Elsevier Quiz: Nutrition

An infant has been admitted with failure to thrive (FTT). Which statement made by the child's parents prompt the nurse to provide additional education?

"I can double the amount of water in the formula to save money."

A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome?

Small, frequent feeding schedule

During a regular examination of a child, the nurse suspects that the child may be at risk for obesity What does the nurse advise to prevent obesity in the child?

Have small and frequent family meals

A nurse reviews the plan of care who is recovering from the acute phase of left ventricular failure. The nurse expects which dietary restriction to be included on the plan?

Sodium

The nurse provides a list of appropriate food choices to a client with newly diagnosed diabetes. The client reviews the list and says, "I do not like and refuse to eat asparagus, broccoli, and mushrooms." In response, the nurse teaches the client about the food exchange list. the nurse evaluates that teaching was effective when the client states that instead of asparagus, broccoli, and mushrooms, the client will eat what?

String beans, beets, and carrots

On the second day of life, minutes after drinking 2 ounces of formula, a newborn regurgitates about half an ounce. The mother remarks, "My baby spits up after feeding." What should the nurse do next?

Suggest that she hold her baby upright for 30 mins after feeding

The nurse considers that a 70-year-old female can best limit further progression of osteoporosis by doing what?

Takin supplemental calcium and vitamin D

The mother of a toddler is anxious about her child's eating habits because the child is very fussy and doesn't eat well. What should the nurse explain to the mother?

The child's eating habits are normal for this age.

The nurse provides discharge teaching to a client who has received prescriptions for digoxin (Lanoxin), furosemide (Lasix), and a 2-gram sodium diet. The nurse evaluates that further teaching is needed when the client makes which statement?

"I can use a little table salt on my food as long as I do not use it when cooking."

A client is instructed to avoid staining on defecation postoperatively. The nurse evaluates that the related teaching is understood when the client makes which statement?

"I must increase my intake of green vegetables."

The nurse is developing a list of appropriate foods for a client who has been prescribed a low sodium diet. The nurse reviews the list with the client. The nurse evaluates that the teaching is understood when the client makes which statement?

"It is okay for me to eat shredded wheat cereal."

Until what age in years does a child need to drink whole milk for adequate neurologic development?

2

A gavage feeding is prescribed for an infant. How does the nurse determine the length of tube needed to reach the stomach?

A measurement is made from earlobe to nose and then to the epigastric area

When teaching an adolescent with type 1 diabetes about dietary management, what instruction should the nurse include?

A ready source of glucose should be available

A Schilling test is prescribed for a client who is suspected of having pernicious anemia. The nurse considers that the primary purpose if the Schilling test it to determine the client's ability to do what?

Absorb vitamin B12

A nurse provides a list of suggested food choices to a client who has peptic ulcer disease. What foods should be included in the list.

Applesauce, cream of wheat, and milk

A nurse is counseling a pregnant client with iron-deficiency anemia about when and how to take supplemental iron. What time of day and with what drink is iron absorption most efficient?

Before breakfast with orange juice

What drug is derived from a natural source and may be prescribed for treatment of osteoporosis?

Calcitonin

The mother of a healthy 10-month-old infant asks the nurse what type of milk and pureed food she should give her baby. What is the best response by the nurse?

Carrots, chicken, applesauce, and breastmilk

Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?

Familial and cultural influences are deciding factors in eating habits

A breastfeeding mother ask the nurse how human milk compares with cow's milk. How should the nurse respond?

Fat in human milk is easier to digest and absorb that the fat in cow's milk

What feeding instructions should the nurse give the mother of a 2-month-old infant with the diagnosis of heart failure?

Feed slowly while allowing time for adequate periods of rest

An obese adult develops an abscess intention and requires repacking and redressing every 4 hours. Which diet should the nurse expect the health care provider to prescribe to best meet this client's immediate nutritional needs?

High in protein and vitamin C

A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which component of a therapeutic diet should the nurse encourage the client to consume?

High protein

A client was admitted with full-thickness burns 2 weeks ago. Since admission, the client has lost an average of a pound a of weight each day What does the nurse expect the client's diet to be adjusted to include?

High protein drinks

What is the cause of milk anemia in toddlers?

Increased milk intake

A client with liver dysfunction states, "My gums have been bleeding spontaneously." The nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client needs which additional vitamin?

K

A nurse is teaching the mother of a toddler with celiac disease about the specific foods allowed on a gluten-free diet. What is the most important information for the nurse to help the mother understand?

Labels of prepared foods must be read carefully.

A client describes abdominal discomfort following ingestion of milk. Which enzyme, as result of a genetic deficiency, should the nurse consider to be the cause of the client's discomfort?

Lactase

A client is admitted to the hospital with a diagnosis of Crohn's disease What is most important for the nurse to include in the teaching plan for this client?

Meeting nutritional needs

Which statement by the nurse is true about the diet plan for toddlers?

Milk should be supplemented with solid food items like vegetables and fruits

A high-protein diet is recommended for a client recovering form a fracture. The nurse recalls that the rationale for a high protein diet is to do what?

Promote cell growth and bone union

A nurse is counseling a pregnant client who maintains a vegetarian diet. What should the nurse plan to do to ensure optimal nutrition during pregnancy?

Refer the client to a dietitian to help plan her menu

A nurse instructs a client with viral hepatitis about the type of diet that should be ingested. Which lunch selected by the client indicates understanding about dietary principles associated with the diagnosis?

Salad, sliced chicken sandwich, gelatin pudding

A pregnant client with diabetes is referred to the dietitian in the prenatal clinic for nutritional assessment and counseling. What should the nurse emphasize when reinforcing the client's dietary program?

The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary.

A client has decided to become to total vegetarian (vegan) and wishes to plan a diet to ensure adequate protein quality. What should the nurse recommend to the client?

Use a mixture of plant proteins to provide the essential amino acids

A thin 24- year old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin and other dietary supplement should the nurse recommend?

Vitamin D and calcium citrate

The nurse teaches a group of clients that nutritional support of natural defense mechanisms indicates the need for a diet high in what?

Vitamins A, C, E, and selenium

A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse encourage the client to add to the diet to help normalize bowel function after surgery?

Whole Bran

A nurse is providing dietary instruction to a client with cardiovascular disease. Which dietary selection by the client indicates that the nurse need to follow up?

Whole milk with oatmeal

A client with bulimia nervosa eats 2 sandwiches, 2 salads, and 4 desserts for lunch. What client behavior should the nurse anticipate after the meal is consumed?

Withdrawing form the group to go to the bathroom

A parent of a 6-month-old infant asks the nurse which foods should be introduced first. What is the best response by the nurse?

baby cereals

A client with hypertension is to follow a 2-gram sodium diet. Which client statement provides evidence that the nurse's dietary instructions are understood?

"Labels on prepackaged food products should be evaluated before purchase."

A mother who presents to the pediatric clinic with her 10-month-old son tells the nurse, "Look how much weight he's gained even though he drinks only orange juice! He won't drink any milk." What is the appropriate response if the nurse?

"Let's talk about his nutrition."

While a nurse is teaching a client with diabetes about food choices, the client states, "I do not like broccoli." Which food should the nurse suggest to substitute broccoli?

Green beans