Chapter 17 Quiz: Spring 2021 BIO-215-OL-A: Nutrition

The nurse is caring for a client who was admitted for intractable nausea and vomiting that has now been controlled. The physician has ordered the diet to be advanced as tolerated. Of the following foods, what is the best choice for this client? 1. Dry toast 2. Peanut butter and crackers 3. Ice cream 4. Cream soup

1. Dry toast

The nurse is providing client teaching regarding the symptoms of gastroesophageal reflex disease (GERD). Which of the following teaching points should be included? Select all that apply. 1. Heartburn 2. Indigestion 3. Regurgitation 4. Pain that decreases when you bend over 5. Pain that increases when you stand up

1. Heartburn 2. Indigestion 3. Regurgitation

The nurse is conducting client education with a client and his spouse before he is discharged from the hospital. The client is experiencing dysphagia. Which of the following is the best way for the nurse to describe honey-like liquids that can be included in the client's diet? 1. Liquids that can be eaten with a spoon but do not hold their shape 2. Liquids thickened to pudding consistency that need to be eaten with a spoon 3. All unthickened beverages and supplements 4. Liquids thicker than water but thin enough to sip through a straw

1. Liquids that can be eaten with a spoon but do not hold their shape

The nurse educator is discussing gastroesophageal reflux disease (GERD) with a group of nursing students. The students ask what recommendations should be given to a client with GERD to prevent symptoms. Which of the following is the nurse educator's best response? 1. Maintain a healthy body weight. 2. Drink fruit juices with meals. 3. Lie down 30 minutes after eating. 4. Eat 2 to 3 hours before bedtime.

1. Maintain a healthy body weight.

The nurse is caring for a hospitalized client with dumping syndrome. Which of the following foods should not be included in the diet menu for this client? 1. Milk 2. Mashed potatoes 3. Margarine 4. Lean meat

1. Milk

The nurse educator is discussing dysphagia and the National Dysphagia Diet in a nutrition class. The nurse educator asks the students to name foods the client could eat on level 2 of the diet. Which of the following is a correct response? 1. Pancakes with syrup 2. Enriched bread 3. Whole-grain cereals 4. Muffins

1. Pancakes with syrup

The nurse is preparing a client for discharge from hospital following a stroke. He is being advanced to level 3 dysphagia diet to assess his tolerance. Which of the following choices should the nurse recommend he choose for his dinner? Select all that apply. 1. Steamed green beans 2. Mashed potatoes 3. Meatloaf 4. Pineapple upside down cake 5. Pasta salad with raw vegetables

1. Steamed green beans 2. Mashed potatoes 3. Meatloaf

For a client with improving dysphagia the speech therapist has recommended moving the client to nectar-like liquids. Which of the following liquids can the nurse permit on the client's diet tray? 1. Thin milkshakes 2. Ice cream 3. Watermelon 4. Clear juices

1. Thin milkshakes

The nurse is caring for a client with dumping syndrome. While filling out the menu for the next day, the client asks what the best dessert would be. What is the best response? 1. Yogurt 2. Apple pie 3. Ice cream 4. Chocolate pudding

1. Yogurt

The nurse is counseling a clinic client with dumping syndrome. Which of the following would be the most effective intervention for the nurse to suggest to help the client manage symptoms? 1. Limit fat intake. 2. Eat small, frequent meals. 3. Choose high-fiber cereals. 4. Drink fluids with meals.

2. Eat small, frequent meals.

A nurse is assessing a client who has a peptic ulcer. The client asks what is the most likely cause of his ulcer. Which of the following is the nurse's best response? 1. Nonsteroidal anti-inflammatories 2. Helicobacter pylori infection 3. Alcohol 4. Spicy foods

2. Helicobacter pylori infection

The nurse has a client in the clinic who reported nausea and vomiting over several months. For which of the following health complications should the client be assessed further? 1. Rhinovirus 2. Intestinal obstruction 3. Increase in gastric acid secretion 4. Increase in digestive enzyme activity

2. Intestinal obstruction

When providing teaching about H. pylori to a client with a peptic ulcer, how should the nurse best explain why this problem occurs in susceptible people? 1. The stomach produces less acid leading to food eroding the stomach. 2. It releases an enzyme that decreases stomach mucus. 3. A layer of the stomach is eroded. 4. It increases stomach acid so much that the stomach wall is destroyed.

