Nutrition EAQ

Which nursing assessment finding would indicate that a client receiving TPN has hyperglycemia?

fruity odor in breath

Which food would the nurse instruct a client to take diltiazem to avoid?

grapefruit juice

Which dietary modification help improve the nutritional status of a client with acquired immunodeficiency syndrome (AIDS)?

refraining from consuming fatty foods

How would the nurse position a client to practice supraglottic swallowing after tracheostomy

upright

The home health nurse provides education for a client with cancer of the tongue who will begin gastrostomy feedings at home. Which client statement indicated effective teaching?

"Before I start the procedure, I will measure the residual volume" establishes the absorption amount of the previous feeding Prevents adding excess feeding solution that may lead to abdominal distention, nausea, vomiting, and aspiration

An infant has been admitted with failure to thrive. The nurse knows that more education is needed when one of the parents makes which statement?

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

Which parental statement indicates the need for further education related to the potential for poor growth in na infant newly diagnosed with cystic fibrosis?

"My child will have a poor appetite, which will lead to poor growth" - CF patients typically have poor growth due to delayed bone growth, increase I2 demands, and decreased ability to absorb nutrients

Which information will the nurse include when providing education to the family o fan adolescent who was recently diagnosed with type 2 diabetes mellitus?

"The most important interventions are good nutrition and portion control" - at risk for becoming overweight promote proper weight Type I diabetes: - lifelong insulin - weight loss - antibodies against own cells - increase appetite, thirst, and urination

Which is the recommended protein intake for preschoolers?

13g/day

Which average daily caloric intake is appropriate in preschoolers?

1800

Which would the nurse consider before confronting the problem of obesity with individual children?

Familial and cultural influences are deciding factors in eating habits

The health care provider prescribes 1000 mL of TPN to be administered in 12 hours. Based on this prescription, how many milliliters of solution will be administered per hour?

83 mL/hr

One liter of 5% dextrose solution contains 50 grams of sugar. The nurse calculates that 3 L solution/day will supply approximately how many kilocalories?

600

Which process would the nurse use to determine the length of tube needed to reach a client's stomach for nasogastric feeding?

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

Which statement would a nurse make regarding the teenage diet?

Adolescents need high amounts of calories

The nurse records the client's weight and BMI at a healthy range, but the client states, "I wish I were as thin as my coworkers." Which culturally bound condition is the client at risk for developing?

Anorexia nervosa

A client expresses a complete lack of interest in food. How would the nurse document this finding in the client's medical record?

Anorexia- loss of appetite

Which is the rationale for calculating a BMI for age during a health maintenance assessment for school-age clients?

Assessing for obesity or overweight

Which recommendation would the nurse give when teaching a class about nutrition to a group of adolescents, taking into consideration the prevalence of overweight teenagers?

Decrease fast-food intake

Which malnourished condition may predispose a client to secondary immunodeficiency?

Cachexia

Which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis?

Calcitonin- prevents osteoporosis

Which action would the nurse take after contacting the primary health care provider of a post-surgical client complaining of nausea, fatigue, and a headache during the fourth hour of the infusion of TPN instituted via a central venous infusion who has an hourly urine output that is twice the amount of the previous hour?

Check the serum glucose level

Thick mucous gland secretions, elevated sweat electrolytes meconium ileus, and difficulty maintaining and gaining weight are associated with which autosomal recessive disorder?

Cystic fibrosis - impacted stool in newborn - cerebral palsy- motor disorder caused by damage to the brain - muscular dystrophy- muscular disorder - multiple sclerosis- progressive disintegration of the myelin sheath

By which process would TPN on an outpatient basis help a client with Crohn's disease prepare for surgery?

Decreasing fecal bulk and bowel stimulation - TPN provides rest for the bowel while the client awaits surgery - TPN does not prevent a bowel infection - TPN does not stimulate gastrointestinal secretions - TPN promotes positive nitrogen balance

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30-45 degrees

Which intervention would the nurse implement after determining that a client who sustained a CVA needs assistance with eating for optimum nutrition?

Encourage the client to participate in the feeding process

Which nursing intervention assists in decreasing the potential occurrence of pressure ulcer when providing care for a client with quadriplegia?

Frequently reposition the client on a scheduled basis

An abscess develops in an obese adult after abdominal surgery. The wound is healing by secondary intention. Which diet would the nurse expect the health care provider to prescribe to meet this clients immediate nutritional needs? 1. Low in fat and vitamin D 2. High in calories and fiber 3. Low i residue and bland 4. High in protein and vitamin C

High protein and vitamin C

Which is the cause of milk anemia in toddlers?

Increased milk intake (poor source of iron)

Which information would the nurse include when teaching parents about the basic problem in celiac disease?

Intolerance of gluten

Which foods identified by the mother of a child with celiac disease indicate that she understands which foods to avoid feeding the child?

Macaroni and cheese

Which statement is true about the diet plan for toddlers?

Milk should be supplemented with solid food items such as vegetables and fruits

Which statement is true about an appropriate diet for toddler?

Milk should be supplemented with solid food like veggies and fruits

The nurse identifies which weight category as reflective of a client's BMI of 25.5 kg/m^2?

Overweight

Which reponse indicates that the client receiving TPN is experiencing hyperglycemia? SATA

Polyuria, polydipsia, RR of 26 breaths/min

The parents of a preschooler tell the nurse that they try to instill good eating habits by asking the child to be at the table until their "plate is clean". Which condition is the child at risk for?

Poor eating habits

A client admitted with full-thickness burns 2 weeks ago, has lost an average of 1 lb of weight each day. Which dietary adjustments would the nurse recommend?

Provide high-protein drinks

When teaching an adolescent with type i diabetes about dietary management, which instruction would the nurse include?

Ready source of glucose should be available

Which goal is appropriate when treating anorexia nervosa? SATA

Repairing family interactions, the reinstitution of normal nutrition to counteract a state of malnutrition, and the correction of deficits and distortions in psychological functioning via psychotherapy

Which dietary restriction will the nurse expect to be included in the plan for a client with left ventricular failure?

Sodium reduces the amount of water retention, reducing cardiac workload

Which instruction would the nurse suggest to an adolescent who suspects their friend is using self-induced vomiting to keep weight down?

Talk to the school nurse about their concerns because they hace the responsibility for intervening, not their parent or their friend

When checking placement of a feeding tube, the nurse is unable to hear the air injected because of noisy breath sounds. Which action would the nurse take?

Try aspirating stomach contents

Which order should parents introduce new foods to a 5 month old who is now eating fortified cereal mixed with formula?

Vegetables and non citrus fruits

Which nutrients would the nurse teach the parents of a child with celiac disease to avoid?

Wheat and oat products along with rye and barley are major sources of gluten Celiac disease- gliadin fraction of these grains is not tolerated

Which foods would be eliminated form the diet of a child found to have celiac disease?

Wheat breads

School health nursing programs have which goal?

health promotion

Which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self-administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the 3 hours since that time?

hypoglycemia

a child who has iron deficiency anemia tells the nurse that they are dizzy in the gym. What is the development of this symptom?

insufficient cerebral oxygenation

Which enzyme breaks down milk products?

lactase