Nutrition

The nurse is teaching a prenatal class about yeast infections during pregnancy. Which statement made by the class indicates the teaching has been effective?

"Eating less baked goods, white rice and honey may help prevent yeast infections."

The nurse is educating the parents of a newborn prior to discharge home. The parents demonstrate teaching was successful when making which statement(s)? Select all that apply.

"I will not be concerned if my newborn has stools that begin to have a yellowish color to them." "I understand it is normal for newborns to lose 5% to 10% of their bodyweight after birth." "My newborn can see up-close things, like our faces, better than things at a distance."

A client is discussing vitamin and mineral intake with the nurse. Which client statement requires further nursing teaching?

"My husband and I are ordering a product that has megadoses of vitamins." (your body does not make it's own vitamins)

The parents of a client with cystic fibrosis ask the nurse why supplemental pancreatic enzymes are needed. What is the best response by the nurse?

"Pancreatic enzymes promote absorption of nutrients and fat."

The parents are concerned their 14-year-old child is always eating. The child weighs 54 kg and is 65 inches (165 cm) tall. What is the best explanation the nurse can give the parents?

"The calories help his body increase muscle mass."

A nurse in the women's health clinic is teaching a group on urinary incontinence. Which instructions should the nurse include in the presentation to help reduce the severity and incidence of incontinence? Select all that apply.

Maintain blood glucose levels. Regularly perform pelvic floor exercises. Increase fiber intake.

A child who is receiving TPN has developed the need to have insulin injections. The child's mother questions this and states that her child does not have diabetes. What is the appropriate response by the nurse?

"The feedings are high in sugar and insulin is needed to manage this."

A woman comes to the clinic for her first prenatal checkup. The woman has a body mass index (BMI) of 22. The nurse would anticipate that this client should gain approximately how much weight during her pregnancy?

25 to 35 lbs (11 to 16 kg)

When counseling a group of overweight individuals, the nurse should stress that during parties, the oxidation of alcohol provides how many kilocalorie/gram to one's diet?

7 kcal/g

A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client?

Administer IV normal saline with vitamins and electrolytes. (before antiemetic)

The nurse is giving prenatal instructions to a 32-year-old primigravida who is 8 weeks' gestation. Which nutritional instructions would the nurse review? Select all that apply.

Caloric intake should be increased by 300 cal/day. Protein intake should be increased by 30 g/day. Folic acid intake should be increased to 800 mg/day. Intake of all minerals, especially iron, should be increased.

The nurse is helping the parents of a toddler identify foods that are causing allergic symptoms in the child. Which strategy should the nurse encourage the parents to use?

Elimination diet

Which substance provides the majority of the fuel needs of the neurologic system?

Glucose

The nurse is educating a woman about the importance of folic acid before conception and during pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins and minerals. What food source would the nurse recommend to add to the woman's diet?

Green leafy vegetables

When teaching the new mother about breastfeeding, the nurse is correct when providing what instructions? Select all that apply.

Help the mother initiate breastfeeding within 30 minutes of birth. Encourage breastfeeding of the newborn infant on demand. Place baby in uninterrupted skin-to-skin contact (kangaroo care) with the mother.

On the advice of the primary health care provider, a client has begun taking vitamin D supplements on a daily basis for which possible outcome?

Increased calcium absorption from the digestive tract.

A client is receiving parenteral nutrition (PN) through a peripherally inserted central catheter (PICC) and will be discharged home with PN. The home health nurse evaluates the home setting and would make a recommendation when noticing which circumstance?

No land line; cell phone available and taken by family member during working hours

A client is in the hospital for the treatment of peptic ulcer disease. The client reports vomiting and a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate?

Perforation of the peptic ulcer

A client with end stage chronic kidney disease is diagnosed with secondary hyperparathyroidism. Which dietary intervention should the nurse include in the plan of care?

Restriction of foods high in phosphates

A nurse practitioner reviewed the blood work of a male client suspected of having microcytic anemia. The nurse suspected occult bleeding. Which laboratory result would indicate an initial stage of iron deficiency?

Serum ferritin: 15 ng/mL

A nurse is caring for a client with bulimia nervosa. Strict management of the client's dietary intake is necessary. Which intervention is the most important?

Serve the client's menu choices in a supervised area and observe the client 1 hour after each meal.

A client is recovering from surgery and has been encouraged to increase his food intake to induce an anabolic state and promote healing. What phenomenon will occur while the client is experiencing anabolism?

The client will be expending energy to synthesize new cells.

The nurse should consider dietary supplement education as a priority for which client?

an older adult currently being treated for throat cancer

A client with chronic pancreatitis is experiencing an episode of recurring epigastric pain. The nurse teaches the client to limit which type of meal to avoid further episodes?

fried chicken and french fries

The nurse is providing care for a 13-year-old child diagnosed with iron-deficiency anemia. The client's current hemoglobin level is 11 g/dL (110 g/L). Which intervention will the nurse anticipate including in the client's care?

giving ferrous sulfate with orange juice between meals

A lactose intolerant client is concerned about getting enough calcium in her diet. Which foods could the nurse suggest she include in her diet to increase her calcium intake? Select all that apply.

peanuts almonds broccoli molasses

The client is on a continuous tube feeding. The nurse determines the tube placement should be checked every

shift