nutrition quiz
A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what happens if I eat fat?" What is the nurse's best response? "The fat is passed in your stools." "The fat is excreted in your urine." "The fat is absorbed in your intestines." "The fat remains undigested in your stomach."
"The fat is passed in your stools."
What is the priority intervention for a client who has been admitted repeatedly with attacks of gout? Assess diet and activity at home Place client on bed rest Increase fluids Insert a Foley catheter
Assess diet and activity at home
A client reports constipation. Which nursing measure would be most effective in helping the client reduce constipation? Provide adequate quantity of food. Obtain medical and allergy history. Assist client to increase dietary fiber. Obtain complete food history.
Assist client to increase dietary fiber.
Which should a nurse thoroughly evaluate before a bone marrow transplant (BMT) procedure? Family history Drug history Blood studies Allergy history
Blood studies
The nurse is discussing nutritional needs for a postmenopausal patient. What dietary increase should the nurse recommend to the patient? Calcium Iron Salt Vitamin K
Calcium
The nurse is providing instruction to a client with acne. The nurse promotes avoidance of which food(s)? Select all that apply. Chocolate Onions Bananas Ice cream
Chocolate Ice Cream
A nurse cares for a client who has secondary obesity. Which condition is the most likely to result in secondary obesity? Cushing's disease Addison's disease Grave's disease Crohn's disease
Cushing's disease
The nurse observes a co-worker who always seems to be eating a cup of ice. The nurse encourages the co-worker to have an examination and diagnostic workup with the health care provider. What type of anemia is the nurse concerned the co-worker may have? Iron deficiency anemia Megaloblastic anemia Sickle cell anemia Aplastic anemia
Iron deficiency anemia
A patient with irritable bowel syndrome has been having more frequent symptoms lately and is not sure what lifestyle changes may have occurred. What suggestion can the nurse provide to identify a trigger for the symptoms? Document how much fluid is being taken to determine if the patient is overhydrating. Discontinue the use of any medication presently being taken to determine if medication is a trigger. Begin an exercise regimen and biofeedback to determine if external stress is a trigger. Keep a 1- to 2-week symptom and food diary to identify food triggers.
Keep a 1- to 2-week symptom and food diary to identify food triggers.
A patient who has been treated for uric acid stones is being discharged from the hospital. What type of diet does the nurse discuss with the patient? Low-calcium diet High-protein diet Low-phosphorus diet Low-purine diet
Low-purine diet
An older adult client who is a vegetarian has a hemoglobin of 10.2 gm/dL, vitamin B12 of 68 pg/mL (normal: 200-900 pg/mL), and MCV of 110 cubic micrometers. After interpreting the data, what instruction should the nurse give to the client? Ingest a diet higher in vitamin B12 sources. Supplement the diet with vitamin B12. Continue with the diet but include more sources of iron. Change the vegetarian diet and begin to eat red meat.
Supplement the diet with vitamin B12.
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, low-density lipoprotein (LDL) 139 mg/dl, and high-density lipoprotein (HDL) 32 mg/dl. The client asks the nurse how to lower his cholesterol. What is the best response by the nurse? Cholesterol is within the recommended guidelines and the client doesn't need to lower it. Client should take statin medication and not worry about cholesterol. Client should begin a running program, working up to 2 miles per day. The nurse will ask the dietitian to talk with the client about modifying the diet.
The nurse will ask the dietitian to talk with the client about modifying the diet.
What symptoms should the nurse assess for in a client with lymphedema as a result of impaired nutrition to the tissue? Loose and wrinkled skin. Ulcers and infection in the edematous area. Evident scarring. Cyanosis.
Ulcers and infection in the edematous area
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? Vitamin A Thiamine Riboflavin Vitamin K
Vitamin A
The nurse observes a client's uric acid level of 9.3 mg/dL. When teaching the client about ways to decrease the uric acid level, which diet would the nurse suggest? A low-sodium diet A low-purine diet A diet high in fruits and vegetables A diet high in calcium
a low-pureine diet
The most important intervention in the nutritional support of a client with a burn injury is to provide adequate nutrition and calories to increase metabolic rate. increase glucose demands. increase skeletal muscle breakdown. decrease catabolism.
decrease catabolism.
Examination of a client's bladder stones reveals that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet? Low oxalate Low purine High protein High sodium
low purine
Diet modifications for patient diagnosed with chronic inflammatory bowel disease include which of the following? Low residue Low protein Calorie restriction Iron restriction
low reside
Understanding the definition of eating disorders is important in communicating facts while managing these conditions. Which is not an eating disorder? obesity anorexia nervosa bulimia nervosa binge eating
obesity
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. polydipsia. polyuria. anorexia.
polyphagia.