Chapter 22 Quiz: Spring 2021 BIO-215-OL-A: Nutrition

The clinic nurse is doing client teaching with a 21-year-old female who has a diagnosis of HIV/AIDS. She is asymptomatic at this point and wants to know how much she should raise her calorie intake to maintain her weight. What would be the best response? 1. "You should eat as many calories required specifically for you." 2. "You should increase your calorie intake by 5%." 3. "You should increase meal replacements in your diet." 4. "You should increase your calorie intake by 15%."

1. "You should eat as many calories required specifically for you."

The nurse is admitting a client to the unit with a diagnosis of lung cancer. This client is undergoing a partial lobectomy followed by chemotherapy. The client is a 55-year-old male who weighs 125 pounds. What is the approximate protein and calorie intake per day for this client? (Round to the nearest whole number.) 1. 140 g/day of protein; 2000 cal/day 2. 110 g/day of protein; 1400 cal/day 3. 120 g/day of protein; 1600 cal/day 4. 130 g/day of protein; 1800 cal/day

1. 140 g/day of protein; 2000 cal/day

The nurse is helping a client with HIV find ways to increase protein intake. Which of the following are suggestions to help this client? Select all that apply. 1. Add finely chopped hard-boiled eggs to sauces. 2. Substitute whole milk for water in recipes. 3. Use yogurt as a topping for fruit. 4. Use honey on toast. 5. Substitute mayonnaise for salad dressing.

1. Add finely chopped hard-boiled eggs to sauces. 2. Substitute whole milk for water in recipes. 3. Use yogurt as a topping for fruit.

The nurse is seeing a client who is asking for evidence based recommendations to lower the risk for developing cancer. Which of the following should be strongly recommended? 1. Consume a healthy diet with emphasis on plant food. 2. Maintain a BMI of 18. 3. Consume a healthy diet with emphasis on animal food. 4. Exercise at least 175 minutes each week.

1. Consume a healthy diet with emphasis on plant food.

The nurse is assessing a client diagnosed with HIV and observes signs of fat redistribution. The nurse anticipates the client is at increased risk for which of the following medical comorbidities? 1. Diabetes 2. Dysphagia 3. Neutropenia 4. Stomatitis

1. Diabetes

The nurse is seeing a client in clinical 2 weeks after radiation therapy to the head and neck. The nurse should anticipate which of the following complications for this client? 1. Difficulty swallowing 2. Chronic blood loss 3. Nausea and vomiting 4. Malabsorption

1. Difficulty swallowing

The nurse knows immunotherapy is used to treat clients with cancer by enhancing the immune system. The nurse should plan care anticipating which of the following nutritional imbalances may be caused by immunotherapy? 1. Hypoproteinemia 2. Hyperabsorption 3. Hypernatremia 4. Hypokalemia

1. Hypoproteinemia

The nurse is teaching a nutrition class for nursing students about palliative nutrition therapy. The nurse should include which of the following teaching points on how the goals of palliative care can be met using nutritional interventions? 1. Respect the client's wishes regarding the level of nutritional support desired. 2. Provide mouth care when the client asks for it. 3. Offer comfort foods if the client becomes anxious or fearful. 4. Encourage the client to follow the primary caregiver's ordered diet.

1. Respect the client's wishes regarding the level of nutritional support desired.

The nurse is seeing a client who is prescribed saquinavir (Invirase) for the treatment of HIV/AIDS. What would be important to teach the client about this drug? 1. Take it within 2 hours of a high-calorie, high-fat meal. 2. There are fewer side effects if taken with food. 3. Do not take it with high-fat meal. 4. Avoid alcohol.

1. Take it within 2 hours of a high-calorie, high-fat meal.

The clinic nurse is teaching a group of clients with HIV/AIDS clients about the disease process. Which of the following are recommendations can the nurse offer for clients with diarrhea? Select all that apply. 1. Limiting food intake 2. Avoiding lactose 3. Increasing intake of foods rich in pectin 4. Drink liquids that are either hot or cold 5. Increasing fluid intake

2. Avoiding lactose 3. Increasing intake of foods rich in pectin 5. Increasing fluid intake

The dietitian has recommended that the client's diet be changed from regular to nutrient dense. The nurse providing discharge education to the client post-chemotherapy treatment should suggest which of the following foods if the client is experiencing xerostomia? 1. Hard cheese with crackers 2. Boost or Ensure drink 3. A cherry popsicle 4. A peanut butter sandwich

2. Boost or Ensure drink

The client, who has arrived for a scheduled chemotherapy treatment, reports having nausea. Which of the following strategies should the nurse suggest? 1. Eat three meals a day. 2. Eat foods served cold. 3. Avoid eating 3 to 4 hours before chemotherapy. 4. Eat low carbohydrates.

