Elsevier adaptive quizzing- nutrition

which protein source would the nurse avoid suggesting to an orthodox Jewish family? 1. pork 2. salmon 3. chicken 4. herring

1. pork

how many daily ounces of juice would the nurse recommend to the parent of a 2 year old child. 1. 4 2. 8 3. 10 4. 12

1. 4

which substance would the nurse advise a client to avoid to limit GI irritability 1. iodized salt 2. soda 3. amino acids 4. rice products

2. soda

which food product is effective in the treatment of celiac disease? 1. rye 2. rice 3. barley 4. wheat

2. rice

which deficiency would a nurse conclude is causing a client to have difficulty digesting fatty foods? 1. bile 2. pepsin 3. amylase 4. cholesterol

1. bile

which drug is derived from a natural source and may be prescribed for treatment of osteoporosis? 1. calcitonin 2. raloxifene 3. clompiphene 4. bisphonates

1. calcitonin

which is the nurses best response to a parent who asks which foods should be introduced first for their 6 month old infant 1. baby cereal 2. soft boiled egg 3. fruits and puddings 4. meats and vegetables

1. baby cereal

which food would the nurse include in teaching for a client who is deficient in vitamin a? (SATA) 1. carrots 2. oranges 3. toamtoes 4. skim milk 5. leafy greens

1. carrots 5. leafy greens

a nurse teaching a client about low calcium foods concludes that the teaching is effective when the client selects which food item from the menu? (SATA) 1. baked chicken 2. chocolate pudding 3. salmon loaf with cheese sauce 4. roast beef with mashed potatoes 5. vanilla ice cream with chocolate syrup

1. baked chicken 4. roast beef with mashed potatoes

which juice would the nurse teach a client taking spironolactone contains the lease amount of potassium 1. apple juice 2. orange juice 3. tomato juice 4. cranberry juice

1. apple juice

an infant who has undergone surgery for hypertrophic pyloric stenosis (HPS) is being bottle fed by the parent. Which would the nurse teach the parent about feedings to decrease the chance of the infant vomiting 1 start with small frequent feedings 2. rock for 20 minutes after feeding 3. keep the infant awake for 30 minutes after feeding 4. position the infant flat on the right side during feedings

1 start with small frequent feedings

what would the nurse explain is the recommended age when a child can start having whole cows milk?

1 year

the parents of a 9 year old child inform the nurse about the childs recent diagnosis of ODD which dicipline would the nurse inform about this diagnosis and its treatment? 1. Counselor 2. nutritionist 3. speech therapist 4. physical therapist

1. Counselor

which statement made by the parent of a child who has been admitted for failure to thrive prompts the nurse to provide additional education? 1. I double the amount of water in the formula to save money 2. i hold the head up a little higher than the stomach when i feed the baby 3. i burp the baby when the feeding is done to get rid of the extra air 4. i make sure that the formula is in the nipple so the baby doesn't swallow so much air

1. I double the amount of water in the formula to save money

which statement by the parent of a 6 month old formula fed infant indicates understanding of nutritional counseling? 1. I'll keep living formula instead of regular cows milk 2. i'll but plenty of pureed spinach so the baby gets enough iron 3. using a natural sweetener like honey is better than using table sugar 4. baby food is sterilized so it's better to feed directly from the jar than from a bowl

1. I'll keep living formula instead of regular cows milk

which criterion would the nurse select when developing a form for teachers to use when referring students to the school counselor? (SATA) 1. Parental divorce 2. student shyness 3. history of asthma 4. physical disabilities 5. involvement in sports

1. Parental divorce

which would the nurse teach a parent about a newborns diagnosis of phenylketonuria (PKU)? 1. a low phenylanine diet is required 2. phenylalanine is not necessary for growth 3. phenylalanine can be administered to correct the deficiency 4. oral amino acids can be a substiute for phenylalanine

1. a low phenylanine diet is required

a nurse is caring for a client with Addison's disease which instruction regarding diet would the nurse include in teaching? 1. add extra salt to food 2. consume high potassium foods 3. omit protein foods at each meal 4. restrict the daily intake of fluids to 1 L

1. add extra salt to food

which would be appropriate when a parent asks how often new foods can be introduced to a 6 month old infant? 1. once a week 2. once a month 3. every other day 4. once every 2 weeks

1. once a week

the nurse determines that the client is probably referring to which vitamin that the client heard may reduce the effects of aging because of its prevention of the oxidative breakdown of cell walls. 1. vitamin e 2. vitamin a 3. vitamin c 4. vitamin b1

1. vitamin e

which deficiency is the MOST common in the older adult and can result in dizziness and falls? 1. water 2. protein 3. vitamins 4. carbohydrates

1. water

until what age in years does a child need to drink whole milk for adequate neurologic development

2 years of age

which rationale explains the purpose of providing a balanced evening snack for a client who is recieving insulin. 1. it will encourage the client to stay on the diet 2. it will counteract late insulin activity 3. it adds calories to promote weight gain 4. it will prevent nausea caused by the medication

2. it will counteract late insulin activity

at what age in years would a child master spoon feeding? 1. 1 year 2. 2 years 3. 3 years 4. 4 years

