NR 228 Exam 2

1. A client that must obtain the greatest percentage of daily carbohydrates from complex carbohydrates most likely has which disease process Diabetes

10. A client needs regular injection of vitamin B12. Which is the best rationale for this client needing vitamin B12? The client stomachs does not produce the intrinsic factor.

2. A nurse in a community clinic is instructing a group of clients about food high in iron. The nurse should include information that which nutrients aids in the absorption of iron Vitamin C

11. What is the most likely causes of Vitamin toxicity? Long/term use of megadose supplements

3. The nurse on the medical-surgical floor is instructing a group of clients about vitamins and minerals and is discussing exposure to sunlight. The nurse is most likely discussing which vitamin? Vitamin D

12.A nurse is caring for clients with type 2 Diabetes. The nurse teaches the client which technique to maintain constant glycemic control? space meals and snacks evenly throughout the day

4. A nurse is teaching a client who is breastfeeding dietary recommendations. Which statement by the client indicates understanding of the instruction? I will eat more protein at each meal"

13.A nurse in a diabetic clinic is educating a client diagnosed with type 1 diabetes mellitus Who has increased his exercise level. Which of the following dietary recommendation is most appropriate for this client? Consume additional carbohydrates

5. A nurse is providing nutritional teaching to a client who has osteoporosis and discuss the intake of salmon, milk, and spinach. What is the nurse rationale for the selection of these specific food items? These food items are rich in calcium and should be used by a client diagnosed with osteoporosis

14. A nurse is educating a hospitalized client who was diagnosed with acute pancreatitis. Which nutritional alterations will be observed in this client? "There may be alliterations in insulin and glucagon as these hormones are secreted by the pancreas."

6. The nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which condition? Hypoglycemia

15.A nurse is discussing dietary recommendations for chronic cholecystitis with a client. Which diet will be discussed? Low-fat diet

7. The nurse is conducting a nutrition teaching session. Which is a good source of omega/3 fatty acid? Fish

16.The nurse is preparing a plan of care for a client was recently diagnosed with gallbladder disease has symptoms that occur after eating that include my love nominal pain which is priority nutritional considerations for this client. Discuss long term strategies to reduce the pain to improve nutritional status

8. A nurse is providing teaching to a client who is pregnant. The nurse should instruct the client that which food is a reliable source of Vitamin B12? Dairy products

17. A nurse is discussing psychological factors related to poor nutritional State for the older population. Which psychological factors most often affect the nutritional state of older adults? Is loneliness and depression over the loss of significant others.

9. A nurse is instructing a woman who is contemplating pregnancy needs to reduce the risk of giving birth to a newborn who has a neutral tube defect which information should the nurse use in the teaching. Consume foods fortified with folic acid.

18. A nurse in a pediatric clinic is discussing anthroprometic measures with mothers of toddlers Head circumference and weight

19. A malnourished homeless client without access to nutritious foods is suffering from which nutritional disorder? Primary causes malnutrition

26. The school nurse conducting a nutritional assessment on an adolescent will identify deficiency in which nutrient that is necessary for normal cell growth? calcium

20. A nurse admitting a client to the medical-surgical floor identifies a time to conduct the nutritional screening. Which guidelines for nutrition screening of hospitalized clients will the nurse adhere to? A Hospitalized client is screened within 48 hours of hospital admission

27. A community health nurse is teaching moms to select healthy food options for preschoolers which snacks is the best choice? mini wheat bagel with light cream cheese

21. A nurse in an adult day care center is screening for malnutrition. Which risk factors are the nurse identifying that in malnutrition older adults? Select all that apply. Depression Loss of spouse Dental problems

28.A school nurse is educating a group of adolescents about nutritional principles what is an important principle of nutrients during adolescence Calcium and iron needed for accelerated skeletal a growth and increased blood volumes

22. A nurse in a long-term care facility (nursing home) identifies which strategies to overcome decreased sense of taste in the older adult? Vary food textures and add low-sodium seasonings to foods.

29. A community health nurse is teaching a group of parents how to select healthy nutritional options for children. What is an important principle of nutrition during childhood? Serving size should represent appropriate quantities for the age of the child

23.An educator in a long-term care facility (nursing home) is teaching new nurses how to identify risk factors contributing to dehydration in older adults. Which factor is most likely to place older adults at risk for dehydration? Older adults lose their sense of thirst and forget to consume enough fluids.

30. A school nurse is reviewing the National School lunch program a implement a teaching session. Which statement is accurate regarding the National School lunch program? Obesity prevention and health habits must be the focus of A school Wellness program

24. What is the most common cause of calcium and iron deficiency in woman of early adult hood age range? Dieting

31.A nurse on the postpartum unit is providing instructions about breast feeding and formula. Which Instruction should be included when teaching a new mother about formula preparation? Formula should never be heated in the microwave

25.A nurse is providing care for children in pediatric clinic. The prevalence of which nutritionally-related disorder will be most common in an African American obese child with a sedentary lifestyle? type 2 diabetes

32.A nurse on the postpartum floor is teaching a group of parents about breastfeeding and formula. Which vitamin should be supplemented daily in breastfed infants? Vitamin D

33. A pregnant client whose weight was normal prior to pregnancy ask the nurse in a prenatal clinic about weight gain during pregnancy. What is the recommended total weight gain during pregnancy for this client? 25-35 pounds

34.The nurse in a prenatal clinic about nutritional changes based in slowing of the gastrointestinal (GI) tract. Which changes will the nurse most likely discuss related to slowing of the GI tract? Constipation

35.The nurse is teaching a client to select foods with Vitamin C. Which foods has the least amount of Vitamin C? Milk

36. A middle-aged client has begun a very low carbohydrate diet to lose weight. Which possible consequences should the nurse be aware of that may occur with prolonged carbohydrate deficiency? Ketosis

37.What is the best explanation of complete protein? It contains all the essential amino acids

38.The nurse is teaching a client about nutrition. Which vitamin would you expect a known alcoholic to have as part of the treatment plan? Thiamine

39.The nurse is discussing gastrointestinal disorders with a client who complains of diarrhea, flatulence, and abdominal cramping after ingesting dairy. Which condition is the client most likely experiencing? Lactose Intolerance

40. Which organ is responsible for managing bile production and metabolism of carbohydrates, with lipids, protein, and vitamins? Liver

41.Which statement best describes potassium in the diet? It controls fluid levels inside the cells

42. A nurse is providing discharge teaching for a client who has a prescription for fat-soluble vitamin supplements. These nurses should instruct the client to take a supplement of which of the following? Vitamin A

43. A nurse at a health fair is assessing the weight status of four clients. Which of the following clients are classified as overweight? A male client who has a body mass index of 29

44. A nurse is educating a group of older adults in a Community Center on weight management using the BMI scale. Using the client's height and weight to calculate BMI, which of the following clients has a healthy BMI? a client with a weight of 150 pounds and height of 68 inches

45.1. A nurse is teaching a client who has cholecystitis about dietary modifications. The nurse includes which of following foods as appropriate for client's diet. Turkey

46. Which sweetener will most likely add calories to the daily intake? Pure Cane Sugar

47. Which instruction will be helpful to a client who has gastroesophageal reflux? Develop a plan to lose weight

48. Which foods most likely cause symptoms associated with celiac diseases? foods containing Gluten

49.Which food is most likely to contain Vitamin C? Citrus fruits

50.Which of the following foods include the highest protein content? Lean meats