (TPN) to a group of nurses. which of the following statements by the charge nurse are appropriate>?

1. concentration of lipid emulsion can be up to 30% 2. adding lipid emulsion gives the solution a milky appearance 3. check for allergies to soybean oil 4. lipid emulsion prevents essential fatty acid deficiency

a nurse is planning care for a client who is receiving treatment for malnutrition. the client is scheduled for discharge to their home where they live alone. which of the following actions should the nurse include in the plan of care?

1. consult social services to arrange home meal delivery 2. advise the client to purchase frozen fruits and vegetables 3. recommend drinking a supplement between meals 4. educate the clients on how to read nutrition labels

a nurse is preparing to administer intermittent enteral feeding to a client. which of the following are appropriate nursing interventions?

1. discard feeding equipment after 24 hrs 2. place any unused formula in open cans in the refrigerator 3. flush the feeding tube every 4 hr

a nurse is planning care for a client who has a new prescription for peripheral parenteral nutrition (PPN). which of the following actions should the nurse include in the plan of care?

1. examine trends in weight loss 2. review prealbumin finding 3. add a micron filter to IV tubing 4. use an IV infusion pump

a nurse is assisting a client who has a prescription for a mechanical soft diet with food selections. which of the following are appropriate selections by the clients?

1. ground turkey 2. mashed carrots 3. cottage cheese

a nurse is instructing a client on how to administer cyclic enteral feedings at home. which of the following information should the nurse include ?

1. set the feeding up before you go to bed 2. weigh yourself daily

a nurse at a community center is providing nutrition counseling for a group of older adult clients. which of the following information should the nurse include?

1. the need for vitamins and minerals can increase. 2. up to 35% of daily calories should come from fat 3. at least 45% of daily calories should come from carbohydrates

a nurse is administering bolus enteral feedings to a clients who has malnutrition. which of the following are appropriate nursing interventions?

1. verify the presence of bowel sounds 2. flush the feeding tube with warm water 3. administer the feeding at room temperature

a nurse is caring for several clients in an extended care facility. which of the following clients is the highest priority to observe during meals?

a client who has Parkinson's disease

a nurse is caring for a client who is receiving TPN through a central venous access device, but the next bag of solution is not available for administration at this time. which of the following is an appropriate action by the nurse ?

administer 20% dextrose in water IV until the next bag is available

a nurse is caring a client who is transitioning to an oral diet following a partial laryngectomy. which of the following actions should the nurse take care to reduce the client's risk for aspiration?

encourage the client to tuck the chin when swallowing

a nurse is caring for a client who is to receive a level 2 dysphagia diet due to a recent stroke. which of the following dietary selections is most appropriate?

poached eggs, ground meat served with gravy, chicken or tuna salad, well-moistened pancakes with syrup, soft canned or cooked fruits

a charge nurse is teaching a group of nurses about medication compatibility with TPN. which of the following statements should the charge nurse make?

regular insulin can be added to the TPN solution

a nurse is preparing to administer lipid emulsion and notes a layer of fat floating in the IV solution bag. which of the following actions should the nurse take?

return the bag to the phamacy

a nurse is teaching a client who is starting continuous feedings about the various types of enteral nutrition (EN) formulas. which of the following should the nurse include in the teaching?

standard formula contains whole protein

a nurse is discussing the use of a low-profile gastrostomy device with the guardian of a child who is receiving an enteral feeding. which of the following is an enteral feeding. which of the following is an appropriate statement by the nurse?

the device is usually comfortable for children

a nurse is caring for a client who has multiple sclerosis and requires liquids with honey-like thickness. which of the following foods can the client consume without adding a thickening agent?

yogurt


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