2. 2 years

which items would be included on the list of foods recommended for a client who has peptic ulcer disease? 1. orange juice, fried eggs, and sausage 2. Applesauce, cream of wheat, and milk 3. tomato juice, raisin bran cereal, and tea 4. sliced oranges, pancakes with syrup, and coffee

2. Applesauce, cream of wheat, and milk

which action would the school nurse do first for an 8 year old child with anaphylactic bee sting allergies who was just stung by a bee? 1. document the findings 2. administer the epinephrine 3. contact the child's parents 4. examine the child's airway

2. administer the epinephrine

TPN has been prescribed for a client with a history of malabsorption syndrome who was admitted to the hospital for medical management. which action would the nurse take to prevent a major reaction to the TPN infusion? 1. recording the intake and output 2. administering the infusion slowly 3. changing the site every 24 hours 4. checking the vital signs every 24 hours

2. administering the infusion slowly

which test is MOST significantly related to the clients response to treatment of acute pancreatitis 1. platelet count 2. amylase level 3. red blood cell count 4. erythrocyte sedimentation rate

2. amylase level

which dietary information would be included when teaching a parent about specific foods allowed on a gluten free diet? 1. corn flour is not included in the diet 2. labels of prepared foods must be read carefully 3. caloric intake is increased to compensate for a deficiency of proteins. 4. the gluten free diet is discontinued when the affected child starts kindergarten

2. labels of prepared foods must be read carefully

which type of food would the nurse instruct the client with early stage cancer of the esophagus treated with laser therapy to select when oral intake is permitted? 1. cold 2. liquid 3. low in protein 4. low in calories

2. liquid

which food would the nurse instruct a client to avoid in the dietary control of gout? 1. eggs 2. shellfish 3. fried poultry 4. cottage cheese

2. shellfish

which type of diet would the nurse expect to be prescribed for a client with pulmonary tuberculosis? 1. liquid protein supplements 2. small frequent high calorie meals 3. foods high in calories and low in protein 4. meals low in calories but high in carbohydrates

2. small frequent high calorie meals

for which amount of time would the nurse advise a parent to keep pumped breast milk in the refrigerator? 1. 5 days 2. 24 hour 3. 48 hours 4. 72 hours

3. 48 hours

a gavage feeding is prescribed for an infant. how would the nurse determine the length of tube needed to reach the stomach 1. the tube is advanced until resistance is met 2. the tube is advanced until gastric contents are aspirated 3. a measurement is made from earlobe to nose and then to the epigastric area 4. a measurement is made from the mouth to umbilicus and then half that distance is added

3. a measurement is made from earlobe to nose and then to the epigastric area

which instruction would be included when teaching an adolescent about the dietary management of type 1 diabetes? 1. meals should be eaten at home 2. foods should be weighed on a gram scale 3. a ready source of glucose should be available 4. specific foods should be cooked for the adolescent

3. a ready source of glucose should be available

which vitamin is an antioxidant that affects the structure of cell walls 1. A 2. B 1 3. C 4. E

4. E

which finding indicates that the therapy is beginning to be effective when evaluating a client diagnosed with anorexia nervosa? 1. food is hidden in the clients pockets 2. the client states that the hospitalization has been helpful 3. the client has a 6 lb increase since admission 3 weeks ago 4. meals are eaten in the dining room after others have left

3. the client has a 6 lb increase since admission 3 weeks ago

how would the nurse document a client who was intubated 3 days ago and has developed pneumonia? 1. nosocomial pneumonia 2. hospital acquired pneumonia 3. ventilator associated pneumonia 4. health care associated pneumonia

3. ventilator associated pneumonia

which statement made by the nurse is correct regarding total parenteral nutrition? 1. the risks associated with total parenteral nutrition are minimal 2. the client will still need to eat healthy meals while getting TPN 3. Only clients who cannot consume meals orally are candidates for TPN 4. TPN must be administered through a central IV catheter

4. TPN must be administered through a central IV catheter

optimal discharge teaching with regard to dumping syndrome following gastroduodenostomy includes which information 1 encouraging the client to plan for a light walk immediately after meals 2. encouraging the clients to drink adequate fluids with and between meals 3. instructing the client to follow a high carbohydrate low fat low protein diet 4. assuring the client that symptoms generally resolve within 1 year of surgery

4. assuring the client that symptoms generally resolve within 1 year of surgery

which characteristic of the environment is MOST therapeutic for clients with the diagnosis of bulimia nervosa? 1. controlling 2. empathetic 3. focused on foods 4. based on realistic limits

4. based on realistic limits

a client with iron deficiency anemia is prescribed supplemental iron. during which time of day will the MOST iron absorption occur? 1. dinner time 2. bed time 3. after lunch 4. before breakfast

4. before breakfast

the nurse understands that megestrol is MOST often used to treat which issue? 1. menopause 2. birth control 3. PMS 4. palliative management of cancer

4. palliative management of cancer

which food would a nurse recommend for a client taking prednisone for systemic lupus erythematosus because it contains most potassium per serving to correct possible hypokalemia 1. broccoli 2. oatmeal 3. fried rice 4. canned carrots

broccoli

which is the cause of milk anemia in toddlers 1. drinking skim milk 2. drinking whole milk 3. increased milk intake 4. increased intake of fruits

