Chapter 35 Nutrition
Question 7 of 20 A nurse documents a client's hemoglobin as 8 g/dL. What nutritional condition does this biochemical data signify? Malabsorption Dehydration Malnutrition Anemia SUBMIT ANSWER
Anemia
Question 20 of 20 The nurse is caring for a client who refuses most foods on the dietary tray. Which nursing intervention is appropriate? Contact the healthcare provider to prescribe an appetite stimulant. Delegate feeding assistance to the unlicensed assistive personnel. Assess when client generally eats meals. Allow the client privacy during mealtime. SUBMIT ANSWER
Assess when client generally eats meals
Question 2 of 20 After reviewing the client's chart, the nurse notes that the client has been ordered a clear liquid diet. Which meal tray would the client be allowed to eat? Fat-free broth, ginger ale, and custard Bouillon, apple juice, and gelatin Clear broth, hot tea, and yogurt Cream of wheat, cranberry juice, and milk SUBMIT ANSWER
Bouillon, apple juice, and gelatin
Question 4 of 20 A woman consumes pasta, grains, and other carbohydrates for which purpose? Source of fiber Energy Weight gain Weight loss SUBMIT ANSWER
Energy
Question 14 of 20 Which factor does not increase the basal metabolic rate? Stress Fever Exercise Growth SUBMIT ANSWER
Exercise Exercise increases metabolic demands beyond the basal metabolic
Question 12 of 20 The nurse is performing a nutritional assessment of an obese client who visits a weight control clinic. What information should the nurse take into consideration when planning a weight reduction plan for this client? Psychological reasons for overeating should be explored, such as eating as a release for boredom. One pound of body fat equals approximately 5,000 calories. To lose 1 pound/week, the daily intake should be decreased by 200 calories. Obesity is very treatable, and 50% of obese people who lose weight maintain the weight loss for 7 years. SUBMIT ANSWER
Psychological reasons for overeating should be explored, such as eating as a release for boredom.
Question 9 of 20 A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client's level of malnutrition? Hemoglobin Serum albumin Creatinine Oxygen saturation SUBMIT ANSWER
Serum albumin Serum albumin levels can help measure protein levels in the body and are good indicators for nutrition status. The other choices would not reflect malnutrition status
Question 6 of 20 A physician orders nutritional therapy administered via a central vein for a patient who cannot take foods orally. What is the term for this type of nutrition? Total parenteral nutrition (TPN) Percutaneous endoscopic jejunostomy tube (PEJ) Partial or peripheral parenteral nutrition (PPN) Percutaneous endoscopic gastrostomy tube (PEG) SUBMIT ANSWER
Total parenteral nutrition (TPN
Question 10 of 20 A client who follows a vegetarian diet should include which foods to maintain a healthy diet? chocolate and wine legumes and vegetables processed white bread red meat SUBMIT ANSWER
legumes and vegetables
Question 13 of 20 A 16-year-old adolescent informs her nurse that she became a vegetarian 1 year ago. Lately she is reporting fatigue and has trouble concentrating. A quick blood test ordered by her licensed provider informs the nurse that she has pernicious anemia. This is a deficiency of what vitamin? Vitamin C Vitamin A Vitamin B12 Folic acid SUBMIT ANSWER
Vitamin B12
Question 8 of 20 A client has developed dysphagia secondary to a cerebrovascular accident. The nurse is aware that the client is at risk for: aspiration. confusion. gastritis. incontinence. SUBMIT ANSWER
aspiration
nurse is working with a 46-year-old woman who is working to lose weight. Based on recommendations from the USDA regarding diet modification, which is not appropriate advice for this client?
drink juice for majority of fluid intake
Question 1 of 20 Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. This finding indicates the client is: extremely obese. normal weight. obese. underweight. SUBMIT ANSWER
extremely obese
Question 5 of 20 A client who has bleeding tendencies has a deficiency in which vitamin? Vitamin C Vitamin B Vitamin A Vitamin K SUBMIT ANSWER
k
Question 3 of 20 A client with influenza is prescribed a diet that is rich in fiber and carbohydrates. Which would the nurse incorporate into the education plan as a major reason for the high fiber diet? regulation of osmotic pressure in the blood maintenance of normal bowel elimination production of hemoglobin to carry oxygen to tissues promotion of energy storage in adipose tissue SUBMIT ANSWER
maintenance of normal bowel elimination
Question 11 of 20 A nurse is caring for a client who has a body mass index (BMI) of 26.5. Which category should the nurse understand this client would be placed in? Overweight Underweight Obese Healthy weight SUBMIT ANSWER
overweight
Question 15 of 20 A nurse is working with a 45-year-old construction worker. The nurse obtains his height and weight and calculates that his BMI is 28. How would the nurse best classify James? Obese Underweight Overweight Ideal body weight (IBW) SUBMIT ANSWER
overweight
Question 18 of 20 Which clients, at risk for poor nutritional intake, would benefit from nutritional counseling from the nurse? (Select all that apply.) people with substance abuse problems older adults living on fixed incomes individuals who prefer to purchase food from local farmers children of middle-income parents pregnant teenagers SUBMIT ANSWER
people with substance abuse problems older adults living on fixed incomes pregnant teenagers
Question 19 of 20 Which food choice should the nurse include in the plan of care for client who wants to increase the dietary intake of omega-3 fatty acids? spinach salmon low-fat milk granola SUBMIT ANSWER
salmon
Question 16 of 20 A 66-year-old woman has atrial fibrillation for which she is on warfarin therapy. She asks the nurse if she has any dietary restrictions. The nurse would need to monitor the client's intake of: mangos. broccoli. bananas. spinach. SUBMIT ANSWER
spinach
