Nutrition Exam 1

A nurse in a providers office is assessing a client. The nurse determines the client's body mass index is 21.2. This finding is classified as which of the following?

Healthy weight

A nurse is teaching a client with heart disease about a low cholesterol diets. Which of the following client statements indicates the teaching was effective?

I should remove the skin from poultry before eating it

A nurse is reviewing the dietary choices of a client who has chronic pancreatitis. What type of food item should be removed from the clients meal tray the following day?

Ice cream

A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. What should the nurse include in the teaching?

Maintain supine position after meals

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in her mouth. What recommendation should the nurse say?

Offer mints

A nurse is teaching an assistive personnel about dietary restrictions of a client who is taking phenelzine to treat depression. The AP's selection of which food choice indicates understanding of the teaching?

chicken salad

A nurse is completing dietary teaching with a client who has heart failure and prescribed a 2g sodium diet. Which type of statement by the client indicates an understanding of teaching?

"I can have yogurt as dessert"

What should the nurse include in teaching about the purpose of bile produced by the gallbladder?

Digesting fats

A nurse if providing teaching to a patient who has COPD about maintaining proper nutrition. What kind of statement from the client indicates an understanding of the teaching?

"I will eat more cold foods at meals instead of hot meals"

A nurse is providing teaching to a client who has type II diabetes mellitus. the client states "I eat pasta everyday, I cant imagine giving it up." What kind of response should the nurse provide?

"You don't have to give up pasta, just adjust the amount you eat"

A nurse is planning care for a patient going through chemotherapy and has a protein deficiency. Which of the following interventions should the nurse plan to include in the plan of care?

- Mix powered skim milk into liquid milk -Add slice of cheese to hot veggies -Mix yogurt into fresh fruit

A nurse is teaching a client about foods that are high in fiber. Which of the following choices made by the client indicate an understanding of the teaching?

-Black beans -Whole-grain bread

A nurse is caring for a group of clients of a medical surge unit. Which disorder should the nurse identify as increasing the clients metabolic needs?

-COPD -Cancer -Parkinson's -Major Burns

A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of protein-calorie malnourishment?

-Dry brittle hair -Edema -poor wound healing

A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking?

-Hot dogs -Grapes -Bagels -marshmallows

A nurse is providing treatment to a client who has gout and urolithiasis. The client asks how to avoid future uric acid stones. What suggestion should the nurse provide?

-take allopurinol as prescribed -Exercise several times a week -limit intake of foods high in purine

A nurse is providing teaching to a client about calcium intake who is breastfeeding. What is the recommended daily calcium intake for a client who is breastfeeding?

1,000 mg

A nurse is calculating the protein needs for a young adult client who weighs 132 lbs. The RDA for protein for an adult who has no medical conditions is 0.8g. how many grams of protein should the nurse recommend for this client?

48 132/2.2= 60 kg 60 kg x 0.8= 48

How many amino acids must be obtained from dietary intake?

9

A nurse is caring for a client who is recovering at home after inpatient treatment for burns. To increase the protein density to meals, Which of the following nursing interventions should the nurse recommend to the clients caregiver?

Add chopped hard boiled eggs to soups and casseroles

A nurse if providing dietary teaching to a client with chronic renal failure. Which of the following food choices indicates an understanding of the teaching?

Grilled Fish

A nurse is assisting a client who has dysphagia while eating meals. What action should the nurse take?

Ask the client to think of a food that produces saliva

A nurse is planning dietary teaching of a patient who has diabetes mellitus. What action should the nurse plan to take first?

Ask the client which type of foods they prefer

A nurse is caring for a client who has AIDS and developed stomatitis. What type of intervention should the nurse include in the plan of care?

Avoid salty foods

A nurse is teaching dietary modifications to a client who was diagnosed with cirrhosis. What should the nurse recommend?

Grilled chicken

A nurse is reviewing lab reports for a client who is receiving enteral feedings. Which of the following values indicates a complication of the feeding that the nurse should report to the provider?

BUN 25mg/dL

A home health nurse is caring for a client receiving chemo and has neutropenia. which food item should the nurse include in the plan of care?

Baked Chicken

A nurse is creating a care plan for a client who adheres to kosher dietary laws. Which food selection should the nurse recommend?

Grilled salmon

The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN). Which of the following actions should the nurse take?

Check the patients capillary blood glucose level every four hours

A nurse is teaching to a client who has had a myocardial infarction about a low cholesterol diet. Which type of meal selection says the client understands the teaching?

Chicken breast & corn on the cob

A nurse is caring for a client who has diverticulitis and prescribed a low fiber diet. What type of food item should be removed from the clients meal tray?

Coleslaw

A nurse is providing teaching to a young adult client who has a history of calcium oxalate and renal calculi. Which type of instructions should the nurse include?

Consume 1,000 mg of dietary calcium daily

A nurse is reviewing a laboratory findings of a client who has protein-calorie malnutrition. What findings should the nurse expect?

Decreased Albumin

A nurse is caring for a client from the middle eat who has celiac disease. Which of the following actions should the nurse preform regarding the clients diet?