3. increased milk intake

the nurse is providing a list of appropriate food choices for a client with newly diagnosed diabetes. The client reviews the list and says i do not like and refuse to eat broccoli and mushrooms. in response the nurse teaches the client about the food exchange list. which foods would the client substitute for asparagus broccoli and mushrooms. 1. string beans, beets, and carrots 2. corn, lima beans, and dried peas, 3. baked beans, potatoes and parsnips 4. corn muffin corn chip and pretzels

1. string beans, beets, and carrots

which action by a 70 year old female would limit further progression of osteoporosis? 1. taking supplemental calcium and vitamin d 2. increasing the consumption of eggs and cheese 3. taking supplemental magnesium and vitamin E 4. increasing the consumption of milk and milk products

1. taking supplemental calcium and vitamin d

a teaching plan for a client who has been prescribed a 2 gram sodium diet would include which foods that are low in sodium? 1. meat and fish 2. fruits and cheese 3. milk and cheese 4. dry cereals and grains

2. fruits and cheese

which enzyme is responsible for retaining milk in an infants stomach for digestion? 1. lipase 2. renin 3. trypsin 4. amylase

2. renin

which action does the shilling test for pernicious anemia determine 1. storing vitamin B 12 2. digesting vitamin B 12 3. absorbing vitamin B 12 4. producing vitamin B 12

3. absorbing vitamin B 12

which approach to weight gain is appropriate for a pregnant woman of average height who weight 145 lbs 1. a decrease of 100 calories per day 2. a decrease of 200 calories per day 3. an increase of 300 calories per day 4. an increase of 500 calories per day

3. an increase of 300 calories per day

which dietary information would the nurse emphasize when reinforcing a dietary program for a pregnant client with diabetes? 1. the need to increase high quality protein and decrease fats 2. the need to increase carbohydrates to meet energy demands and prevent ketosis 3. the need to eat a low calorie diet that maintains the current insulin coverage and helps prevent hyperglycemia 4. the need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary

4. the need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary

which information about dietary iron will the nurse provide to a pregnant client? 1. constipation is common with iron supplements 2. a diet rich in vitamin c inhibits iron absorbtion 3. children can take iron supplements in small doses. 4. milk, coffee, and tea aid iron absorption if consumed at the same time.

1. constipation is common with iron supplements

a client with GERD is being treated with dietary management. the client states i like to have a glass of juice everyday. which juice is the MOST appropriate for the client on dietary intervention for GERD? 1. apple 2. orange 3. tomato 4. grapefruit

1. apple

which topic regarding healthy lifestyle choices would the nurse discuss with a group of adolescents from different cultural backgrounds (SATA) 1. diet 2. exercise 3. alcohol use 4. limiting screen time 5. stress management

1. diet 2. exercise 3. alcohol use 4. limiting screen time 5. stress management

which professional will the nurse confer with to meet the religious and cultural needs of a hospitalized child from Jewish family? 1. dietitian 2. social worker 3. case manager 4. physical therapist

1. dietitian

which important strategy that will MOST likely be a requirement for life will the nurse include in the discharge teaching for a client after a total gastrectomy? 1. eat small frequent meals 2. lie down for 30 minutes after meals 3. drink fluids between meals but not with meals 4. consume a diet low in carbohydrates and refined sugar

1. eat small frequent meals

which action would the nurse include in a plan to decrease hospital readmission in clients with COPD (SATA) 1. exercising daily 2. performing hand hygiene 3. avoiding others who are sick 4. initiating smoking cessastion 5. administering a flu vaccination

1. exercising daily 2. performing hand hygiene 3. avoiding others who are sick 4. initiating smoking cessastion 5. administering a flu vaccination

which information would the nurse discuss with the parents of a 9 year old child newly diagnosed with ADHD who has difficulty with school work (SATA) 1. giving medication 2. increasing structure 3. reducing distractions 4. decreasing electronic use 5. providing a home study area

1. giving medication 2. increasing structure 3. reducing distractions 4. decreasing electronic use 5. providing a home study area

which information would the nurse include in a community presentation on reducing injury in school age children (SATA) 1. helmet use 2. seat belt use 3. firearm locks 4. not swimming alone 5. safe use of sports equipment

1. helmet use 2. seat belt use 3. firearm locks 4. not swimming alone 5. safe use of sports equipment

when discussing nutritional changes for a client with uric acid calculi the nurse would recommend the client avoid which foods? 1. high purine 2. low oxalate 3. low calcium 4. high oxalate

1. high purine

the nurse provides medication teaching on a diuretic therapy of a client who receives his prescription for potassium supplements. which statement by the client causes the nurse to conclude that the teaching was effective 1. i should report any abdominal distress 2. i should use salt substitutes to season food 3. i should take the drug on an empty stomach 4. i should increase the dose if i have muscle cramps

1. i should report any abdominal distress

the clinic nurse is teaching an adolescent about lifestyle modifications to prevent hyperlipidemia which statement by the adolescent indicates a need for further teaching. 1. ill start eating more red meat 2. i'm going to eat a lot of low fat yogurt 3. i'll try to stop eating so much processed food 4. i'll start eating whole grain bread instead of white bread

1. ill start eating more red meat

which statement describes what would be observed by a nurse caring for a pregnant woman engaging in the practice of pica 1. inedible items are being ingested 2. the client has a need for a particular food 3. many foods can cause nausea and vomiting 4. the client has a dislike for an essential group of food.