2. It releases an enzyme that decreases stomach mucus.

The nurse educator is discussing gastroesophageal reflux disease (GERD) with a group of nursing students. The students ask what recommendations should be given to a client with GERD to prevent symptoms. Which of the following is the nurse educator's best response? 1. Lie down 30 minutes after eating. 2. Maintain a healthy body weight. 3. Drink fruit juices with meals. 4. Eat 2 to 3 hours before bedtime.

2. Maintain a healthy body weight.

The nurse is teaching a nutrition class for nursing students. They are given an assignment of planning a 1-day menu for someone with gastroesophageal reflux disease (GERD). What would be an acceptable main meal for a client who has GERD? 1. Curried rice 2. New York strip steak 3. Enchiladas with red sauce 4. Chili casserole

2. New York strip steak

The nurse is caring for a client who is recovering from a stroke. The client's dysphagia has improved and the speech therapist has recommended changing this client's diet from level 1 of the National Dysphagia Diet to level 2. What foods would now be included in this client's diet? Select all that apply. 1. Coconut 2. Poached eggs 3. Soft canned or cooked fruit 4. Peanut parfait 5. Well-moistened pancakes with syrup

2. Poached eggs 3. Soft canned or cooked fruit 5. Well-moistened pancakes with syrup

The nurse has given the nutrition class the assignment of creating a list of interventions that will benefit a person with gastroesophageal reflux disease (GERD). What intervention should be expected on the list? 1. The client should use peppermint after every meal to settle the stomach. 2. The client should lose weight if overweight. 3. The client should avoid items that increase lower esophageal sphincter pressure. 4. The client should include bedtime snacks in the diet.

2. The client should lose weight if overweight.

The nurse is caring for a 21-year-old female with intractable nausea and vomiting. The nurse is discussing possible causes for this problem. Which of the following possible causes should the nurse include? 1. Growths on the inner wall of the bowels 2. The gallbladder is not completely emptying 3. Consumption of spicy foods 4. An increase in digestive enzyme production

2. The gallbladder is not completely emptying

The nurse is seeing a client preoperatively for surgery to repair a duodenal ulcer. The client asks for ways to prevent more ulcers, which of the following is the nurse's best response? There is evidence that a diet without caffeine may reduce the risk of duodenal ulcers. 1. Limit the intake of alcohol. 2. There is evidence that a diet high in soluble fiber may reduce the risk of duodenal ulcers. 3. Leave chocolate out of the diet.

2. There is evidence that a diet high in soluble fiber may reduce the risk of duodenal ulcers.

The nurse is assessing a client who is experiencing low appetite due to the side effect of medications prescribed. What is one of the recommendations the nurse can make to help decrease the client's anorexia? 1. Request the health-care provider to change the medications. 2. Take the medications with meals. 3. Eat meals that look good on your plate. 4. Drink a preferred beverage with each meal.

3. Eat meals that look good on your plate.

The nurse is assessing a client who has developed a complication of dumping syndrome. The nurse can recommend which of the following nonpharmacological treatments for the complication steatorrhea? 1. A high-dose vitamin C 2. Vitamin B12 injections 3. Fat-soluble vitamin supplements 4. A high-fiber diet

3. Fat-soluble vitamin supplements

The nurse is admitting a 42-year-old client with dysphagia following a head trauma. What fluid would be the best choice for this client on the nectar-like stage of the National Dysphagia Diet? 1. Bottled water 2. Iced coffee 3. Vegetable juices 4. Fruit juice

3. Vegetable juices

The nurse is providing education to a group of clients about gastroesophageal reflux disease (GERD) that if goes untreated, can cause a variety of problems for the client. When reviewing the complications caused by untreated GERD, which of the following should the nurse include? 1. Gastric banding 2. Esophageal varices 3. Peptic ulcers 4. Adenocarcinoma

4. Adenocarcinoma

The clinic nurse is caring for a client who has dumping syndrome. After providing client teaching, what statement by the client tells the nurse the client understands the process? 1. An intermediate dumping reaction produces weakness, dizziness, and a rapid heartbeat. 2. An intermediate dumping reaction can occur 1 hour after eating. 3. An intermediate dumping reaction occurs because of a rapid absorption of carbohydrates. 4. An intermediate dumping reaction produces gas, abdominal pain, and diarrhea.

