ch 24 nutritional care and support

The nurse is preparing teaching for a client ordered on long-term treatment with corticosteroids. As part of the teaching about side effects, the nurse should inform the client that which body function is primarily affected?

Metabolism

An emergency department nurse admits an adult client for a drug overdose. The physician writes an order for the nurse to instill charcoal through a nasogastric (NG) tube. Which size tube will the nurse select?

16 french

The RN provides teaching to a client with newly diagnosed diabetes mellitus. Which method will the LPN/LVN reinforce as the best indicator of long-term glycemic control?

Glycosylated hemoglobin

The LPN/LVN is obtaining a blood glucose level on a client with diabetes mellitus, and notes that the blood glucose level is 280 mg/dL. Knowledge of which condition prompts the LPN/LVN to report the finding to the RN?

Hyperglycemia

The nurse is teaching a client newly diagnosed with diabetes mellitus about the eating and nutrition parameters required with the client's diagnosis. Which comment by the client indicates that teaching is understood?

"I will find a new method for cooking besides frying."

The nurse is providing care for a client after joint replacement surgery. The nurse delivers a lunch tray with a cheeseburger, French fried, slaw, and fresh fruit. After the meal, the nurse picks up an empty tray. Which comment is more important for the nurse to make if the client states, "My husband ate part of my lunch because I'm just not that hungry"?

"I will need to know which foods you actually ate."

A physician has ordered "Clear liquids, advance as tolerated." Which factors indicate to the nurse the advancement of the client's diet should be delayed? Select all that apply. 1. Hypoactive bowel sounds 2. Nausea and vomiting 3. Reports of indigestion 4. Expression of hunger 5. Verbalizing thirst

1, 2, 3

The nurse is caring for a client admitted with a diagnosis of bulimia nervosa. Which assessment finding will the nurse expect? Select all that apply. 1. Evidence of dental caries 2. Verbal reports of indigestion 3. Statements about constipation 4. Frequent bouts of sore throat 5. Poor skin turgor and sunken eyes

1, 2, 4, 5

The nurse prepares a presentation for parents of adolescents with eating disorders. The parents have expressed an interest in understanding the causes and effects of the disorder. Which information will the nurse include? Select all that apply. 1. It is more prevalent in males than in females. 2. It can cause a client's health to be severely affected. 3. It generally occurs during adolescence or early adulthood. 4. It is evidenced by extreme disturbances in eating habits. 5. It may result from either physical or psychological causes.

2, 3, 4, 5

The nurse assesses a client 24 hours after abdominal surgery. The client is experiencing nausea, anorexia, and is vomiting foul-smelling emesis. Physical assessment reveals an extended abdomen and hypoactive bowel sounds. Which order does the nurse expect from the client's physician?

A nasogastric tube inserted for gastric decompression

The nurse is caring for a client in the hospital. On assessment, the nurse discovers the client's hands and feet are swollen. A review of the client's past medical history reveals a history of cardiac problems. Which diet does the nurse expect the physician to order for this client?

A sodium-restricted diet

The nurse is completing the placement of a nasogastric (NG) tube. Which is the most reliable way for the nurse to initially confirm the placement of the tube?

After placement of a radiopaque tube confirm the location of the tube by x-ray

The nurse is admitting a client for a diagnosis unrelated to nutrition; however, the client states, "I don't eat gluten, but I don't have celiac disease." Which meal will the nurse expect the client to order?

Baked chicken breast, mashed potatoes with butter, and ice cream

The nurse brings a dinner tray to a client on a regular diet. The nurse notes that the client has been blind since birth. Which intervention by the nurse is most helpful in assisting this client to eat?

Compare the location of the food on a plate with the face of a clock

A client tells the nurse of experiencing minor gastrointestinal pain, flatulence, and diarrhea several times after meals. Which possible cause should the nurse identify?

Food intolerance

A client has been vomiting without relief from medications. The physician orders the client on NPO status. Which action by the nurse violates the physician's order?

Gives ice chips when the client indicates mouth dryness

A client is prescribed the medication lithium as a mood-stabilizing agent. Which laboratory report indicates the client may be retaining higher than prescribed levels of lithium?

Low sodium levels

The LPN/LVN is assigned to feed a client who was admitted with the diagnosis of a cerebral vascular accident (CVA). The client's ability to swallow is intact, but chewing remains difficult. Which type of food will most likely cause the LPN/LVN to consult with the RN?

Mechanical soft

The LPN/LVN is caring for a client with diabetes mellitus and obtains a morning blood glucose level of 60 mg/dL. The LPN/LVN reports the finding to the RN. Which intervention does the LPN/LVN expect?

Provide the client with one-half cup of orange juice

When the nurse inserts a nasogastric (NG) tube, the client becomes cyanotic, coughs incessantly, and is unable to speak. Which action should the nurse take immediately?

Remove the tube completely

The nurse assesses a client just admitted from the emergency department with pain in the lower right quadrant of the abdomen. The physician's order reads, "Diet as tolerated." Which conclusion will impact the nurse's decision regarding the client's diet?.

The client will be NPO due to the probability of surgery

The nurse is inserting a nasogastric (NG) tube. Which conclusion does the nurse make if a client coughs continually?

The client's airway is compromised

A client is prescribed isoniazid (INH), a medication that treats tuberculosis (TB). Which condition will prompt the nurse to remind the physician that the client will need a specific vitamin during the therapy?

Vitamin B6 excretion will increase with INH