1. inedible items are being ingested

which is the appropriate way to introduce infants to pureed foods 1. introduce one food at a time every 4 to 7 days 2. mix the pureed foods with the formula 2 or 3 times a day 3. maintain formula intake regardless of solid food intake 4. offer pureed foods by spoon after the bottle of formula is finished.

1. introduce one food at a time every 4 to 7 days

which dietary deficiency would the nurse expect to find in a toddler client who does not consume an adequate amount of solid foods 1. iron 2. calcium 3. vitamin C 4. magnesium

1. iron

which rationale would the nurse include in the dietary teaching for a client who is receiving a high protein diet while recovering from an acute episode of colitis? 1. it repairs tissues 2. it slows peristalsis 3. it corrects anemia 4. it improves muscle tone

1. it repairs tissues

which foods would the nurse offer to a client who is prescribed a clear liquid diet after surgery? (SATA) 1. jello 2. broth 3. sherbert 4. ice milk 5. gingerale

1. jello 2. broth 5. gingerale

which enzyme would a nurse consider to be deficient in a client experiencing abdominal discomfort following the ingestion of milk? 1. lactase 2. sucrase 3. maltase 4. amylase

1. lactase

which self care behavior would benefit a client with Gastroesophageal reflux disease? 1. limiting alcohol intake 2. avoiding protein rich foods 3. eating 2 small meals per day 4. consuming a small evening snack

1. limiting alcohol intake

a client is admitted to the hospital with a diagnosis of alcohol withdrawal syndrome. which body organ will be protected by the ingestion of a high calorie diet fortified with vitamins. 1. liver 2. heart 3. pancreas 4. adrenals

1. liver

which statement by a participant during a health symposium signals to the nurse an understanding of how to prevent food poisoning 1. meats and cream based foods need to be refrigerated 2. once most food is cooked it does not need to be refrigerated 3. poultry should be stuffed and then refrigerated before cooking 4. cooked food should be cooled before being put into the refrigerator

1. meats and cream based foods need to be refrigerated

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 1. nervousness and weakness 2. thirst with a headache 3. flushing and shortness of breath 4. nausea and abdominal cramping

1. nervousness and weakness

which risk factor is associates MOST commonly with hiatal hernia 1. obesity 2. alcoholism 3. chronic bronchitis 4. esophageal varices

1. obesity

which action is a primary concept of the nursing plan of care for a client with the diagnosis of bulimia nervosa? 1. observing the client after meals 2. weighing the client before meals 3. measuring the clients fluid balance 4. limiting the clients interaction with peers

1. observing the client after meals

which action would the nurse implement to encourage intake in a 2 year old client with a normal gastrointestinal tract who refuses to eat (SATA) 1. offer finger foods 2. serve on a colorful dish 3. offer a variety of foods 4. chop food into fine pieces 5. offer the clients favorite foods

1. offer finger foods 2. serve on a colorful dish 3. offer a variety of foods 4. chop food into fine pieces 5. offer the clients favorite foods

which individual would the school nurse include to develop an IEP for a new student with cerebral palsy? (SATA) 1. parents 2. teacher 3. speech therapist 4. physical therapist 5. occupational therapist

1. parents 2. teacher 3. speech therapist 4. physical therapist 5. occupational therapist

which service fits a client who is independent but home bound after a lengthy hospital stay? 1. physical therapy 2. meals on wheels 3. Occupational therapy 4. transfer to assisted living

1. physical therapy

for which high risk nutritional practice should the nurse assess when a pregnant client is found to be anemic? 1. pica 2. caffeine intake 3. alcohol abuse 4. artificial sweetener use

1. pica

which disorder would the nurse suspect in a client who admits eating non food items such as laundry starch and dirt? 1. pica 2. anorexia 3. bulimia 4. rumination

1. pica

which is a risk factor of necrotizing enterocolitis (NEC) in the preterm infant? 1. polycythemia 2. hypoglycemia 3. ventilatory support 4. antibiotic administration

1. polycythemia

which population would benefit form an annual influnza vaccination program for members of the community? (SATA) 1. pregnant women 2. health care workers 3. people older than 50 4. chronic medical condition 5. children between 6 and 59 months

1. pregnant women 2. health care workers 3. people older than 50 4. chronic medical condition 5. children between 6 and 59 months

which information would help the nurse determine the cause of an immuno compromised 12 year old client's repeated infections? 1. presence of pets 2. daily food intake 3. hours played outside 4. medications prescribed

1. presence of pets

when counseling a pregnant who maintains a vegetarian diet which intervention would the nurse include in the plan of care to ensure optimal nutrition during the pregnancy 1. refer the client to a dietitian to help plan her daily menus 2. encourage the client to join a group that teaches nutrition 3. explain that she needs to include meat in her diet at least once a day 4. advise the client that it is unhealthy to continue a vegetarian diet during the pregnancy

