EAQ 30Q: Metabolism

Which action would the nurse perform first when assessing the abdomen of a client with a nasogastric tube on low intermittent suction for a bowel obstruction?

Turning off nasogastric suction

Which is the best response to a client who asks if an additional glyburide tablet should be taken before exercising?

" Do not take an extra pill because you may become hypoglycemic when exercising"

The nurse is providing dietary teaching to a client with diabetes. Which statement made by the client indicates understanding of learned material?

" My meals can be planned around a wide variety of commonly used foods"

The prenatal nurse explains to a pregnant client that she will need additional calcium during pregnancy and that the best source is milk. The client states, "I never drink milk or eat milk products. They turn my stomach. "Which is the appropriate nursing response?

"Let's talk about other foods that are high in calcium"

A client with type 1 diabetes asks, "What has caused these brown spots on my skin?" Which response would the nurse provide?

"The brown spots result from small blood vessel damage; the blood contains iron, which leaves a brown spot."

After reading that nutrition during pregnancy is important for optimal growth and development of a baby, a pregnant woman asks the nurse which foods she should be eating. How would the nurse initiate the teaching/learning process?

Asking the client what she usually eats at each meal

A child's body mass index (BMI) is 26. Which dietary habit would increase the health risks in the child? select all that apply

Avoiding beans and legumes in the diet Excluding calcium rich food from the diet

Which physiologic factor alters the pharmacokinetic properties of clemastine in the neonate whose mother is taking it while breastfeeding? select all that apply

Decreased fat content Immature blood brain barrier Decreased glomerular filtration rate

A client with the diagnosis of bulimia nervosa, purging type, is admitted to the mental health unit after an acute episode of binging. Which clinical manifestation is most important for the nurse to evaluate?

Dehydration

The nurse is assessing a client with hyperthyroidism. Which clinical finding is consistent with this diagnosis? select all that apply

Emotional lability Dyspnea on exertion Hyperactive deep tendon reflexes

The nurse is caring for a client admitted to the hospital with primary hyperparathyroidism. Which action would be included in this client's plan of care?

Ensuring a large fluid intake

A child with cystic fibrosis is to receive four pancrelipase capsules five times a day. Why is it important that the medication be taken with meals and snacks?

Facilitates nutrient utilization

Which food would the nurse recommend for a client with multiple abrasions and lacerations to the chest and extremities?

Meatloaf

Which response would the nurse expect in a client experiencing hypoglycemia? select all that apply

Palpitations Tachycardia Nervousness

A client understands that an increase in both vitamin E and beta carotene is important for healthier skin. Which foods are excellent sources of both and would be included in teaching by the nurse?

Spinach and Mangoes

Which reason explains why adequate nutritional intake would be a challenge for a client with bipolar disorder during the manic phase?

The client is too busy keeping active to eat

The nurse is providing education about hypoglycemia to a client with newly diagnosed type 1 diabetes. Which symptoms would prompt the client to drink orange juice, indicating an understanding of the teaching?

nervousness and weakness

Which statement is true regarding the pharmacokinetic changes observed in infants? select all that apply

Gastric pH is less acidic Gastric emptying is slow first pass metabolism is slow

Which is the appropriate lunch for the nurse to offer a child who is on a restricted-sodium diet?

Hamburger on a bun, grapes, lemonade

A 3 month old infant with tetralogy of Fallot has a weight loss resulting in a decline from the 25th percentile to the 5th. Which is the most likely reason for this weight loss?

Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse

The nurse concludes that a client is having a hypoglycemic reaction to insulin. Which clinical finding supports this conclusion? select all that apply

Irritability Palpitations

Which diet would the nurse anticipate the health care provider to prescribe for a client in preparation for ligation of hemorrhoid surgery?

Low-residue

Which carcinoma is the most common type of thyroid cancer and is most often found in younger women?

Papillary carcinoma

Which manifestation would the nurse assess for in a client in the acute phase burns who has eaten only a small portion of each meal?

Prolonged wound healing

Which alternative to water would the nurse suggest to a client recovering from a major burn injury?

Protein drinks

Which food can be safely fed to an 8 month old infant on a regular diet?

Pureed pears Pureed carrots Mashed sweet potatoes

Which information about a new client would indicate to the nurse that screening for hepatitis C is appropriate?

Reports a one time use of intravenous drugs 20 years ago

Which follow up monitoring would the nurse perform for a client receiving an IV infusion of amphotericin B

Urine output

The nurse is teaching a client diagnosed with type 1 diabetes mellitus. The nurse reinforces the importance of monitoring for ketoacidosis. Which manifestation is associated with Ketoacidosis? select all that apply

confusion excessive thirst Fruity scented breath