Nutrition PrepU
A mother and grandmother bring a 2-month-old infant to the clinic for a routine checkup. As the nurse weighs the infant, the grandmother asks, "Shouldn't the baby start eating solid food? My kids started on cereal when they were 2 weeks old." Which response by the nurse would be most appropriate?
"Babies can't digest solid food properly until after they are 4 months old."
A nurse is discussing neonatal care with a new mother. Which statement by the nurse best describes the value of breastfeeding?
"Breastfeeding provides the neonate with immunity against some bacteria and viruses."
The nurse is teaching a client who has tinnitus about suggested dietary modifications. The most important information for the nurse to include would be:
"Cut down on takeout meals because of high amounts of monosodium glutamate."
The parents of an adolescent tell the nurse, "Our child seems to have allergy symptoms every time we visit our favorite cafe. I don't understand since the only allergy indicated in the testing was to eggs?" How should the nurse respond?
"Does your child get a whipped cream or foam topping on their favorite drink?"
The nurse is caring for a client diagnosed with bulimia. The client is being treated for a serum potassium concentration of 2.9 mEq/L (2.9 mmol/L). Which statement made by the client indicates the need for further teaching?
"I can use laxatives and enemas but only once a week."
The nurse has performed client teaching to a 15-year-old boy with Crohn disease, and his parents, regarding the cobblestone lesions in his small intestine. Which comment by the family indicates learning occurred?
"I have to be careful because I am prone to not absorbing nutrients."
A client is taking glyburide (DiaBeta), 1.25 mg P.O. daily, to treat type 2 diabetes. Which statement indicates the need for further client teaching about managing this disease?
"I skip lunch when I don't feel hungry."
A client returns to the postnatal ward with her 3-week-old infant. Which statement by the client would prompt the nurse to evaluate the infant for inadequate intake?
"The baby does not exhibit a steady weight gain."
A client has been prescribed a protein intake of 0.6 g/kg of body weight. The client weighs 154 pounds. The nurse calculates the daily protein intake to be how many grams? Enter the correct number ONLY.
42
On a routine home visit, the nurse is asking the new mother about her breastfeeding and personal eating habits. How many additional calories should the nurse encourage the new mother to eat daily?
500 additional calories per day
The nurse realizes that the 5-year-old's growth chart and BMI indicate the child is at risk for obesity. What other findings reinforce this risk? Select all that apply.
A father who is overweight Food used as reward or punishment Television on during meals Expectations to eat everything on plate
Which disciplines should be consulted when caring for a client with a stage III heel ulcer?
A pillow or commercial heel protector to support the heels when the patient is supine
A client is scheduled for an EEG. The client inquires about any diet-related prerequisites before the EEG. Which diet-related advice should the nurse provide to the client?
Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours before the test
A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client?
Administer IV NS with vitamins and electrolytes.
A client with paranoid schizophrenia is recently admitted to the psychiatric unit. The client is hesitant to eat the food provided and states "I know they poisoned this food before putting it on my plate." What is the priority nursing action?
Bring the client food in unopened containers.
When educating the middle-age adult, it is important to discuss which of the following?
Calcium replacement
The nurse is caring for a girl with anorexia who has been hospitalized with unstable vital signs and food refusal. The girl requires enteral nutrition. The nurse is alert for which complications that signal refeeding syndrome?
Cardiac arrhythmias, confusion, seizures
Key behavioral determinants of blood pressure are related to what factor?
Dietary consumption of calories and salt
A 20-year-old male who is addicted to crystal methamphetamine has been admitted to hospital with a diagnosis of protein-calorie malnutrition after many months of inadequate food intake. Which treatment plan would the care team most likely favor?
Incrementally feeding combined with vitamin and mineral supplementation
When measuring gastric residual volume in a client receiving continuous tube feeding through a gastrostomy tube, the nurse attaches a large syringe to the tube and withdraws all fluid remaining in the stomach. After noting the amount of fluid, what should the nurse do?
Readminister the aspirated fluid through the feeding tube
Which of the following topics for the client education of a pregnant woman should the nurse prioritize in an effort to promote healthy fetal development?
Nutrition
A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3.75 kg) at birth. Weight now is 20 pounds 8 ounces (9.3 kg). The nurse determines:
The child weighs less than expected for age.
