Nutrition EAQ's

A healthcare provider prescribes an intermittent enteral tube feeding for a client with a nasogastric tube. Place the nursing interventions in the order in which they should be implemented.

1.Verify the healthcare provider's prescription 2.Elevate the head of the bed to at least 30 degrees 3.Check the volume of residual against the parameters prescribed 4.Administer the volume of feeding as per the prescription 5.Flush the tube with 30 mL of water after the feeding

A nurse is teaching a client about a diet that permits 200 g of carbohydrates, 90 g of fat, and 110 g of protein. How many calories per day should the client eat? Record your answer using a whole number. ____ calories per day

2050

A client eats a meal that contains 13 g of fat, 31 g of carbohydrates, and 5 g of protein. What is this client's total caloric intake for this meal? Record your answer using a whole number. ___ calories

261

A nurse is assessing several clients. Which client will require parenteral nutrition?

A client with severe malabsorption disorder

During a routine checkup a client reports concerns over weight gain despite trying juice cleanses and other trend diets. The nurse records the client's weight and BMI at a healthy range, but the client states, "I wish I were as thin as my co-workers." The client is at risk for what culturally-bound condition?

Anorexia nervosa

Three days after admission to the hospital for a brain attack (cerebrovascular accident, CVA), a client has a nasogastric tube inserted and is receiving continuous tube feedings. Which action should the nurse take to best evaluate whether the feeding is being absorbed?

Aspirate for a residual volume

A client with myasthenia gravis experiences dysphagia. What is the priority risk associated with dysphagia that must be considered when planning nursing care?

Aspiration

When providing care for a client who is receiving enteral feedings via a nasogastric (NG) tube, the nurse should take measures to prevent what serious complication?

Aspiration pneumonia

What is the reason for calculating a body mass index (BMI)-for-age during a health maintenance assessment for school-age clients?

Assessing for obesity or overweight

To begin the administration of total parenteral nutrition (TPN), a client has a right subclavian central venous access device inserted. Immediately after insertion of the catheter, what is the priority nursing action?

Auscultate the lungs to evaluate breath sounds.

A client with malabsorption syndrome is admitted to the hospital for medical intervention. A subclavian catheter is inserted, and the client is started on total parenteral nutrition (TPN). What should the nurse teach the client in order to prevent the most common complication of TPN?

Avoid disturbing the dressing or getting it wet.

A nurse provides dietary instruction to a client who has iron deficiency anemia. Which food choices by the client does the nurse consider most desirable? Select all that apply.

Boiled Spinach Dried Apricots

A client is started on a clear liquid diet after surgery. Which items should the nurse offer the client? Select all that apply.

Broth Gelatin Ginger Ale

Which represents appropriate nursing management of the client's nasogastric (NG) tube in the immediate postoperative period following gastroduodenostomy?

Carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working.

A client is admitted to the hospital with gastrointestinal bleeding, and a nasogastric tube is inserted. The healthcare provider prescribes the nasogastric tube to be irrigated with normal saline whenever necessary to maintain patency. What should the nurse do first when it is determined that the nasogastric tube is not patent?

Check the tube for placement.

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is the most important assessment the nurse needs to perform before beginning the pump?

Checking for residual stomach contents

A client is placed on a heart-healthy diet to control the intake of saturated fats and cholesterol. Which information should the nurse include in a teaching plan to explain best the dietary nature of this diet?

Cholesterol is a necessary body constituent and cannot be eliminated.

A nurse who has agreed to serve as camp nurse for a week has an influx of children with abdominal pain late in the week. The nurse encourages the camp cook to increase the amounts of fruits and vegetables, whole grains, and other high-fiber foods in the meals. The nurse knows that this will help decrease the incidence of abdominal pain caused by which symptom?

Constipation

A nurse is teaching a community group about the basics of nutrition. A participant questions why fluoride is added to drinking water. The nurse should respond that it is a necessary element added to drinking water to promote what?

