Nutrition (Skills Module 3.0) Pretest (correct answers)

A nurse is reviewing anthropometric values with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"The client should be weighted on the same scale at the same time each day." (Weighing a client on the same scale at the same time of day provides the most consistent data for gauging trends in the client's weight, as shifts in fluid intake and output can alter weight significantly. The client should also be weighed with the same amount of clothing and/or linen each time.)

Which of the following food choices are appropriate for a client who is prescribed a full liquid diet? (Select all that apply.)

-Plain yogurt -Custard -Ice cream -Gelatin

A client has finished a 16-oz container of orange juice. The intake and output sheet documents fluid in milliliters. What amount should the nurse document as the client's intake?

1 fluid oz = 30 mL 30 mL x 16 fluid oz = 480 mL

A nurse is reviewing a client's laboratory values. Which of the following information is correct regarding albumin levels and nutritional status?

Albumin level is a poor short-termed indicator of protein status. (Albumin is not sensitive to acute changes in nutritional status. Its long half-life of 21 days makes it a better indicator of chronic illness states than of current protein status at a given point in time.)

Which of the following actions should a nurse take to assess a client who had a stroke for complications secondary to inadequate swallowing?

Auscultate the client's lungs. (Silent aspiration are a common complication of swallowing impairment.)

When teaching the guardian of a toddler about feeding and eating, the nurse should include which of the following safety measures?

Do not offer the child raw vegetables. (Raw vegetables, as well as hot dogs, grapes, nuts, popcorn, and candy, have been implicated in choking deaths and should be avoided at least until the child is 3-years old.)

Which of the following dietary modifications should an adolescent who participates in sports implement?

Drink water before and after sports activities. (An adolescent should drink water before and after sports activities to prevent dehydration.)

A nurse is caring for a client who has impaired swallowing due to a cerebrovascular accident. Which of the following interventions should the nurse use to assist the client with feeding?

Elevate the head of the bed 45 to 90 degrees. (The client's head should be sufficiently elevated to prevent aspiration.)

Which of the following interventions should a nurse use at mealtimes for a client who has visual impairment?

Identify the food location as though the plate were a clock.

Which of the following strategies for enhancing the intake of healthy foods is appropriate for an adolescent?

Making healthful food choices more convenient and available for the adolescent.

A nurse is caring for a client who has sustained a head injury and whose level of consciousness fluctuates. The provider prescribes a full liquid diet progressing to a pureed diet as tolerated. Before initiating feedings, it is essential that this client undergo which of the following?

Swallowing examination. (Clients at high risk for aspiration include those with a decreased level of consciousness. This client has some periods of decreased alertness, thus swallowing examination is essential to determine their ability to ingest food safely by mouth.)

Which of the following is the primary purpose for asking a client to keep a 3- to 7- day food diary?

To assess the pattern of intake and compare with daily reference intakes. (A time period of 3 to 7 days is an adequate amount of time for assessing dietary habits and patterns, and thus, the adequacy of the client's nutritional intake.)