1. refer the client to a dietitian to help plan her daily menus

a nurse reviews the plan of care for a client who is recovering from the acute phase of left ventricular failure. the nurse expects which dietary restriction to be included in the plan? 1. sodium 2. calcium 3. potassium 4. magnesium

1. sodium

which characteristic would prompt the nurse to classify a wound as stage 4 instead of stage 3? (SATA) 1. the client is at risk of osteomyelitis 2. bone, tendon, and muscle are exposed 3. slough obscures the depth of tissue loss 4. the injury involves full thickness tissue loss 5. the wound often includes some undermining or tunneling

1. the client is at risk of osteomyelitis 2. bone, tendon, and muscle are exposed 4. the injury involves full thickness tissue loss 5. the wound often includes some undermining or tunneling

which fact would the nurse consider when monitoring an older adults vital signs? (SATA) 1. the older adult with an infection is often febrile 2. the older adult has a decreased heart rate at rest 3. after 75 years of age core temp averages 97.2 4. pulses can be occluded easily in older adults gentle pressure would be used 5. older adults have increases in systolic blood pressure while diastolic blood pressure is unchanged

1. the older adult with an infection is often febrile 2. the older adult has a decreased heart rate at rest 3. after 75 years of age core temp averages 97.2 4. pulses can be occluded easily in older adults gentle pressure would be used 5. older adults have increases in systolic blood pressure while diastolic blood pressure is unchanged

which food selected by the client cautioned to avoid vitamin D toxicity while increasing protein intake indicates understanding of the nurse's dietary education? 1. tofu 2. eggnog 3. cottage cheese 4. powdered whole milk

1. tofu

which factor would increase participation in an after school program for at risk preadolescents? 1. transportation 2. adequate staffing 3. structured activities 4. administrative support

1. transportation

which recommendation is MOST important for the nurse to include in a teaching program for a client who has been placed on a 2 g sodium diet? 1. use lemon juice to season meat 2. put condiments on food to add flavor 3. include canned vegetables in meal preparation 4. drink carbonated beverages instead of decaf coffee

1. use lemon juice to season meat

a client admitted with full thickness burns 2 weeks ago has lost an average of 1 lb each day. which addition would the nurse expect to be made to the clients diet? 1. low sodium milk 2. high protein drinks 3. foods that are low in potassium 4. ten percent more calories in the form of fats

2. high protein drinks

which mental health care team member is responsible for designing a meal plan for an inpatient behavioral health client with anorexia nervosa? 1. psychiatric nurse 2. registered dietitian 3. expressive therapist 4. clinical psychologist

2. registered dietitian

when reviewing the dietary calcium intake of a 16 year old who is 12 weeks pregnant which question or statement would the nurse make? 1 do you like soy or regular milk products 2. how many servings of dairy do you generally consume each day 3. you may eat yogurt or dried figs as alternative sources of calcium 4. you will need to add at least 4 servings of calcium rich foods per day.

2. how many servings of dairy do you generally consume each day

after reviewing a pathology report indicating that a clients urinary calculus is composed of uric acid the nurse would counsel the client to avoid which food? 1. milk 2. liver 3. cheese 4. vegetables

2. liver

which information is important for the nurse to include in the teaching plan for a client admitted to the hospital with Crohn disease 1. controlling constipation 2. meeting nutritional needs 3. preventing increased weakness 4. anticipating a sexual alteration

2. meeting nutritional needs

which foods can be safely fed to an 8 month old infant on a regular diet? (SATA) 1. whole milk 2. pureed pears 3. pureed carrots 4. soft boiled eggs 5. mashed sweet potatoes

2. pureed pears 3. pureed carrots 5. mashed sweet potatoes

which suggestion is appropriate for the parent of a 3 year old client who is concerned that the child insists on taking a bottle of milk at naptime 1. allow the bottle only if it contains milk 2. allow the bottle only if it contains water 3. do not allow the child to have the bottle 4. allow the bottle during naps but not at bedtime

2. allow the bottle only if it contains water

an infant with a cleft lip is fed with a special nipple. Which would the nurse teach the patient about feeding the infant to minimize regurgitation? 1. offer a thickened formula 2. burp frequently during a feeding 3. place the child in an infant seat during feedings 4. position the child on the side with the bottle propped

2. burp frequently during a feeding

the nurse would teach the parents of a newborn that which sign indicates overfeeding? 1. crying 2. diarrhea 3. restlessness 4. abdominal distention

2. diarrhea

which type of disorder is anorexia nervosa 1. mood disorder 2. eating disorder 3. sexual disorder 4. reality testing disorder

2. eating disorder

which characteristic differentiates bulimia nervosa from anorexia nervosa? 1. obesity despite attempts to lose weight 2. height to weight ratio is appropriate behavior seems normal 3. distorted body image sees the body as fat 4. a conflict of dependence versus independent is apparent

2. height to weight ratio is appropriate behavior seems normal

which action would be the nurses priority when assisting a healthy pregnant client with dietary planning 1. discuss food pyramid 2. review current dietary intake 3. instruct to limit the intake of fatty foods 4. caution to avoid large doses of fat soluble vitamins

2. review current dietary intake

for which reason would the nurse question a client taking megadoses of vitamin A? 1. Vitamin A is highly toxic even in small amounts 2. since the liver can store vitamin a the vitamin can reach toxic levels in the body if taken above the recommended daily dose 3. vitamin A cannot be stored therefore excess amounts will saturate the general body tissues 4. the client does not need to take large doses because the cells can synthesize more as needed.