Dental health

Immediately after a subtotal gastrectomy, a client is admitted to the postanesthesia care unit (PACU). The nurse irrigates the nasogastric tube and observes small blood clots in the return. Which is the best nursing intervention?

Document this expected response

While counseling the parents of an adolescent with anemia related to an inadequate diet, a nurse explains that several different nutrients, including protein, iron, and vitamin B12, are involved. What other nutrient should the nurse include in the teaching?

Folic acid

The school nurse conducts a class in nutrition planning for parents. What is the goal of school health nursing programs?

Health promotion

The nurse is caring for a client with iron deficiency anemia that has decreased hemoglobin and hematocrit levels. The nurse expects to identify what other abnormal laboratory level?

Increased total iron-binding capacity (TIBC)

A client with a history of Crohn disease develops an intestinal obstruction. A nasogastric tube is inserted and connected to low continuous suction. The nurse monitors the client for fluid volume deficit. What clinical finding does the nurse expect if the client becomes dehydrated?

Inelastic skin turgor

During the administration of total parenteral nutrition (TPN), an assessment of the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing intervention?

Interrupt the client's infusion and notify the healthcare provider.

A nurse administers several vitamins as part of a client's medical regimen. Which prescribed vitamin is essential for the synthesis of prothrombin by the liver?

K

A nurse teaches a pregnant woman about the need to increase her intake of complete proteins. Which foods identified by the client indicate that the teaching is effective? Select all that apply.

Milk Eggs Cheese

After gastric surgery a client has a nasogastric tube in place. What should the nurse do when caring for this client?

Monitor for signs of electrolyte imbalance.

Thiamine (vitamin B1) and niacin (vitamin B3) are prescribed for a client with alcoholism. Which body function maintained by these vitamins should the nurse include in a teaching plan?

Neuronal activity

The diet prescribed for a client with diverticulosis includes 30 grams of fiber a day. Which breakfast items should the nurse encourage the client to select?

Oatmeal, sliced bananas, whole wheat toast, and milk

Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats? Select all that apply.

Pancreas Thyroid Gland Adrenal Cortex

A nurse enters the room of a client with myasthenia gravis and identifies that the client is experiencing increased dysphagia. What should the nurse do first?

Raise the head of the bed

Which iron-rich foods should the nurse recommend for a toddler-age client who is diagnosed with iron deficiency anemia? Select all that apply.

Raisins Oatmeal Lean Steak

A client who takes daily megadoses of vitamins is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver due to vitamin toxicity. What type of toxicity does the nurse suspect?

Retinol (vitamin A)

The nurse is counseling a client with type 1 diabetes about the client's favorite foods that are lowest in carbohydrates (CHO). Which food choice picked by the client determines that teaching was effective?

Skim milk

A client's serum albumin value is 2.8 g/dL (28 g/L). Which food selected by the client indicates that the nurse's dietary teaching is successful?

Sliced turkey

A client has a low hemoglobin level that is attributed to an iron deficiency. Which foods should the nurse recommend that the client increase in the diet? Select all that apply.

Spinach Liver

Which function must be addressed in the plan of care when a client has dysphagia?

Swallowing

What should the nurse teach the young mother about the nutritional needs of the newborn?

The newborn should be breastfed for the first twelve months.

A nurse is developing a teaching plan for a child who has anemia as a result of inadequate nutrition. In addition to iron, which nutrients should the nurse include that are necessary for red blood cell synthesis? Select all that apply.

Vitamin C & Protein

A nurse in the surgical intensive care unit is caring for a client with a large surgical incision. The nurse reviews a list of vitamins and expects that which medication may be prescribed because of its major role in wound healing?

Vitamin C (ascorbic acid)

The nurse teaches a group of clients that nutritional support of natural defense mechanisms indicates the need for a diet high in what nutrient or nutrients?

Vitamins A, C, E, and selenium

Discharge teaching for a client with hypercholesterolemia includes nutritional instructions for a diet low in saturated fat. Which items included by the client on a list of foods to avoid support the nurse's conclusion that teaching is effective?

Whole milk and hard cheeses