chp 32

A client has been experiencing severe diarrhea due to colitis. The client asks the nurse what foods can be eaten on a low-residue diet. Which foods can the nurse encourage the client to consume on a low-residue diet? 1. Ground and well-cooked meats, chicken, and fish 2. Seafood 3.Fried eggs and mild cheese 4.Fruit and vegetable juices with pulp A) 1,2 B) 1.4 C) 2. 3 D) 3, 4

A

A postsurgical client is anxious to start eating again. The nurse is reviewing the progression of diets to expect after surgery. What is the correct sequence of progression of diets following surgery? 1. Clear liquid 2. Soft diet 3. Full liquid diet 4. Regular diet A) 1, 3, 2, 4 B) 2, 1, 4, 3 C) 3, 1, 2, 4 D) 4,2, 1, 3

A

A therapeutic diet may be prescribed as part of the treatment of more than one disease or condition. What reason should the nurse provide the client about a therapeutic diet for diabetes? A) Regulates the amount of certain nutrients B) Decreases body weight by limiting calories and fat C) Reduces or preventing edema by controlling the level of sugar D) Helps an overburdened organ regain normal function

A

The nurse educator is reviewing the different enteral tube feeding devices for nutritional support with their placement sites with a group of nursing students. Which student nurse response demonstrates an understanding of the proper placement of a button feeding device? A) A small silicone device used in place of a gastrostomy tube B) Devise placed with an endoscopic instrument C) Inserted through the nose into the stomach D) Placed through the skin into the stomach

A

The nurse is reviewing the electronic medical record and notes that the assigned client is diagnosed with malabsorption syndrome. Which diet should the nurse anticipate is ordered for the client? A) High fat B) Protein restricted C) Fat controlled D) Sodium controlled

C

A nurse is assessing a client who has been admitted to the floor. The nurse documents that the client is edentulous. Based on this information, which would be the most appropriate anticipated diet ordered by the primary care provider for this client? A) Digestive soft diet B) Mechanical soft diet C) Clear liquid diet D) Full liquid diet

B

A nurse is caring for a client who is on NPO for 4 days and is not receiving any nutritional support. What is the best therapeutic nursing intervention that the nurse can perform? A) Start immediate administration of supplemental feedings. B) Bring the concern to the attention of the primary care provider. C) Reassess the client's complaint of hunger. D) Offer clear liquids to the client.

B

A nurse is caring for a client who needs assistance while eating. What therapeutic nursing intervention should the nurse perform to make this client comfortable during meals? A) Provide thick liquids to the client. B) Allow a family member to feed the client. C) Teach the client to locate the food on the plate. D) Describe the food to the client.

B

A nurse is caring for a client with a swallowing disorder. Which therapeutic nursing intervention should be considered when feeding this client? A) Separate the food according to the water content. B) Encourage the client to swallow each portion of food. C) Tell the client to take a small sip of water after each portion. D) Talk with the primary care provider about an order for a semiliquid diet.

B

The nurse has noted polydipsia on the history of the client for whom the primary care provider has ordered fluid restriction. Which suggestion is best to help the client with compliance? A) Chew gums and candies to avoid fluid intake. B) Take half the fluids in the day and half in the evening. C) Take regular or diet soda at regular intervals. D) Take frozen fruit juices often.

B

The nurse is reviewing a variety of therapeutic diets with a group of nursing students. The nurse asks the student nurses to identify the related health condition for which a high-fat diet would be prescribed by the primary care provider. Which would be the best response by the student nurse for the health condition that a ketogenic diet would be prescribed? A) Diabetes mellitus B) Seizure disorder in a child C) Gastroesophageal reflux disease D) Hyperlipidemia

B

The nurse is reviewing with a group of nursing students that the optimal modified diet in theory may not be practical for an individual in either the home or clinical setting. What are reasons that an optimal modified diet may not be practical? 1. Person's prognosis 2. Religious or ethnic background 3. Receives appropriate nutrients in peripheral parenteral nutrition 4. Support systems 5. Co-existing medical conditions A) 1, 2, 3, 4 B) 1,2, 4, 5 C) 1, 3, 4, 5 D) 2, 3, 4,5