A client who has a breastfeeding newborn reports sore nipples. Which intervention can the nurse suggest to alleviate the client's condition?
Offer suggestions based on observation to correct positioning or latching.
A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered?
Permit the client to drink only clear liquids.
A client is recovering from gastric surgery. Toward what goal should the nurse progress the client's enteral intake?
Six small meals daily with 120 mL fluid between meals
The nurse is reinforcing teaching about medications with the parents of a 2-year-old who has cystic fibrosis. The nurse suggests that pancreatic enzymes may be given by which method?
Sprinkled onto the food
A homeless client diagnosed with human papillomavirus (HPV) is seen in the maternity clinic requesting a pregnancy test. Which nursing action would be the best example of the secondary level of prevention?
Suggest she have a Papanicolaou (Pap) smear.
The nurse is administering a gavage feeding through a nasogastric feeding tube. Which nursing intervention is the highest priority?
The nurse verifies the position of the feeding tube.
Treatment of FVE involves dietary restriction of sodium. Which of the following food choices would be part of a low-sodium diet, mild restriction (2 to 3 g/day)?
Three ounces of light or dark meat chicken, 1 cup of spaghetti and a garden salad
The poison control nurse is helping to calm a hysterical mother who called because her child ingested 10 tablets of B-complex vitamins. The mother keeps repeating over and over again, "Is my child is going to die?" What should the nurse convey to the mother?
Water-soluble vitamins are excreted into the urine, making toxicity less likely.
A woman is reporting bladder urgency. It is most important to assess:
caffeine intake
The nurse is providing teaching for a postoperative client complaining of nausea. Which food would be the most appropriate to recommend?
crackers
A nurse is caring for a client who has been ordered a clear liquid diet. Which liquid can be included in the client's diet?
cranberry juice
The most common symptom of esophageal disease is
dysphagia
A nurse is preparing a presentation for a group of new parents and is planning to discuss nutrition during the first year. As part of the presentation, the nurse is planning to address foods that should be avoided to reduce the risk of possible food allergies. Which foods would the nurse most likely include? Select all that apply.
eggs, shrimp, peanuts
The provider notes that the client's hemaglobin is 8.2 g/dL (82 g/L). Which supplement will the provider recommend to the client?
ferrous sulfate
Which substance necessary for vitamin B12 absorption is produced by the parietal cells in the stomach?
intrinsic factor
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
A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition?
noncommunicable disease
A client has been recently diagnosed with type 2 diabetes, and reports continued weight loss despite increased hunger and food consumption. This condition is called:
polyphagia
The nurse is teaching four clients in a community health center. Which client does the nurse identify as needing more servings per day of milk?
teenager who is in the second trimester of pregnancy
When caring for a postoperative client, in order to promote wound healing, which of these nutrients does the nurse encourage the client to consume?
vitamin C
The nurse cares for a client after an endoscopic examination and prepares the client for discharge. The nurse includes which instruction?
resume regular diet
When caring for a postoperative client, in order to promote wound healing, which of these nutrients does the nurse encourage the client to consume?
fluid and electrolyte levels
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
high-fat diet
A nurse consulting with a nutrition specialist knows it's important to consider a special diet for a client with chronic obstructive pulmonary disease (COPD). Which diet is appropriate for this client?
high-protein
The nurse is caring for a small-for-gestational-age infant at 1 hour old, after a difficult birth, with a glucose level of 40 mg/dL (2.5 mmol/L). Which nursing action would be the priority?
initiate early oral feedings
The nurse conducts discharge education for a client who is to go home with parenteral nutrition (PN). The nurse determines the client understands the education when the client indicates a sign and/or symptom of metabolic complications is
loose watery stools
The nurse is assisting the client in planning care during exacerbations of Ménière's disease. Which diet would the nurse identify as appropriate at this time?
low sodium diet
A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. The client's cholesterol profile is as follows: total cholesterol 265 mg/dl (6.845 mmol/L), low-density lipoprotein (LDL) 139 mg/dl (3.603 mmol/L), and high-density lipoprotein (HDL) 32 mg/dl (0.829 mmol/L). The client asks the nurse how to lower their cholesterol. The nurse should tell the client that
the nurse will ask the dietitian to talk with the client about modifying their diet.
