Nutrition Prep U

The nurse is confirming placement of a patient's nasogastric (NG) tube using a combination of visual and pH assessment of the aspirate. The nurse determines that the NG tube remains properly placed when the pH of the aspirate is which of the following? a) Acidic b) Unmeasurable c) Alkaline d) Neutral

a) Acidic

In the development of a nursing diagnosis for a client who has cachexia and decreased weight, what would be an appropriate nursing diagnosis? a) Imbalanced nutrition: less than body requirements b) Weight loss related to abdominal discomfort c) Lack of adequate nutrition related to decreased calories d) Anorexia nervosa and bulimia

a) Imbalanced nutrition: less than body requirements

A patient receiving tube feedings has prescriptions for several drugs. Which of the following drugs would the nurse expect to administer to the patient without any special preparation? Select all that apply. a) Sublingual nitroglycerin b) Enteric-coated aspirin c) Sustained-release antihypertensive d) Acetaminophen tablet e) Liquid stool softener

a) Sublingual nitroglycerin e) Liquid stool softener

A nurse is providing care for a client recovering from gastric bypass surgery. During assessment, the client exhibits pallor, perspiration, palpitations, headache, and feelings of warmth, dizziness, and drowsiness. The client reports eating 90 minutes ago. The nurse suspects: a) Vasomotor symptoms associated with dumping syndrome b) Dehiscence of the surgical wound c) A normal reaction to surgery d) Peritonitis

a) Vasomotor symptoms associated with dumping syndrome

Patients diagnosed with malabsorption syndrome may have vitamin and mineral deficiency. Patient who easily bleed have which of the following deficiencies? a) Vitamin K b) Iron c) Calcium d) B12

a) Vitamin K

The client is experiencing swallowing difficulties and is now scheduled to receive a gastric feeding. She has the following oral medications prescribed: furosemide (Lasix), digoxin, enteric coated aspirin (Ecotrin), and vitamin E. The nurse withholds a) enteric coated aspirin b) digoxin c) furosemide d) vitamin E

a) enteric coated aspirin

The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which of nursing's key people's contributions to nursing? a) Linda Richards b) Florence Nightingale c) Dorothea Dix d) Clara Barton

b) Florence Nightingale

What health problem may occur in a person who is on a low-carbohydrate diet for a long period of time? a) obesity b) ketosis c) infection d) fatigue

b) Ketosis

A nurse is caring for an elderly client with a pressure ulcer on the sacrum. When teaching the client about dietary intake, which foods should the nurse emphasize? a) Legumes and cheese b) Lean meats and low-fat milk c) Whole grain products d) Fruits and vegetables

b) Lean meats and low-fat milk

The nurse is evaluating the serum albumin of a patient newly admitted on the rehabilitation unit. The nurse determines that the serum albumin is low, indicating that the patients level of which of the following is deficient? a) Phosphorous b) Protein c) Potassium d) Calcium

b) Protein

The nurse is providing an educational presentation on dietary recommendations for reducing the risk of cancer. Which of the following food selections would demonstrate a good understanding of the information provided in the presentation? Select all that apply. a) Crispy chicken Caesar Salad b) Steamed broccoli and carrots c) Smoked salmon d) Egg white omelet with spinach and mushrooms e) Turkey breast on whole wheat bread f) Vegetable and cheddar quiche

b) Steamed broccoli and carrots d) Egg white omelet with spinach and mushrooms e) Turkey breast on whole wheat bread

Which nutrient plays an important role in normal blood clotting? a) Vitamin C b) Vitamin K c) Zinc d) Protein

b) Vitamin K

The breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity asks the nurse what she should do about feeding her infant. Which recommendation would be most appropriate? a) Limit breastfeeding to once per day, and begin feeding an iron-fortified formula. b) Discontinue breastfeeding, and start using a predigested formula. c) Continue to breastfeed, but eliminate all milk products from your own diet. d) Change to a soy-based formula exclusively, and begin solid foods.

c) Continue to breastfeed, but eliminate all milk products from your own diet.

The most common symptom of esophageal disease is which of the following? a) Odynophagia b) Vomiting c) Dysphagia d) Nausea

c) Dysphagia

Which of the following dietary guidelines would be appropriate for the elderly homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat? a) Eat one large meal at noon b) Snack on high-carbohydrate foods frequently c) Eat smaller meals that are high in protein d) Contact the physician for Ensure

c) Eat smaller meals that are high in protein

A nurse working on a medical-surgical unit is caring for a client with Cushing's syndrome. After receiving repot, the nurse reads through the client's nursing diagnoses and prioritizes her interventions. Which of the following would the nurse not include in her plan of care? a) Report systolic BP that exceeds 139 mm Hg or diastolic BP that exceeds 89 mm Hg. b) Examine extremities for pitting edema. c) Provide a high-sodium diet. d) Administer prescribed diuretics.

c) Provide a high-sodium diet.

The client who is receiving chemotherapy is not eating well but otherwise feels healthy. What should the nurse suggest the client eat? a) cereal with milk and strawberries b) steak and french fries c) broiled chicken, green beans, and cottage cheese d) toast, gelatin dessert, and cookies

c) broiled chicken, green beans, and cottage cheese

Which adverse effects occur when there is too rapid an infusion of TPN solution? a) negative nitrogen balance b) hypoglycemia c) circulatory overload d) hypokalemia

c) circulatory overload

The nurse should teach the client with hepatitis A to: a) intensify routine exercise and increase strength. b) limit caloric intake and reduce weight. c) increase carbohydrates and protein in the diet. d) avoid contact with others and sleep in a separate room.

c) increase carbohydrates and protein in the diet

Which foods should be avoided following acute gallbladder inflammation? a) Mashed potatoes b) Cooked fruits c) Coffee d) Cheese

d) Cheese

Which type of deficiency results in macrocytic anemia? a) Vitamin A b) Vitamin C c) Vitamin K d) Folic acid

d) Folic acid

The parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family? a) Affective and coping b) Reproductive c) Physical d) Socialization

d) Socialization

Why should total parental nutrition (TPN) be used cautiously in clients with pancreatitis? a) Such clients are at risk for gallbladder contraction. b) Such clients are at risk for hepatic encephalopathy. c) Such clients can digest high-fat foods. d) Such clients cannot tolerate high-glucose concentration.

d) Such clients cannot tolerate high-glucose concentration.

A client with severe and chronic liver disease is showing manifestations related to inadequate vitamin intake and metabolism. He reports difficulty driving at night because he cannot see well. Which of the following vitamins is most likely deficient for this client? a) Riboflavin b) Vitamin K c) Thiamine d) Vitamin A

d) Vitamin A

A nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin: a) reduces edema. b) restores the inflammatory response. c) enhances oxygen transport to tissues. d) enhances protein synthesis.

d) enhances protein synthesis.