Determine the clients dietary preferences

A nurse is conducting dietary teaching with a client who has a history of renal calculi. What should the nurse include with teaching?

Drink 3.8 L (4 quarts) of water throughout the day

Which nutritional fact should the nurse include when talking to adult women?

Eat 2.5 cups of veggies a day

a nurse is providing postoperative knowledge of dumping syndrome to a client who had a partial gastrectomy. What should the nurse include in the teaching?

Eat proteins with each meal

A nurse is reviewing the lab results of a client who is in end stage renal disease and reports fatigue. The clients hemoglobin level is 8g/dl. a nurse should expect a prescription for which of the following medications?

Erythropoietin

__ serves as a stored energy source for the body. It provides __ cal/g of energy

Fats, 9

A nurse is caring for a client who has osteoporosis and a new prescription of calcium supplements. What type of food should the nurse recommend to promote calcium absorption?

Fortified milk

A nurse is reviewing a clients dietary recall within the last 24 hrs. The client reports eating a slice of toasted white bread with butter, a banana, a glass of milk, a cup of coffee for breakfast, ; grilled chicken, a baked potato, a glass of milk for lunch, an apple and cheddar cheese for a snack, 2 serving of chicken, 2 cups of broccoli, and another glass of milk for dinner. This clients diet is deficient in which type of food group?

Grains

A nurse is providing nutritional facts for a pregnant women. what is important for the client to increase in her daily diet?

Iron

Which mineral should the nurse identify that is involved in oxygen transportation?

Iron

A nurse is planning an in-service session about various dietary practices. What should the nurse include in the teaching?

Kosher diets have restrictions regarding how the food must be prepared.

What simple sugar should the nurse include in teaching as a carbohydrate found in milk?

Lactose

What food is considered to be an incomplete protein?

Lentils

A providers tells a client at 12 weeks gestation who practices Hinduism that she needs more protein in her diet and that she should eat more meat. After the providers leaves the examination room, the client tells the nurse that eating animal meat will cause her to miscarry. What response should the nurse make?

Lets discuss other protein sources you can eat besides meat.

A nurse is caring for a client who has anorexia due to a cancer treatment. What intervention should the nurse include?

Limit drinking liquids with food

A nurse is caring for an infant who has gastroenteritis and is dehydrated. which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client?

Longer intestinal tract

A nurse is providing teaching to an older adult client. The client asks " Don't I need the same amount of nutrients i did when I was younger?" What response should the nurse make?

Older adults need an increased amount of calcium

A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in digestions of proteins?

Pepsin

A nurse is providing treatment to a female client who has a new prescription for pravastatin to treat hyperlipidemia. What should the nurse include in the teachings?

Pravastatin can be taken with grapefruit juice

A nurse is teaching a client with Chronic kidney disease about predialysis dietary recommendations. What should the nurse say in regards to restriction to particular nutrients?

Proteins

A nurse is providing teachings to a client about nutrients. what should the nurse include?

Proteins build and repair body tissue

A nurse is providing in-service training sessions about nutrition. What would be important for the nurse to include?

Proteins serves as an energy source when other sources are inadequate

a nurse is caring for an older client who has dementia, gets up and paces while eating, and eats sparingly. what action should the nurse take?

Provide finger foods for the client

A nurse is caring for a client who is receiving intermittent feedings through an NG tube. the specific gravity to the clients urine is 1.035. Which of the following actions should the nurse take?

Provide more water with feedings

A nurse in a pediatric clinic is talking to a parent with a child that will not sit at the table to eat with the family. She asks for recommendations for finger foods for her child. What should the nurse suggest?

Slices of ripe banana

a nurse is caring for a client who is diagnosed with peripheral edema. The nurse should identify which of the following nutrients regulates extracellular fluid volume?

Sodium

A nurse is teaching a client who is lactose intolerant about dietary modifications. What should the nurse recommend?

Soy cheese

A nurse is caring for a patient with xerostomia with a lack of saliva. which of the following nutrients will be affected by the lack of salivary amylase?

Starch

Which definition for RDA should the nurse include in teaching?

THE RDA defines the level of nutrient intake that meet the needs of healthy people in various groups

A nurse is caring for a client who is receiving chemo of the mouth and is reporting dry mouth. What should the nurse recommend?

Use gravies or sauces to soften food

A nurse is conducting dietary teaching to a client who has AIDS. What instruction should the nurse include in teaching?

Use separate cutting board for poultry

A nurse is caring for a client who has pernicious anemia. The nurse should expect the clients provider to prescribe what medication for his client?

Vitamin B12

A nurse is caring for a client who has scurvy. What type of vitamin deficiency should the nurse identify as the cause of this disease?

Vitamin C

A client has a deficiency of vitamin D. What should the client add to their diet?

Whole milk

A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting, Which of the following statement should the nurse include in the teaching?

You should eat dry foods that are high in carbs right when you wake up

A nurse is planning care for a client who is post-operative following a gastrectomy. Which of the following strategies should the nurse include to prevent dumping syndrome?

eliminate simple sugars and sugar alcohols from diet

A nurse in providing teaching to a client who has constipation. which of the following instructions should the nurse include?

eat yogurt with live cultures