4. An intermediate dumping reaction produces gas, abdominal pain, and diarrhea.

The nurse is discussing the role of H. pylori in peptic ulcers. The nurse explains to a client which of the following is one of the treatments to treat this problem? 1. Antiemetics 2. Antihistamines 3. Antacids 4. Antibiotics

4. Antibiotics

The nurse is discharging a client with dysphagia from hospital. Which of the following teaching points should the nurse include to help the client maximize oral intake as safely as possible? 1. Encourage liquids with meals. 2. Encourage the client to rest after meals. 3. Serve food and liquids hot. 4. Discourage consumption of alcohol.

4. Discourage consumption of alcohol.

The nurse is assessing a client who is experiencing low appetite due to the side effect of medications prescribed. What is one of the recommendations the nurse can make to help decrease the client's anorexia? 1. Take the medications with meals. 2. Drink a preferred beverage with each meal. 3. Request the health-care provider to change the medications. 4. Eat meals that look good on your plate.

4. Eat meals that look good on your plate.

The client with dysphagia is filling out his menu for the following day. What would be a good choice for breakfast for this client? 1. Pecan waffles 2. Peanut butter on toast 3. Bananas 4. Scrambled egg

4. Scrambled egg

The nurse is seeing a client who has little or no appetite secondary to chronic anxiety. Which of the following goals should the nurse set with the client for increasing intake? 1. Stimulate the appetite to get the client to eat at least 50% of each meal. 2. Stimulate the appetite to get the client to eat at least 75% of each meal. 3. Stimulate the appetite to maintain three meals a day of oral intake. 4. Stimulate the appetite and ensure enough calories are consumed daily.

4. Stimulate the appetite and ensure enough calories are consumed daily.

The nurse educator is teaching a nutrition class for nursing students. The discussion for today is about the nutrition therapy for dumping syndrome. The nurse educator should include which of the following interventions manage symptoms of this health complication? Select all that apply. a. Only one or two items are eaten at each meal. b. Fat is eliminated from the diet. c. Small, frequent feedings are the first feedings. d. Complex carbohydrates are a part of the diet. e. Clear liquids are the first feeding.

a. Only one or two items are eaten at each meal. c. Small, frequent feedings are the first feedings. d. Complex carbohydrates are a part of the diet.

The nurse is conducting during the discharge of a client recovering from an exacerbation of peptic ulcer disease. What statement by the client lets the nurse know that the client understands the teaching? a. "I should season my food well with the spices I like best." b. "I should not eat for 2 hours before going to bed." c. "Drinking caffeine throughout the day is recommended." d. "I should eat what I like when I like."

b. "I should not eat for 2 hours before going to bed."

For a client with gastroesophageal reflux disease (GERD), the nurse should recommend which of the following foods should be eliminated from the diet? Select all that apply. a. Mashed potatoes b. Cola c. Chocolate ice cream d. Orange juice e. Peppermint candy

b. Cola c. Chocolate ice cream e. Peppermint candy

The nurse is discussing anorexia in clients with depression with the nutrition class. Which of the following interventions should the nurse discuss when treating clients with this problem? a. Take antidepressant medications with food. b. Create a meal plate that is visually appealing. c. Add a favorite drink to each meal. d. Encourage the client to eat fried food

b. Create a meal plate that is visually appealing.

The nurse is assisting a client with dysphagia who is prescribed honey-like liquids to plan a daily menu. Which of the following liquids would be appropriate for this client? a. Cream soup b. Instant cocoa c. Yogurt d. Popsicle

c. Yogurt

While providing counseling to a client with depression, the nurse notes the client has had a significantly decreased appetite. What should the nurse suggest to this client that might help improve her intake? a. Increase fat content of each meal and snack. b. Have one larger meal to replace two to three meals. c. Have meals alone in an area where distractions are limited. d. Avoid fluids 30 minutes before and after a meal.

d. Avoid fluids 30 minutes before and after a meal.

The nurse is providing teaching to a client regarding the prevention of dumping syndrome after having bariatric surgery. Which of the following foods should the nurse recommend as safe to consume for this client? a. Shredded wheat b. Apples c. Kidney beans d. Cream of wheat

d. Cream of wheat

A client is being discharged from hospital after recovering from a head trauma. Ongoing pain is causing the client to experience anorexia. What should the nurse include in the client's discharge teaching? a. Give pain medications with each meal. b. Give small meals. c. Schedule pain medications when they do not interfere with meals. d. Give pain medications prior to meals.

d. Give pain medications prior to meals.