Fundamental

Which nursing student statement regarding vegetarian diets requires further teaching from the nursing instructor?

"According to research, vegetarians have a higher incidence of obesity than others."

The nurse is providing nutrition education to a client who is reducing weight to manage type 2 diabetes. The client aks, "Can I include alcohol in my diet?" What is the nurse's best response?

"Although alcohol should be used in moderation, it has no nutritional density."

The nurse is preparing to perform a nutritional assessment for a client. Which question would be most appropriate to use when initiating the assessment?

"Can you tell me what you've eaten in the last 24 hours?"

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

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

A female client tells the nurse, "I try to consume 2000 calories daily by eating a variety of proteins, carbohydrates, and fats." What is the appropriate nursing response?

"That is a healthy amount of daily caloric intake."

A client informs the nurse that they have been following a strict low-calorie diet and skipping meals to lose weight faster. The client reports feeling upset about not losing any weight and wants to know what to do. What is the best response by the nurse?

"The body will go into starvation mode by slowing metabolic rate and it will be hard to lose weight."

The nurse is teaching about the significance of calcium in the diet at a local senior center. Which statement by participant requires correction?

"The most important nutrients for my bones' health are calcium and potassium."

The nurse is teaching the caregiver of a toddler about the importance of calcium to help the toddler's teeth and bones develop properly. Which client statement reflects that nursing teaching has been effective?

"Vitamin D helps calcium absorption."

A nurse is teaching a class on diet and nutrition to a group of mothers who are breastfeeding their infants. During client instruction, what will the nurse emphasize?

"You should include variety in daily food choices."

A healthy, nonpregnant, nonlactating woman asks the nurse how many calories a day she should consume. Which response from the nurse is accurate?

1,600 to 2,400 cal/day

A nurse is establishing an ideal body weight for a 5'9" (175 cm) healthy female. Based on the rule-of-thumb method, what would be this client's ideal weight?

145 lb/ 65.7 kg

A client weighs 175 lb (79.3 kg) and is 5 ft, 6 in (1.67 m) tall. The nurse determines that the client's body mass index is:

28.

The nurse is caring for four male clients. Which client does the nurse identify at highest risk for cardiovascular disease?

50-year old with total cholesterol of 220 mg/dL, HDL 30 mg/dL SUBMIT ANSWER

The nurse is planning to assist a client with self-feeding. The client has dysphagia. Which intervention related to feeding will the nurse include in the client's plan of care?

Assess patency of bedside suctioning equipment prior to starting a meal.

A nurse is caring for a client who has a decrease in appetite. Which actions by the nurse would be appropriate?

Assist with oral hygiene before serving the meal tray.

A nurse is working with a 46-year-old woman who is working to lose weight. Based on recommendations from the USDA regarding diet modification, which is not appropriate advice for this client?

Drink juice for majority of fluid intake.

The nurse caring for a client for several days has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?

Encourage his daughter to prepare food at home and bring it to the client.

What independent nursing intervention can be implemented to stimulate appetite?

Encourage or provide oral care.

A client resides in a long-term care facility. Which nursing intervention would promote increased dietary intake?

Encourage the client to eat in the dining room.

A nurse is delivering meal trays to clients on the unit. One client has a fractured dominant arm which is in a sling. What is the first nursing action when bringing the tray into the client's room?

Identify the name of the client.

A 56-year-old woman with a diagnosis of breast cancer is receiving chemotherapy and has been experiencing debilitating nausea throughout the course of treatment. What nursing diagnosis should the nurse assign to this client's health problem?

Imbalanced Nutrition: Less Than Body Requirements

A nurse is caring for a client with a wound infection. The dietician has prescribed a diet rich in vitamin A. The client asks the nurse, "Why do I need vitamin A?" The nurse integrates an understanding of which rationale as a major reason when responding to the client?

It helps maintain healthy epithelium.

The nurse is caring for a client who is pregnant. Which nutrition education will the nurse provide?

More servings of milk daily will be required.

The nurse is conducting an assessment of a client at a community health clinic. When measuring the client's abdominal girth, which action will the nurse take to obtain an accurate measurement?

Place the measuring tape around the iliac crest of the pelvis.

The nurse is caring for a client with malnutrition due to protein deficiency. Which information should the nurse teach family members about protein? Select all that apply.

Protein should be baked, boiled or grilled to lessen fat intake. A mix of unsalted nuts, seeds and dried fruit make a good protein snack. Protein can be found in meat and fish. Recommended daily allowance of protein is 0.8 g/kg. A serving of protein is about the size of the palm of your hand.

