Chapter 36 Nutrition

Vitamin B

A client has a history of long-term alcohol use. Which nutrient would need to be required in increased amounts?

Imbalanced Nutrition, Less Than Body Requirements

A client has been on a clear liquid diet for 5 days. What is an appropriate nursing diagnosis for this client?

To rest the gastrointestinal tract and promote healing

A client having a bowel surgery asks why being NPO after surgery is necessary. Which statement by the nurse best describes the reason?

"My husband and I are ordering a product that has megadoses of vitamins."

A client is discussing vitamin and mineral intake with the nurse. Which client statement requires further nursing teaching?

Vitamin K

A client is prescribed warfarin, an anticoagulant. When educating this client about potential diet and drug interactions, the nurse would caution the client about foods containing which nutrient?

aspirate stomach contents and check pH

A nurse enters a client's room to perform a tube feeding. Which nursing action should be performed first?

ensure the head of the bed is elevated

A nurse is caring for a client with a nasogastric tube. The nurse enters the room to flush the nasogastric tube and check gastric residual. Which action should the nurse perform first?

vegetables

A nurse is conducting client education with a woman who meets the diagnostic criteria for metabolic syndrome. The nurse is teaching the client about the MyPlate tool for promoting healthy food intake. According to MyPlate, the highest proportion of food in each meal should consist of what?

"Include plenty of grains, fruits, and vegetables in your diet."

A nurse is planning a high-energy diet for a client. Which statement by the nurse best describes the types of foods the client should include in the diet?

serum albumin

A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client's level of malnutrition?

overweight

A nurse is working with a 45-year-old construction worker. The nurse obtains his height and weight and calculates that his BMI is 28. How would the nurse best classify James?

negative nitrogen balance

An older adult client has a decubitus ulcer with drainage, dysphagia, and immobility. She consumes less than 300 calories per day and has a large amount of interstitial fluid. The client is in a state of:

try eating foods that are attractive and at the proper temperature

An older adult client informs the nurse that foods don't taste or smell the same and eating is a chore. What suggestion can the nurse provide to the client to address this age-related change?

assess the client for signs and symptoms of hypoglycemia

The nurse has obtained a client's capillary blood glucose sample and the results are significantly lower than reference range. What is the nurse's priority action?

assess when client generally eats meals

The nurse is caring for a client who refuses most foods on the dietary tray. Which nursing intervention is appropriate?

ask the client why he or she is not eating

The nurse is concerned that a client is not eating the meals provided. Which interventions should the nurse implement to encourage eating?

psychological reasons for overeating should be explored, such as eating as a release for boredom

The nurse is performing a nutritional assessment of an obese client who visits a weight control clinic. What information should the nurse take into consideration when planning a weight reduction plan for this client?

- protection from injury - vitamin absorption - energy - cellular transport

The nurse is providing an education program to teens. When discussing the role of fat in our bodies, which function can be attributed to fat? Select all that apply.

"Can you tell me why you don't want to have dinner tonight?"

The nurse is providing care for an older adult client who is recovering from pneumonia on the hospital's medical unit. The nurse sets up the client's dinner tray on his overbed table. The client then states, "I won't be having any of this." What is the nurse's most appropriate response?

teenager who is in the second trimester of pregnancy

The nurse is teaching four clients in a community health center. Which client does the nurse identify as needing more servings per day of milk?

extremely obese

Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. This finding indicates the client is:

- pregnant teenagers - people with substance abuse problems - older adults living on fixed incomes

Which client(s), at risk for poor nutritional intake, would benefit from nutritional counseling from the nurse? Select all that apply.

elevate the head of the bed at least 30 to 45 degrees to prevent aspiration

Which intervention should the nurse take for a client who is receiving continuous tube feedings?

if fluid is obtained when aspirating, measure its volume and pH and flush the tube with water

Which nursing action is performed according to guidelines for aspirating fluid from a small-bore feeding tube?