2. Eat foods served cold.

The nurse educator is teaching a nutrition class to a group of student nurses. Teaching is effective when the students state which of the following is a factor that increases the risk of cancer? 1. Sedentary lifestyle 2. Excess body weight 3. Increased protein intake 4. Intake of fast foods

2. Excess body weight

The nurse is completing discharge teaching with a client who has a diagnosis of colon cancer and has completed chemotherapy treatment in hospital. The nurse is providing strategies for preventing anorexia related to fatigue. Which of the following recommendations should the nurse make? 1. He should drink caffeinated beverages. 2. He should eat a big breakfast. 3. He should limit his fluid intake. 4. He should limit his physical activity.

2. He should eat a big breakfast.

Parenteral nutrition (PN) use in AIDS clients is reserved for those clients with nonfunctioning GI tracts. Which of the following can be considered as an alternative to PN? 1. Standard EN formula 2. Hydrolyzed EN formula 3. Protein-added EN formula 4. Fiber added EN formula

2. Hydrolyzed EN formula

The nurse is seeing a client with HIV who has developed lipodystrophy. When providing teaching to the client about the complications associated with lipodystrophy, the nurse should include which of the following? Select all that apply. 1. Lowered triglycerides 2. Insulin resistance 3. Hypertriglyceridemia 4. Social stigmatization 5. Weight change

2. Insulin resistance 3. Hypertriglyceridemia 4. Social stigmatization

The nurse is seeing a client at the HIV clinic who reports unintended weight loss of 10 pounds with diarrhea lasting over the last month. At baseline the client weighed 160 pounds. The nurse knows the client is experiencing wasting syndrome because which of the following is present in the client's assessment? 1. Loss of 15% of usual weight 2. Loss of 5% of usual weight 3. Loss of 20% of usual weight 4. Loss of 10% of usual weight

2. Loss of 5% of usual weight

The client's diet has just been changed to a protein-dense diet. Which of the following suggestions should the nurse give the client to increase protein-dense foods in her diet? 1. Add whipped cream to coffee and tea. 2. Melt cheese on sandwiches and vegetables. 3. Use honey on toast and cereal. 4. Substitute mayonnaise for salad dressing.

2. Melt cheese on sandwiches and vegetables.

The nurse is admitting a 42-year-old male with metastatic lung cancer to the unit. He tells the nurse that food tastes bitter to him. The nurse recognizes that the possible cause for this could be which of the following? 1. An increased threshold for sucrose 2. Radiation therapy to the neck 3. Metallic eating utensils 4. Dysphagia

2. Radiation therapy to the neck

What strategies can the nurse teach clients who require a neutropenic diet ensure they are consuming foods safely? Select all that apply. 1. Discard leftovers after 5 days. 2. Refrigerate foods immediately after purchase. 3. Thaw food in the microwave, never at room temperature. 4. Avoid salad bars and buffets when eating out. 5. Keep hot foods above 140°F and cold foods below 40°F.

2. Refrigerate foods immediately after purchase. 4. Avoid salad bars and buffets when eating out.

A nurse is assessing a new client who was just admitted to the unit with cancer refractory cachexia. Upon obtaining the client's history, it becomes evident to the nurse that this type of cachexia is related to which of the following? 1. Decreased protein requirement 2. Very advanced cancer 3. Hyperalbuminemia 4. Hypoglycemia

2. Very advanced cancer

The nurse is discussing weight loss and wasting with a group of clients diagnosed with AIDS. Which of the following provides the best explanation for this part of the disease process? 1. Cancer wasting is almost impossible to reverse. 2. Wasting in AIDS includes either fever, diarrhea, or weakness lasting more than 30 days. 3. AIDS wasting begins gender specific. 4. In cancer wasting, the client can take medication to stimulate the appetite.

2. Wasting in AIDS includes either fever, diarrhea, or weakness lasting more than 30 days.

The nurse is conducting a workshop on cancer prevention and awareness. The nurse emphasizes a healthy nutritious diet has been shown to decrease the risk for various types of cancer. The nurse points out that a high consumption of processed meats has been associated with which type of cancer? 1. Stomach 2. Lung 3. Colon 4. Breast

3. Colon

The radiation therapy client has come to the clinic complaining of stomatitis. The client asks for suggestions about the best foods to eat. What would be the best lunch for someone with stomatitis? 1. Pizza 2. Vegetable beef soup 3. Cottage cheese with canned fruit 4. Reuben sandwich (ham, cheese, and sauerkraut on pumpernickel bread)

3. Cottage cheese with canned fruit

The nurse is assessing a client who received radiation to the lower neck 2 weeks prior. Which of the following complications is the client most likely to report? 1. Dumping syndrome 2. Mouth blindness 3. Esophagitis 4. Chronic blood loss

3. Esophagitis

The nurse is caring for a client who reports a metallic taste in her mouth. What would be the best recommendation? 1. Eat foods at room temperature. 2. Eat small, frequent meals. 3. Use plastic utensils. 4. Brush your teeth before eating.