2. since the liver can store vitamin a the vitamin can reach toxic levels in the body if taken above the recommended daily dose

the nurse is helping a mother breast feed her new born what is the best indication that the newborn has achieved an effective attachment to the breast 1. the tongue is securely on top of the nipple 2. the mouth covers most of the aerolar surface 3. loud sucking sounds are heard during the 15 minutes spent at each breast 4. vigorous suckling occurs for the 5 minutes the infant spends at each breast before falling asleep

2. the mouth covers most of the aerolar surface

how would the nurse position a client to practice supraglottic swallowing after tracheostomy? 1. in bed 2. upright 3. lying down 4. position of comfort

2. upright

which addition to the diet would the nurse encourage for a client admitted for a laparoscopic cholecystectomy to help normalize bowel function after surgery 1. vitamins 2. whole bran 3. cod liver oil 4. amino acids

2. whole bran

which food would the nurse suggest is rich in calcium and digested easily by clients with osteoporosis who do not tolerate milk 1. eggs 2. yogurt 3. potatoes 4. applesauce

2. yogurt

which information does the nurse update in the clients plan of care regarding maternal nutrition care for a postpartum client who will breast feed the newborn 1. decreasing vitamin D intake 2. tripling pre pregnancy folic acid intake 3. adding 1000 mL of fluid intake per day 4. increasing vitamin and mineral intake by 10%

3. adding 1000 mL of fluid intake per day

the nurse instructs a client that in addition to building bones and teeth calcium is also important for what? 1. bile production 2. blood production 3. blood clotting 4. digestion of fats

3. blood clotting

the parent of a healthy 10 month old infant asks the nurse which type of milk and pureed foods should be given to the baby. which response would the nurse give? 1. pears green beans turkey and whole milk 2. peaches beef cottage cheese and 2% milk 3. carrots chicken applesauce and breast milk 4. bananas sweet potatoes ham and skim milk

3. carrots chicken applesauce and breast milk

which recommendation by the nurse is appropriate to a group of adolescents who are being taught about nutrition and the prevalence of overweight teenagers 1. join a gym 2. drink fewer diet sodas 3. decrease fast food intake 4. take a multivitamin daily

3. decrease fast food intake

which information would a nurse include when teaching a client with pancreatitis about dietary restrictions? 1. use unsaturated fats 2. season food sparingly 3. eat small meals frequently 4. limit coffee to 3 cups per day

3. eat small meals frequently

which dietary pattern is effective in the treatment of a peptic ulcer 1. including milk in the diet 2. drinking fluids with meals 3. eating small and frequent meals 4. including high fiber foods in the diet

3. eating small and frequent meals

which dietary modification would the nurse anticipate the health care provider to prescribe for a client after a subtotal gastrectomy? 1. increased intake of dietary roughage 2. avoiding oral feedings for a prolonged period 3. eating small frequent meals 4. limiting intake to personally preferred foods.

3. eating small frequent meals

which intervention would the nurse include in the plan of care for a post term newborn? 1. monitoring for apnea 2. monitoring for hypothermia 3. evaluation of the nutritional status 4. observation for respiratory distress syndrome type 1

3. evaluation of the nutritional status

which response would a nurse give to a breast feeding mother who asks how humans milk compares to cows milk? 1. lactose content is higher in cows milk than in human milk 2. protein content in human milk is higher than that in cows milk 3. fat in human milk is easier to digest and absorb than the fat in cows milk 4. immunologic and antiallergenic factors are now added to cows milk

3. fat in human milk is easier to digest and absorb than the fat in cows milk

a 15 year old student is in which stage of Piaget's theory of cognitive development 1. sensorimotor 2. preoperational 3. formal operations 4. concrete operations

3. formal operations

which food group has the lowest level of sodium compared with the other food groups 1. meat 2. dairy 3. fresh fruit 4. fresh vegetables

3. fresh fruit

Which food group selected by the client with hypertension indicates understanding of the nurse's dietary teaching about foods that are low in natural sodium? 1. milk 2. meats 3. fruits 4. vegetables

3. fruits

which food group selected by the client with hypertension indicates understanding of the nurses dietary teaching about foods that are low in natural sodium? 1. milk 2. meat 3. fruits 4. vegetables

3. fruits

which component of a therapeutic diet would the nurse encourage the client recovering from an acute episode of alcoholism to consume? 1 high fat 2. low calorie 3. high protein 4. low carbohydrate

3. high protein

which statement by a client prescribed a low sodium diet indicates an understanding of the nurses teachings 1. i can eat boiled scallops 2. i enjoy eating bologna on rye bread 3. i eat shredded wheat cereal for breakfast 4. it is okay for me to eat canned soup

3. i eat shredded wheat cereal for breakfast

which diminishing function in the older adult client would result in a decreased ability to fight infection? 1. acid base balance 2. metabolic response 3. immunocompetence 4. total peripheral resistance