B

A client is on dialysis and is on a protein-restricted diet. The client weighs 60 kg. Based on the client's weight, what is the amount of protein allowed on this client's diet? A) 12-16 g B) 24-32 g C) 36-48 g D) 48-60 g

C

A nurse is caring for a client who is bedridden. To establish a bladder routine, what should the nurse encourage the client to do? A) Increase fluid intake B) Decrease protein intake C) Perform mild exercises D) Eat a low-calorie diet

C

A nurse is caring for a client who is on a full liquid diet with nutritional supplements for a week. What side effects of these supplements should the nurse monitor in the client? A) Nausea B) Dizziness C) Diarrhea D) Obesity

C

A nurse is caring for a client with severe edema who has been prescribed moderate sodium restriction. Which quantity of sodium intake should be recommended to the client? A) Recommend more than 4,000 mg per day B) Recommend 250 to 500 mg per day C) Recommend 1,000 to 2,000 mg per day D) Recommend 3,000 to 4,000 mg per day

C

The nurse has several roles in providing nutritional support to a client. What should a nurse know about the administration of medications and dietary considerations? A) Medications should be taken with bland diet for easier absorption. B) It is best to alternate medications with similar functions. C) Some medications have reactions with certain foods. D) Clients' likes and dislikes of certain foods may affect medication absorption.

C

The nurse is reviewing a variety of therapeutic diets with a group of nursing students. The nurse asks the student nurses to identify the related health condition for which a high-protein diet would be prescribed by the primary care provider. Which would be the be prescribed? best response by the student nurse for the health condition that a high-protein diet would A) Diabetes mellitus B) Seizure disorder in a child C) Hepatitis D) Hyperlipidemia

C

A client has been prescribed a lactose-restricted diet by the physician. Based on this dietary order, for what should the nurse assess the client after ingesting lactose? A) Nausea B) Irritation C) Dizziness D) Cramping

D

A client is started on peripheral parenteral nutrition. The nurse asks the nursing student to explain the difference in a preclinical conference between peripheral parenteral nutrition and total parenteral nutrition. What information did the student nurse correctly state about peripheral parenteral nutrition? A) Used when the gastrointestinal tract is functioning improperly B) Infused directly into the blood circulation C) Surgically placed into the central vein near the heart to allow the concentrated solution to be diffused quickly into circulation D) Infusions must be hypotonic or isotonic to prevent dehydration and electrolyte imbalance

D

A client is started on total parenteral nutrition. The nurse asks a nursing student to explain the difference in a preclinical conference between peripheral parenteral nutrition and total parenteral nutrition. What information did the student nurse correctly state about total parenteral nutrition? 1. Contains lesser concentration of the same ingredients found in peripheral vein TPN 2. Used to promote protein synthesis and weight gain 3. Provides more calories than peripheral parenteral nutrition 4. Specifically formulated and calculated solution that is nutritionally complete A) 1,2 B) 1,4 C) 2, 3 D) 3, 4

D

A nurse is caring for a client with severe cardiovascular disease that has been placed on a 1,500-mL fluid restriction. Which is the most important therapeutic nursing intervention that the nurse should monitor in this client? A) Calories consumed B) Appetite at each meal C) Content of between-meal snacks D) Fluid intake and output

D

The nurse educator is differentiating between a house diet, modified diet, and therapeutic diet with a group of nursing students. Which statement by a student nurse indicates the need for further teaching about the types of diets? A) A house diet is the diet most frequently ordered. B) A house diet allows a wide choice of foods. C) A modified diet is an important part of therapy for many diseases. D) A therapeutic diet is prescribed according to the client's ability to tolerate food.

D

The nurse is reviewing a variety of therapeutic diets with a group of nursing students. The nurse asks the student nurses to identify the related health condition for which a fat- controlled diet would be prescribed by the primary care provider. Which would be the best response by the student nurse for the health condition that a fat-controlled diet would be prescribed? A) Diabetes mellitus B) Before and after intestinal surgery C) Gastroesophageal reflux disease D) Hyperlipidemia

D