Nutrition

The nurse is caring for of a 6-month-old infant diagnosed with iron deficiency anemia. The nurse determines further teaching is necessary when the mother states:

"I must stop breast-feeding my baby because of the anemia."

A nurse is performing discharge teaching with a client who had a total gastrectomy. Which statement indicates the need for further teaching?

"I will have to take vitamin B12 shots up to 1 year after surgery."

The nurse is caring for a 6-year-old child. During the course of a routine wellness examination, the parent proudly reports that the child eats whatever the parent puts on the plate. The nurse wants to emphasize the importance of allowing the child to make some choices regarding the types of foods eaten. How should the nurse communicate this to the parent?

"Now is the time to let him choose some of his meals."

The nurse is providing education to the parents of a child with phenylketonuria (PKU). Which statement(s) demonstrates an understanding of proper nutrition for PKU? Select all that apply.

-"We need to check nutrition labels for aspartame." -"We will avoid providing meat and poultry products." -"Foods high in phenylalanine are to be avoided."

A client in her second trimester of pregnancy arrives at a health care facility reporting heartburn. What instructions should the nurse offer to help the client deal with heartburn? Select all that apply.

-Avoid overeating -Sleep in semi-Fowler position -Limit consumption of food before bedtime

A school nurse is preparing a presentation for the parent-teacher association at the local elementary school. The nurse is focusing on the topic of nutrition in this age group. Which suggestion would be appropriate for the nurse to include? Select all that apply.

-Providing foods that are high in calcium -Encouraging foods high in vitamin D -Avoiding foods that contain empty calories

When developing a teaching plan for a client who is 8 weeks pregnant, the nurse would suggest what foods to meet the client's need for increased folic acid? Select all that apply.

-Spinach -Bananas -Seafood -Beans

A nurse cares for a client with anemia requiring nutritional supplementation. Which nursing intervention best promotes client adherence with the prescribed therapy?

assist the client to incorporate the therapeutic regimen into daily activities

The provider notes that the client's hemoglobin is 8.2 g/dL (82 g/L). Which supplement will the provider recommend to the client?

ferrous sulfate

A severely dehydrated adolescent admitted to the hospital with hypotension and tachycardia undergoes evaluation for electrolyte disturbances. The client's history includes anorexia nervosa and a 20-lb (9.1-kg) weight loss in the past month. She is 5′ 7″ (1.7 m) tall and weighs 80 lb (36.3 kg). Which nursing intervention takes highest priority?

initiating caloric and nutritional therapy as ordered

An older adult client has a decubitus ulcer with drainage, dysphagia, and immobility. She consumes less than 300 calories per day and has a large amount of interstitial fluid. The client is in a state of:

negative nitrogen balance

The 29-year-old client presents at 5:30 a.m. with labor pains. Her history reveals G4, three previous vaginal births, and gynecoid pelvis. At 9 a.m. her assessment reveals 80% effaced and dilated at 3 cm. What nourishment can the nurse provide if the client mentions she hasn't eaten since 5 p.m. yesterday and is hungry?

Clear liquids but no solid food

A client is receiving total parenteral nutrition (TPN). The nurse will assess for complications related to:

Fluid and electrolyte levels

Which nursing diagnosis takes highest priority for a client with hyperthyroidism?

Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

The nurse advises a pregnant client to keep a small high-carbohydrate, low-fat snack at the bedside. The nurse should point out this will assist with which condition?

Nausea and vomiting

The parents of a 2-year-old boy report to the nurse that their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child?

Offering a variety of foods along with the foods the child likes.

A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide?

Serve the formula at room temperature

Which electrolyte does the client with cystic fibrosis need in abundance?

Sodium

The nurse is teaching a client who has several risk factors for developing pelvic organ prolapse (POP) about the importance of dietary and lifestyle modifications in helping to prevent this disorder. Which suggestions should the nurse include in her teaching? Select all that apply.

• increase daily fiber • increase daily fluids • achieve ideal weight • avoid lifting heavy objects • give up smoking