3. immunocompetence

which type of diet would the nurse encourage a client with chronic hepatic failure to follow based on the health care providers prescription 1. high fat 2. low calorie 3. low protein 4. high sodium

3. low protein

when teaching a client the nurse explains that the risk for which neonatal disorder can be lowered with intake of folic acid 1. phenylketonuria 2. down syndrome 3. neural tube defects 4. erythroblastosis fetalis

3. neural tube defects

a nurse is teaching menu planning to a client who has a high triglyceride level. Which food avoided by the client indicates that teaching about food that are high in saturated fat was understood? 1. caned fruits 2. whole grains 3. red meat 4. vegetable oils

3. red meat

which information would the nurse include when discussing prevention of esophageal reflux with an obese client with a hiatal hernia? 1. increase intake of fat with each meal 2. lie down after eating to aid in digestion 3. reduce caloric intake to foster weight reduction 4. drink several glasses of fluid during each meal

3. reduce caloric intake to foster weight reduction

which items would be specifically included on a full liquid diet? 1. bullion 2. clear fruit juice 3. refined cooked cereals 4. pasta and moist tender meats

3. refined cooked cereals

the nurse is teaching a 12 year old child with asthma about the proper use of fluticasone propionate and almetrol inhalation powder metered dose inhaler. which instruction would the nurse provide to the child to prevent infections related to this medication? 1. take your pulse after each dose 2. wash your hands after handling inhaler 3. rinse out your mouth after using the inhaler 4. do some deep breathing exercises after using the inhaler

3. rinse out your mouth after using the inhaler

which diet would the nurse teach a client scheduled for gastric bypass to maintain because it will help minimize the clinical manifestations of dumping syndrome 1. low residue bland diet 2. fluid intake below 500 mL 3. small frequent feeding schedule 4. low protein high carbohydrate diet

3. small frequent feeding schedule

which action can a woman take to improve the health of her baby before she becomes pregnant? 1. go buy maternity clothes 2 start running 3 miles every day 3. start taking prenatal vitamins 4. buy a crib for the baby

3. start taking prenatal vitamins

the nurse is assessing a client for possible malabsorbtion syndrome. which stool assessment finding would support this diagnosis? 1. melena 2. frank blood 3. steatorrhea 4. currant jelly consistency

3. steatorrhea

which vitamin and other dietary supplements would the nurse recommend to prevent osteoporosis? 1. Vitamin E and ginseng tea 2. vitamin B and ginko biloba 3. vitamin D and calcium citrate 4. vitamin C and glucosamine/chondroitin

3. vitamin D and calcium citrate

which statement by a client with hypertension prescribed a 2 gram sodium diet provides evidence that the nurse's dietary instructions are understood. 1. my fluid intake should be restricted 2. i should limit the number of daily food servings 3. salt should not be used during cooking but can be used at the table 4. labels on prepackaged food products should be evaluated before purchase

4. labels on prepackaged food products should be evaluated before purchase

which function does food represent to individuals with the diagnosis of bulimia nervosa? 1. gains attention 2. controls others 3. avoids growing up 4. meets emotional needs

4. meets emotional needs

a nurse is counseling a pregnant client with iron deficiency anemia about when and how to take supplemental iron. which time of day and with which drink is iron absorption most effecient 1. dinnertime with water 2. bedtime with a milkshake 3. after lunch with cranberry drink 4. before breakfast with orange juice

4. before breakfast with orange juice

which nutrient deficiency would result in ketosis? 1. iron 2. calcium 3. vitamin k 4. carbohydrate

4. carbohydrate

the nurse concludes that the client on a 2 gram sodium diet needs further teaching when the client selects which food 1. a soft cooked egg toast jelly and skim milk 2. baked chicken boiled potatoes, broccoli and coffee 3. fillet of sole, a baked potato and a fresh fruit cup 4. cottage cheese crackers and a relish dish

4. cottage cheese crackers and a relish dish

which feeding instruction would the nurse give the parent of a 2 month old infant with the diagnosis of heart failure 1. mix powder formula to double strength consistency to promote growth 2. refrain from using a soft nipple to avoid increased effort with oral intake 3. allow infant to cry before feeding to avoid over feeding 4. feed slowly while allowing time for adequate periods of rest

4. feed slowly while allowing time for adequate periods of rest

which findings during a follow up assessment of a primigravida in the second trimester of pregnancy would require further intervention by the health care provider 1. quickening 2. braxton hicks contractions 3. consistent increase in fundal height 4. fetal heart rate of 190 beats per minute

4. fetal heart rate of 190 beats per minute

which information about vitamin A would the nurse consider when assessing a client for clinical indicators of vitamin A deficiency 1. vitamin A is an integral part of the retinas pigment called melanin 2. it is a component of the rods and cones which control color visualization 3. vitamin A is the material in the cornea that prevents the formation of cataracts 4. it is a necessary element of rhodopsin which controls responses in light and dark environments

4. it is a necessary element of rhodopsin which controls responses in light and dark environments

the nurse explains which information to a client with acute pancreatitis regarding the use of TPN as nutritional therapy? 1. it is the easiest method for administering needed nutrition 2. it is the safest method for meeting the clients nutritional requirements 3. it will satisfy the clients hunger without causing the discomfort associated with eating 4. it will meet the clients nutritional needs without causing the discomfort associated with eating