An 84-year-old resident of a long-term care facility developed the early signs and symptoms of Alzheimer disease several months ago and has experienced a significant decline in food intake as the disease has progressed. What action should the nurse take in order to promote nutrition for this client?

Provide consistency in the time and place for eating each meal.

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?

Try eating foods that are attractive and at the proper temperature. SUBMIT ANSWER Exit quiz

The nurse has observed that a client's food intake has diminished in recent days. What intervention should the nurse perform in order to stimulate the client's appetite?

Try to ensure that the client's food is attractive and sufficiently warm.

A 28-year-old woman client is in an outpatient clinic with frequent reports of fatigue. Her physician has prescribed her ferrous sulfate 325 mg to treat iron-deficiency anemia. A nurse is teaching the client about medication administration. What food would be best consumed with her ferrous sulfate?

a glass of orange juice

After reviewing the client's chart, the nurse notes that the client has been ordered a clear liquid diet. Which meal tray would the client be allowed to eat?

bouillon, apple juice, and gelatin

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy?

carbohydrates, protein, and lipids

The nurse is helping a client who eats a normal diet of 2000 calories daily to read a nutritional label on a box of cereal. Which nutrient does the nurse identify as appropriate for this client?

cholesterol less than 300 mg

The nurse is caring for four clients. Which client does the nurse assess to be at highest risk for cardiac and vascular disease?

client with total cholesterol of 210 mg/dL, HDL 40 mg/dL

The nurse is teaching a client about ways in which to reduce sodium in the diet. Which foods will the nurse recommend that the client avoid? Select all that apply.

cured ham bacon table salt

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

extremely obese.

A nurse is preparing an education plan for a client who is scheduled for a diagnostic procedure that requires a clear liquid diet the day before the procedure. When teaching the client about what he may consume, which foods would the nurse include? Select all that apply.

gelantin apple juice tea

Most nutritionists recommend having a proper amount of fiber in the diet. In addition to other benefits, how does fiber affect cholesterol?

increases fecal excretion of cholesterol

A client with influenza is prescribed a diet that is rich in fiber and carbohydrates. Which would the nurse incorporate into the education plan as a major reason for the high fiber diet?

maintenance of normal bowel elimination

A postmenopausal client wishes to increase the amount of vitamin D that she consumes to help keep her bones strong. Which food will the nurse recommend?

milk

The nurse is teaching a client who wishes to try a vegetarian diet about different types of proteins that can be eaten. Which foods will the nurse identify as containing appropriate dietary protein? Select all that apply.

nuts beans eggs tofu carrots

The nurse is teaching an older adult client about different types of proteins that can be eaten. Which foods will the nurse identify as containing dietary protein? Select all that apply.

nuts beans poultry fish

A nurse determines that a client has a body mass index (BMI) of 31.6 kg/m2. This nurse interprets this finding to suggest that the client is:

obese.

The community nurse is educating client groups about nutrition. Which group does the nurse identify that will benefit most from nutritional counseling and intervention?

older adults living on a fixed income

A nurse calculates the BMI of a client during a general survey as 26. Under which category would this client fall?

overweight

A nurse is caring for a client who has a body mass index (BMI) of 26.5. Which category should the nurse understand this client would be placed in?

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?

overweight

A client has just had abdominal surgery, and the nurse is consulting with him about his diet now that he is allowed to eat. Which nutrient is most important for wound healing?

protein

During a meeting with the school nurse, a 15-year-old girl has declared her intention to adopt a vegan diet. The nurse should conduct client education to ensure that the girl maintains an adequate intake of:

protein.

A nurse is caring for a client diagnosed with high risk for cardiovascular disease. Which item should the nurse make sure is not on the client's dietary tray?

red meat

The nurse is reviewing the health assessment of a client. The nurse is concerned that the client may have a deficiency of vitamin D. Which condition most supports this suspicion?

rickets

A nurse is preparing a presentation for a local community group on healthy nutrition using information from the USDA's website, ChooseMyPlate.gov. Which recommendation would the nurse be least likely to include?

switching to whole milk

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?

teenager who is in the second trimester of pregnancy

A 16-year-old adolescent informs her nurse that she became a vegetarian 1 year ago. Lately she is reporting fatigue and has trouble concentrating. A quick blood test ordered by her licensed provider informs the nurse that she has pernicious anemia. This is a deficiency of what vitamin?

vitamin B12

Which vitamin is found only in animal foods?

vitamin B12

The nurse is caring for a client who has been experiencing prolonged wound healing from a surgical procedure. A deficiency in which nutrient would be associated with this condition?

vitamin C

Which of the following is a fat-soluble vitamin?

vitamin E