nutrition board vitals questions
A nurse is providing discharge education to a client with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the following statements by the client indicates that more teaching is required?
"When I remove the dressing, I will carefully cut it away with a pair of scissors."
A nurse is preparing to administer a gastrostomy tube feeding to a client. Which of the following actions should the nurse take? ✔ A. Determine tube placement by aspirating and checking the pH of the secretions. B. Follow the feeding solution with 100 mL of water. C. Use the plunger of the syringe to gently push the feeding through the tube. D. Chill the feeding solution prior to administration.
A
What are the fat soluble vitamins?
A, D, E, K
A nurse is reviewing positioning for a client who is to receive enteral feedings at home with a family member. Which of the following statements by the family member indicates an understanding of the teaching?
I will have him sit in his chair during the feeding.
What are the water soluble vitamins?
B and C
A father is concerned because his 12-year-old son has gained weight, even though he is very active and participates in several sports. Which of the following is the best response by the nurse?
Explains weight gain is normal for preadolescents
A nurse is caring for a client who was admitted for treatment of bulimia nervosa. Which of the following is appropriate for the nursing care plan?
Supervise the client during mealtime and for an hour afterward.
A nurse is about to administer an enteral feeding through a client's NG tube. Which of the following actions should the nurse take first?
aspirate the clients stomach contents
A nurse is caring for a client with an open, continuous enteral nutrition system. The feeding bag with formula was hung at 7:00 AM on Wednesday. On which of the following dates should the nurse replace the feeding bag?
at 7 am thursday bc it needs to be 24 hrs after
A nurse is providing discharge education for a client with a newly placed gastrostomy tube. When should the client flush the tube to prevent clogging?
before &after adminstering medications
A client has a deficiency of fat-soluble vitamins. The nurse understands that the body must produce which of the following for absorption of fat-soluble vitamins?
bile
The nurse is caring for a teenager with obesity. The most accurate measurement of weight and obesity is: A. Skin-fold thickness measurement ✔ B. Body mass index for age and height C. Dietary reports from the teenager's mother D. Food diary completed by the teenager
body mass index for age and height
A nurse is teaching the partner of a client who had a stroke about manifestations of dysphagia. Which of the following statements by the client's partner indicates the need for further teaching? A. "I will monitor my husband for coughing while he's eating." B. "I will monitor for a change in my husband's voice after he swallows." C. "I will monitor my husband for tilting his head forward when he swallows." D. "I will monitor my husband for pocketing food in his mouth."
c
Which nutritional assessment data should be collected during the health history and physical assessment portions of the nursing assessment?
dentition
A nurse is caring for a client who is progressing to an oral diet following a traumatic brain injury. Which of the following actions should the nurse take to reduce the client's risk for aspiration?
encourage the client to tuck her chin in when swallowing
A client attends two sessions with the dietitian to learn about diet modification to minimize gastroesophageal reflux. The teaching would be considered successful if the client decreases the intake of which of the following foods? ✔ A. Fats B. High-sodium foods C. Carbohydrates D. High-calcium foods
fats
A slightly overweight client is to be discharged from the hospital after a cholecystectomy. What is most important for the nurse to include in teaching the client about nutrition?
fatty foods may not be tolerated for several weeks
A nurse is caring for a client who will receive long-term total parenteral nutrition (TPN). Which condition is associated with long-term therapy? A. Fatty liver B. Respiratory infection C. Hypotension D. Urinary retention
fatty liver
A nurse is providing teaching to an adult client who has a BMI of 28. Which of the following statements by the client indicates an understanding of the instructions?
i will increase my amount of physical activity
A nurse is planning care for a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client has a BMI of 15.75 and states she is "fat." Which of the following interventions should the nurse consider the priority for this client?
identify the clients nutrtional status
A nurse is providing teaching to a group of middle aged adult clients about preventing obesity. Which of the following statements should the nurse make?
keep a food diary of specific factors that trigger your desire to eat
A nurse is reviewing the admission data for a client who reports weight gain with concentration in the abdominal area. The client's laboratory findings indicate elevated blood glucose and triglycerides. The nurse should identify that these findings are manifestations of which condition?
metabolic syndrome
A client has been following a vegan diet for 3 years. Which of the following statements represents a possible complication associated with this diet?
my feet are numb and tingling
A nurse is caring for a client who develops nausea, vomiting, and diarrhea 1 day after the initiation of enteral feeding with a hypertonic formula. Which of the following is the most appropriate initial intervention by the nurse? A. Send a stool sample for testing for C. difficile toxin B. Dilute the hypertonic formula with water ✔ C. Reduce the rate of feeding D. Discontinue feeding
reduce the rate of feeding
A client who was hospitalized with bipolar mania has a nursing diagnosis of "imbalanced nutrition: less than body requirements." Which of the following dietary choices is most appropriate for this client?
the one with most calories like cheesburger,milkshake
A nurse is providing teaching to a new mother who has given birth to twins, both of whom are lactose intolerant. What should be part of the teaching plan for this client?
the use of soy infant milk