Nutrition

Potato chips and chocolate milk shakes

A nurse encourages a client with an immunologic disorder to eat a nutritionally balanced diet to promote optimal immunologic function. Which snacks have the greatest probability of stimulating autoimmunity?

Assessment

Assessment involves determining the client's care needs.

Clara Barton

Clara Barton established the Red Cross.

Lack of vitamin C

Which nutritional deficiency may delay wound healing?

Dorothea Dix

Dorothea Dix was a pioneer for reform of treatment for the mentally ill.

Evaluation

Evaluation involves determining the effectiveness of a care plan after it has been implemented.

including fish in the diet on a routine basis. Explanation: Older adults who are housebound or institutionalized frequently have low vitamin D levels. Vitamin D is a valuable hormone involved in bone mineralization. There are two sources of Vitamin D: intestinal absorption and skin production. The most important dietary sources of vitamin D are fish, liver and irradiated milk. With adequate exposure of the skin to sunlight, the amount of vitamin D produced by the skin is usually sufficient to meet physiologic requirements.

The elderly nursing home resident has a fractured humerus. In order to promote healing, the physician recommends:

Iodine Explanation: Oversecretion of thyroid hormones is usually associated with an enlarged thyroid gland known as a goiter. Goiter also commonly occurs with iodine deficiency.

The nurse assesses a patient who has an obvious goiter. What type of deficiency does the nurse recognize is most likely the cause of this?

Ham and bacon Explanation: Dietary substances that appear to increase the risk of cancer include fats, alcohol, salt-cured or smoked meats, nitrate and nitrite-containing foods, and red and processed meats. Nitrates are added to cured meats, such as ham and bacon.

What foods should the nurse suggest that the patient consume less of in order to reduce nitrate intake because of the possibility of carcinogenic action?

spinach Spinach is an essential source of vitamin K. Since vitamin K is essential for clotting, it should be consumed sparingly with anticoagulant therapy.

Which food should be avoided when a client is taking warfarin sodium following a myocardial infarction?

Excessive intake of vitamin D Explanation: Potential causes of calcium renal stones include excessive intake of vitamin D, hypercalcemia, hyperparathyroidism, excessive intake of milk and alkali, and renal tubular acidosis

Which of the following is a cause of a calcium renal stone?

Struvite stones

associated with neurogenic bladder and foreign bodies.

enhances protein synthesis

A nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin

Autoimmunity

Autoimmunity is the system of immune responses of an organism against its own healthy cells, tissues and other body normal constituents. Any disease that results from such an aberrant immune response is termed an "autoimmune disease".

Florence Nightingale

Florence Nightingale's contributions to nursing included the recognition of the importance of nutrition to health.

Linda Richards

Linda Richards began the practice of keeping records and writing orders.

Planning

Planning and intervention focus on using individual, family, and community resources to assist in restoring a client's health to maximum possible functioning, while continuing to monitor for possible side effects or complications to treatment.

Restoration

Restoration involves helping a client regain a former level of functioning after an injury or other debilitating health event

Milk Explanation: Clients with hyperparathyroidism should use a low-calcium diet (fewer dairy products) and drink at least 3 to 4 L of fluid daily to dilute the urine and prevent renal stones from forming

The nurse is teaching a client about the dietary restrictions related to his diagnosis of hyperparathyroidism. What foods should the nurse encourage the client to avoid?

Gout

associated with uric acid.