Nutrition

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."

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 an infant newly diagnosed with cystic fibrosis (CF)?

"My child will have a poor appetite, which will lead to poor growth."

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

"The most important interventions are good nutrition and portion control"

Which would be treatment goals in anorexia nervosa? Select all that apply. One, some, or all responses may be correct.

- The repairing of family interactions- The reinstitution of normal nutrition to counteract a state of malnutrition- The correction of deficits and distortions in psychological functioning via psychotherapy

When assessing a patient for malnutrition, the nurse would monitor for an increase in liver enzymes and a decrease in which water-soluble vitamin? Select all that apply. One, some, or all responses may be correct

-Biotin -Niacin -Folic acid -Riboflavin -Vitamin C

Which physical change would the nurse observe in a client with malnutrition? Select all that apply. One, some, or all responses may be correct

-Hypotension -Dry, dull hair -Abdominal edema -Delayed wound healing -Depletion of muscle mass

Which response indicates that the client receiving total parenteral nutrition is experiencing hyperglycemia? Select all that apply. One, some, or all responses may be correct

-Polyuria -Polydipsia -respiratory rate of 26 breaths/min

When caring for a client with anorexia nervosa, how many kilograms per week is a reasonable goal for weight gain?

1 kg/week

Which is the recommended protein intake for preschoolers?

13g/day

Which average daily caloric intake is appropriate in preschoolers?

1800

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

83mL/hr

Which reason would likely be the cause for a 65-inch (165 cm) tall 15- year-old girl weighing 80 lb (36.3 kg) being admitted to a mental health facility?

A desire to control her life

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.

When teaching an adolescent with type 1 diabetes about dietary management, which instruction would the nurse include?

A ready source of glucose should be available.

Which statement would a nurse make regarding the teenage diet?

Adolescents need high amounts of calories

Which is the rationale for calculating a body mass index (BMI)-for-age during a health maintenance assessment for school-age clients?

Assessing for obesity or overweight

Which B vitamin deficiency will result in Wernicke encephalopathy?

B1 (thiamine)

Which malnourished condition may predispose a client to secondary immunodeficiency?

Cachexia

A client with a body mass index (BMI) of 35 verbalizes the need to lose weight. The nurse encourages the client to lose weight safely by making which dietary change?

Decrease portion size and fat intake.

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

Encourage the client to participate in the feeding process.

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

Familial and cultural influences are deciding factors in eating habits.

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 client's immediate nutritional needs?

High in protein and vitamin C

Which is the cause of milk anemia in toddlers?

Increased milk intake

A client has been diagnosed with cholelithiasis. Which fact about the condition would the nurse recall when assessing this client for risk factors?

Individuals who are obese are more prone to this condition than those who are thin.

Which conclusion would the school nurse make about a female teenager who has anorexia nervosa and states that she thinks she is pregnant even though she has had intercourse only once, more than a year ago?

Is lacking knowledge that the disease can cause amenorrhea

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 an appropriate diet for toddlers?

Milk should be supplemented with solid food items like vegetables and fruits.

A parent is worried about the infant's excessive dependence on nonnutritive sucking. Which intervention will help decrease this dependence?

Prolonging the feeding time

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

Refraining from consuming fatty foods

Which role does shark cartilage play in the management of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS)?

Shark cartilage is a complementary therapy.

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.

The nurse is assessing a preschool child that has frequent episodes of diarrhea as well as poor oral hygiene and dental caries. Which is the most likely cause for the child's health issues?

The child consumes excessive amounts of fruit juice.

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

Wheat-based breads and cereals

Which nursing assessment finding would indicate that a client receiving total parenteral nutrition has hyperglycemia?

a fruity odor to the breath

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

anorexia

The nurse records the client's weight and body mass index (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

The nurse finds that an adolescent has episodes of binge eating followed by self-induced vomiting and strenuous exercise. Which condition is the adolescent likely to have?

bulimia

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

calcitonin

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 total parenteral nutrition (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

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

decreasing fecal bulk

Which action would the nurse take when interacting with an adolescent client who has anorexia nervosa?

follow unit guidelines

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

frequently reposition the client on a scheduled basis

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

grapefruit juice

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

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

intolerance of gluten

A client describes abdominal discomfort after ingestion of milk. Which enzyme, as a result of a genetic deficiency, would the nurse consider to be the cause of the client's discomfort?

lactase

The nurse provides education about signs and symptoms of hypoglycemia to a client with newly diagnosed type 1 diabetes. The nurse concludes that the teaching was effective when the client acknowledges the need to drink orange juice when experiencing which symptoms?

nervous and weak

When instructing a client to increase his or her potassium intake, which food would the nurse recommend?

orange

The nurse identifies which weight category as reflective of a client's body mass index (BMI) of 25.5 kg/m ?

overweight

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 (0.5 kg) of weight each day. Which dietary adjustment would the nurse recommend?

provide high-protein drinks

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

wheat and oat products

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

"Before I start the procedure, I will measure the residual volume"