Nr228
A nurse is instructing a group of adult clients about nutrition. The nurse should include which of the following as the recommended amount of vegetables servings per day?
2 ½ cups
A nurse is teaching a group of adults about nutrition. The nurse should include which of the following amounts as an appropriate daily intake of fiber for adult women?
20 to 35 g
A risk factor for type 2 diabetes is:
A BMI of 28
A typical physiologic change in older adults that can affect nutrient intake is:
A decline in intestinal motility that can lead to constipation
When will a clear liquid diet would be most appropriate?
A patient who has had major surgery within the past 18 hours
Healthy People 2020 focuses on the ultimate vision of:
A society in which all people live long, healthy lives
For patients with any kind of liver disease, the most important dietary modification is
Abstaining from alcohol
The Dietary Reference Intake (DRI) is used when there is not sufficient research or evidence to determine a Recommended Daily Allowance (RDA). It is an approximate level that appears to maintain good health:
Adequate Intake (AI)
A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives an assessment of the adequacy of the client's protein uptake and synthesis?
Albumin
Tube-Feeding Complications and management includes the following except (Select all that apply)
Answer Choices: Diarrhea / Polydipsia / Polyuria / Nausea & Vomiting / Spasm & Flatulence (Didn't give the correct answer or rationale)
To determine the nutritional adequacy of a tube feeding
Anthropometric, biochemical and clinical indexes should be assessed weekly.
For a patient with dysphagia, the food that would be most appropriate to swallow is (Select all that apply)
Applesauce/Mashed potatoes/Chocolate Pudding
The nurse is providing nutrition counseling for an obese adolescent. What is the most effective way for the nurse to obtain a nutrition history from this client?
Ask her what she ate yesterday if it was a typical day
Caregivers of an infant with a feeding button style gastrostomy tube mention to the nurse there is leaking present. What action should the nurse take?
Assess if the leakage is coming from valve failure or from the peristomal area.
If nutrition screening identifies a patient as being at high nutrition risk, the next step in their care would be nutrition:
Assessment by a registered dietitian
The most beneficial dietary change for a patient with cholelithiasis and cholecystitis would be to
Avoid fried foods and creamy sauces
A nurse has been teaching a client about a high-protein diet. The teaching is successful of the client identifies which meal as high protein?
Baked beans, hamburger, and milk
A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take?
Call the dietary department and ask for a kosher tray.
A client exercise regularly and wants to make sure that he has sufficient energy for his workouts. The type of nutrient that will be most helpful in providing the energy he needs is
Carbohydrates
A client who is nauseated and has lost 15 pounds (6.8kg) in one month. Which nutritional instruction would the nurse include in the place of care?
Eat frequent but small meals
The nurse is teaching the parent of a preschool-age child with celiac disease about a gluten-free diet. The nurse determines that teaching has been successful when the parent tells the nurse she will prepare which breakfast for the child?
Eggs and orange juice
Benefits of breastfeeding include:
Enhanced immune system in the infant
A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body?
Exposure to sunlight
All the following are methods used for the administration of Enteral Tube Feedings except:
Fast
Megaloblastic anemia is associated with:
Folate deficiency
A pregnant woman does not have funds to purchase adequate, nutritious food. She works part time at a low-wage job and has two other children. The nurse can refer the client to which type of assistance?
Food bank
Lack of dietary iodine in a patient's diet can be as a result of:
Goiter
The DRIs serve as a useful overall guide for promoting dietary and lifestyle choices for all people throughout life by recommending:
Ideal intakes for each nutrient according to age and gender
1. The nurse is educating a client on LDL and HDL; Exercise helps maintain healthy blood cholesterol levels by:
Increasing HDL level
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Oral rehydration solution
In a condition where there are low levels of niacin and low intake of animal protein, the population has a high risk for developing:
Pellagra
The nurse was instructing the patient on a new PEG tube, what does PEG stand for
Percutaneous Endoscopic Gastrostomy
A nurse is developing a plan of care for a client who practices Islam. Which of the following actions should the nurse include in the plan?
Request a meal tray without pork.
Feeding patient via the gastrointestinal (GI) tract is ________, is easier to administer, aids in maintain GI integrity, and is _______ than parenteral nutrition (PN)
Safer, less expensive
Margaret has been reading information from the Internet regarding the health benefits of coconut oil in the diet. It is important for Margaret to know that coconut oil contains what type of fat?
Saturated
A homeless man is brought into the emergency room with muscle weakness, loss of coordination, and tachycardia. He has alcohol on his breath. He may be suffering from a deficiency of:
Thiamin
Vitamin K deficiency could be a problem in someone who:
Uses antibiotics for several months
If an older adult develops delusions and hallucinations, it is important to check his or her blood levels of
Vitamin B12
A BMI of 18 would reflect a. underweight. b. normal weight. c. overweight. d. severe overweight.
underweight
A nurse working for a home health agency is assessing an older adult client. Which of the following findings is the priority for the nurse to address?
Dysphagia
The easiest way to measure fluid loss during a day of hard work in a hot climate is to:
Measure body weight at the beginning and at the end of the day
A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching?
Avoid eating within 3 hours of bedtime
A mother and grandmother bring a 2-month-old infant to the clinic for a routine checkup. As the nurse weighs the infant, the grandmother asks, "Shouldn't the baby start eating solid food? My kids started on cereal when they were 2 weeks old." Which response by the nurse would be most appropriate?
Babies can't digest solid food properly until they are 4 months old
The most important and unique role of dietary protein is to:
Build tissue
During an initial assessment of a patient, you learn that 8 cigarettes are smoked each day, on average. Under which part of the ABCD assessment approach would this information be recorded?
Clinical
A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client's food tray arrives, which of the following interventions should the nurse take to promote independence in eating?
Describe to the client the location of the food on the tray
If a physician orders a "diet as tolerated" for a patient, the nurse should:
Encourage the patient to normalize the diet as his or her appetite and symptoms allow.
A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply)
Excessive laxative use/Ignoring the urge to defecate/Inadequate fluid intake
A nurse is teaching a group of clients about the sources of omega-3 fatty acids. Which of the following food is a good source of omega-3 fatty acids?
Fish
Parents can help school-age children develop healthy eating habits by:
Leading by example and eating a diet that provides nutrient-dense foods
Mr. B is a patient with an ileostomy, the most significant nutritional concern for this patient is
Loss of fluid and electrolytes
Appropriate feeding tips to convey to parents of toddlers include
Offer a variety of foods but do not force the child to eat.
The practice that decreases the incidence of aspiration pneumonia and reflux of gastric contents into the esophagus and pharynx is achieved when
Patients should positioned with the head of the bed elevated 30-45 degrees for the tube feedings
A nurse is caring for a client who is receiving a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?
Piece of wheat toast
A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?
Spinach and Beef
A nurse is caring for a client with salmonellosis. Which of the following clinical manifestations would the client most likely exhibit?
Severe nausea/vomiting
The best menu choice for a patient with a severe wound who needs adequate vitamin C to help promote healing would be:
Stuffed green pepper
A nurse is caring for a client who has been told about the need for having a percutaneous feeding tube placed for enteral nutrition. The client is upset, crying and saying he or she can never go out and socialize again. What is the best response the nurse can give this client?
This must be hard for you. Can you tell me more?
A nurse is assessing a client with a food-borne illness from Escherichia Coli. Which food did the client most likely consume?
Undercooked ground beef
It would be beneficial for a 65-year-old woman to consume foods with calcium such as:
Yogurt