4. it will meet the clients nutritional needs without causing the discomfort associated with eating

which statement by the nurse is true regarding the diet plan for toddlers 1. finger foods should be avoided 2. toddlers need 4 to 6 cups of milk per day 3. low fat or skim milk should be given until the child is 2 years old 4. milk should be supplemented with solid food items like vegetables and fruits

4. milk should be supplemented with solid food items like vegetables and fruits

which statement is true about the diet plan for toddlers? 1. refrain from serving finger foods 2. toddlers need 4 to 6 cups of milk per day 3. low fat or skimmed milk should be given until the child is 2 years old 4. milk should be supplemented with solid food items like vegetables and fruits

4. milk should be supplemented with solid food items like vegetables and fruits

which reason about why salt must be limited would the nurse give to a client recovering from an acute myocardial infarction who reports not being happy about the lack of salt with meals? 1. prevent an increase in blood pressure from tissue edema 2. reduce the circulating blood volume via a diuretic effect 3. reduce the amount of edema present which interferes with heart action 4. prevent further accumulation of fluid which increases the workload of the heart

4. prevent further accumulation of fluid which increases the workload of the heart

the nurse teaches the client with gastroesophageal reflux disease that is best to do which action after meals? 1. drink 8 oz of water 2. take a walk for 30 minutes 3. lie down for at least 20 minutes 4. rest in a sitting position for 1 hour

4. rest in a sitting position for 1 hour

a woman who has PKU visits the fertility clinic for genetic counseling. she tells the nurse that she ate a low phenylalanine diet until she was 18 years old. Which response would the nurse give? 1. eat a regular pregnancy diet after becoming pregnant 2. start the low phenylalanine diet during the 3rd trimester 3. maintain a low protein diet starting in the 2nd trimester 4. return to the low phenylalanine diet before becoming pregnant.

4. return to the low phenylalanine diet before becoming pregnant.

a pregnant client tells the nurse i'm sticking to my diet i don't eat anything containing salt. which response would the nurse provide? 1. your doing just fine keep up the good work 2. a low salt diet will protect you from getting swollen feet 3. we now encourage pregnant women to increase their salt intake because of changes in the circulation 4. salt is necessary in your diet. use a little when your cooking but avoid processed meats and canned foods with salt.

4. salt is necessary in your diet. use a little when your cooking but avoid processed meats and canned foods with salt.

which cereal selection indicates to the nurse that the client has understood teaching about how to prevent constipation? 1. froot loops 2. corn flakes 3. cap'n crunch 4. shredded wheat

4. shredded wheat

a client with cushing syndrome asks why a low sodium high potassium diet has been prescribed. which response by the nurse is appropriate? 1. you will gain excessive weight if sodium is not limited 2. an inadequate intake of potassium contributed to the disease 3. this type of diet increases emotional stability 4. the disease causes the retention of sodium and loss of potassium

4. the disease causes the retention of sodium and loss of potassium

which information would the nurse consider when caring for an older adult hospitalized for weight loss and dehydration caused by nutritional deficits? 1. financial resources usually are unrelated to nutritional status 2. an older adults daily fluid intake must be markedly increased 3. the diet would be high in carbohydrates and low in protein 4. the nutritional needs of an older adult are unchanged except for a decreased need for calories

4. the nutritional needs of an older adult are unchanged except for a decreased need for calories

which information does the nurse suggest to be included in the updated plan of care for the postpartum mother who plans to bottle feed the newborn 1. diluting ready to feed formula 2. starting cows milk at 1 month of age 3. placing a warm compress on the breasts for engorgement 4. using tap water to mix powdered formula per instruction

4. using tap water to mix powdered formula per instruction

the parents ask how to introduce new foods to a 5 month old infant. which foods would the nurse suggest to be selected first 1. meats and fish 2. eggs and cheese 3. citrus fruits and bread 4. vegetables and non citrus fruit

4. vegetables and non citrus fruit

a nurse identifies that the client understands information about vitamin K when the client makes which statement? 1. vitamin k is found in a variety of foods so there is no danger of deficiency. 2. vitamin k is easily absorbed without assistance so everything eaten is absorbed 3. vitamin k is rarely found in dietary foods so a natural deficiency can easily occur 4. vitamin k is produced in sufficient amounts by intestinal bacteria so metabolic needs are met in healthy individuals

4. vitamin k is produced in sufficient amounts by intestinal bacteria so metabolic needs are met in healthy individuals

a client is instructed to eat a nutrient rich diet as a means of supporting the body's natural defense mechanisms. which nutrients would the nurse encourage the client to include in her diet 1. fat soluble vitamins 2. dietary fiber and oat bran 3. low fat food with essential fatty acid 4. vitamins A C E and selenium

4. vitamins A C E and selenium

a client diagnosed with bulimina nervosa eats 2 sandwiches two salads and four desserts for lunch. which behavior should the nurse anticipate from the client after the meal is consumed? 1. excessive exercise 2. hoarding of more food for a later binge 3. active socializing with small groups of clients 4. withdrawal from group to go to the bathroom

4. withdrawal from group to go to the bathroom