Nutrition Hesi 4

4

A client admitted for uncontrolled hypertension and chest pain was prescribed a low-sodium diet and started on furosemide. The nurse should instruct the client to include which foods in the diet? 1 Liver 2 Apples 3 Cabbage 4 Bananas

4

A client experiences occasional right upper quadrant pain attributed to cholecystitis. The nurse is providing discharge instructions, including a list of foods that cause dyspepsia. Which foods should be on the list the nurse provided the client? 1 Nuts and popcorn 2 Meatloaf and baked potato 3 Chocolate and boiled shrimp 4 Fried chicken and buttered corn

1

A client past menopause undergoes an anteroposterior colporrhaphy. What should the nurse include in the client's discharge teaching? 1 Eating a high-fiber diet 2 Limiting daily activities 3 Reporting signs of urine retention 4 Being alert to signs of a rectovaginal fistula

2

A client with a history of malabsorption syndrome is admitted to the hospital for medical management. Total parenteral nutrition (TPN) has been prescribed. What action will the nurse take to prevent a major reaction to the TPN infusion? 1 Record the intake and output. 2 Administer the infusion slowly. 3 Change the site every 24 hours. 4 Check the vital signs every 4 hours

3

A nurse in the mental health unit is working with a group of adolescent girls with the diagnosis of anorexia nervosa. What does the nurse recall is the major health complication associated with intractable anorexia nervosa? 1 Endocrine imbalance causing amenorrhea 2 Decreased metabolism causing cold intolerance 3 Cardiac dysrhythmias resulting in cardiac arrest 4 Glucose intolerance resulting in protracted hypoglycemia

3

A nurse is caring for a client with acute kidney injury who is receiving a protein-restricted diet. The client asks why this diet is necessary. Which information should the nurse include in a response to the client's questions? 1 A high-protein intake ensures an adequate daily supply of amino acids to compensate for losses. 2 Essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein synthesis. 3 This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. 4 Urea nitrogen cannot be used to synthesize amino acids in the body, so the nitrogen for amino acid synthesis must come from the dietary protein

1,2,4

A nurse is teaching the parents of an infant with eczema about the foods that are most allergenic. What foods should the nurse instruct the parents to eliminate from the diet? Select all that apply. 1 Milk 2 Eggs 3 Apples 4 Peanuts 5 Bananas

1

A nurse reviews the diet with the parents of a toddler with recently diagnosed celiac disease. What foods selected by the parents indicate that further teaching is needed? 1 Frankfurters and baked beans 2 Lamb chops and mashed potatoes 3 All natural roast beef and French fries 4 Hamburgers with no added fillers and tortilla chips

2,3

A nurse teaches dietary guidelines to a client who will be receiving tranylcypromine sulfate, a monoamine oxidase inhibitor (MAOI). The client compiles a list of foods to avoid. Which foods included on the list indicate that the teaching has been effective? Select all that apply 1 French fries 2 Pepperoni pizza 3 Bologna sandwich 4 Hamburger on a bun 5 Hash brown potatoes

2

A school-aged child with celiac disease has been eating a gluten-free diet for 2 days. What criterion should the nurse and parent use to determine the effectiveness of the diet? 1 Increased appetite 2 Decreased irritability 3 Maintenance of weight 4 Disappearance of steatorrhea

4

What characteristic of the environment is most therapeutic for clients with the diagnosis of bulimia nervosa? 1 Controlling 2 Empathetic 3 Focused on food 4 Based on realistic limits

1

Which dietary instruction would be most beneficial to a client who has undergone a hypophysectomy and has difficulty passing stools? 1 "Drink plenty of water." 2 "Eat foods rich in protein." 3 "Drink a glass of milk daily." 4 "Eat foods rich in carbohydrates."