3. Use plastic utensils.

The nurse is working with a client who is a 59-year-old gentleman currently in anticancer treatment. The client weighs 50 kg and describes himself as sedentary. The nurse calculates this client's calorie and protein needs are which of the following? 1. 1700 cal/day; 130 g/day of protein 2. 1900 cal/day; 135 g/day of protein 3. 2100 cal/day; 140 g/day of protein 4. 1500 cal/day; 125 g/day of protein

4. 1500 cal/day; 125 g/day of protein

As HIV/AIDS progresses, clients' quality of life becomes more and more important. What strategies can the nurse recommend to a client with HIV/AIDS to improve quality of life? 1. By healing mouth sores 2. By improving a poor appetite 3. By decreasing episodes of fever 4. By correcting malabsorption

4. By correcting malabsorption

The nurse is teaching a group of clients diagnosed with HIV/AIDS about nutrition therapy. The nurse correctly explains that protein intake should be approximately which of the following? 1. A low-protein diet is prescribed to combat infections. 2. Increased protein should be obtained through supplements. 3. There is no need to change protein requirements. 4. In theory, needs for protein increase in response to infections.

4. In theory, needs for protein increase in response to infections.

The nurse is caring for a 51-year-old female with breast cancer who is scheduled to have a mastectomy the following day and the nurse is doing client teaching. What strategy would the nurse teach this client to promote healing after surgery? 1. Consume high-fiber, low-fat nutritional supplements. 2. Eat low-fat, low-calorie meals. 3. Decrease daily caloric consumption. 4. Incorporate oral nutrition supplements.

4. Incorporate oral nutrition supplements.

The nurse is providing general nutritional guidelines to a client diagnosed with HIV. Which of the following is an appropriate response? 1. Be sure to take a multivitamin and mineral tablet daily. 2. Try to eat only three times a day. 3. Avoid high-protein supplements. 4. It is not necessary to increase fat in the diet.

4. It is not necessary to increase fat in the diet.

The nurse is assessing a client diagnosed with cancer who is losing weight even though she is following the prescribed diet. The nurse suggests several different strategies to her to increase her calorie intake. Which of the following are some of those suggestions? Select all that apply. 1. Use peanut butter on apple slices. 2. Coat meat with milk and bread crumbs before baking. 3. Choose desserts made with eggs and/or milk. 4. Mix cream cheese with butter and put on toast. 5. Snack frequently on nuts.

4. Mix cream cheese with butter and put on toast. 5. Snack frequently on nuts.

The nurse is teaching nutrition guidelines to a group of clients newly diagnosed with HIV/AIDS. What recommendations should the nurse give the clients to eat a healthier diet? 1. Eat at least 2 cups per day of a variety of fruits and vegetables. 2. Drink sweetened beverages and foods high in added sugar. 3. Avoid foods high in monosaturated fat. 4. Work with a dietitian for an individualized plan

4. Work with a dietitian for an individualized plan

The nurse is doing client teaching with a client with cancer who is going to have a colon resection. The client asks what dietary changes to expect after the surgery. What would be the best response for this client? 1. You will have to eat less protein and fewer calories per day after you start eating again. 2. You will have a clear liquid diet starting the day after surgery. 3. You will be given a special diet of high-fiber, low-calorie enteral supplement. 4. You will have to be fed with parenteral nutrition (PN) while your gut is not functioning.

4. You will have to be fed with parenteral nutrition (PN) while your gut is not functioning.

The nurse is conducting nutrition teaching with a 63-year-old woman who has just been diagnosed with ovarian cancer. The client has been admitted for radiation therapy prior to surgery. She weighs 130 pounds. Approximately how much protein and how many calories a day should this client have in her diet? (Round to the nearest whole number.) 1. 70 g/day of protein; 1900 cal/day 2. 65 g/day of protein; 1700 cal/day 3. 55 g/day of protein; 1300 cal/day 4. 60 g/day of protein; 1500 cal/day

60 g/day of protein; 1500 cal/day