Nutrition final Nurs120
A nurse indicates a good understanding of nasogastric tube feedings by the statement, one of the problems with this method of delivery is:
the risk of aspiration
When administering a supplemental enteral feeding, a bolus may be given:
to rapidly infuse a specified amount
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?
"I will reduce my intake of vitamin D-rich foods."
A nurse is caring for a client who has been receiving nasogastric tube feedings for 12 h. The nurse should monitor the client for symptoms of the dumping syndrome, which includes: (select all that apply)
Abdominal cramping diarrhea vomiting
Which of the following behaviors is correct when a nurse is administering a tube feeding?
Administer the formula at room temperature
Alba Perez has had a CVA affecting the right side of her body. Before initiating oral feeding for the first time, which nursing assessment is MOST important?
Assess her ability to swallow water before offering oral food/fluids
The nurse concludes that which behavior by the patient is consistent with adherence to a 2gm sodium restricted diet?
Avoiding the use of salt in cooking
What factors enhance bone formation? Select all that apply.
Calcium Phosphorus
A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?
Consume less than 0.8 g/kg of body weight of protein per day.
A nurse at a providers office is providing teaching to a client with chronic pain who is on long term pain medication (oxycodone). Which of the following should the nurse recommend to increase intake?
Fiber
Mr. Walter was newly diagnosed with Gout. What types of foods would you recommend for him?
Foods low in purine
A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemi-colectomy. Which of the following foods should the nurse instruct the client to avoid?
Fresh apples
A client with hypoparathyroidism is to be discharged home after stabilization of fluid and electrolyte levels. Which are critical concepts that the nurse should teach the client prior to discharge? (Select all that apply)
Importance of keeping follow-up appointments and laboratory testing. How to plan meals that included increased amounts of Ca+ and vitamin D Strategies that will help decrease the risk of falling
A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team?
Occupational therapist
While planning nutritional care, a nurse recalls the preferred method to provide nutrients is:
Orally
Which of the following interventions should the nurse institute to prevent dumping syndrome in the patient receiving enteral nutrition?
Start infusion slowly and in small amounts
A nurse is planning care for a client who is postoperative following a liver transplant and weighs 65 kg. Which of the following actions should the nurse plan to take?
Stress the importance of safe food-handling practices
A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
Supplements via nasogastric tube
B.D. is a 48-year-old woman with SLE who is on prednisone (a corticosteroid). She has a history of HTN, DM type 2, and peptic ulcer disease. Which of the following information would be important for her to know? (Select all that apply)
Take the prednisone in the morning, at least an hour before breakfast, for best results. Prednisone may cause some effect on your mood, most commonly depression Report signs of infection to your doctor. Increase calcium intake.
A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?
The client should follow a high-fiber diet to establish bowel regularity
Mrs. Jones is a post-menopausal woman and was diagnosed with Rheumatoid Arthritis. Her doctor started her on Prednisone and Sulfasalazine. What types of supplements would you encourage her to take? Select all that apply.
Vitamin D Calcium
Mr. Webb is receiving 300 ml of Jevity (liquid feeding) over a 20 minute period every four hours through a nasogastric tube. At his next scheduled feeding the nurse obtains a residual of 50 ml. The nurse should:
return the residual and give the next feeding
Dominic is receiving Regular (Novolin-R) insulin at 8:00 a.m. every day. He would most likely experience an insulin reaction
before lunch.
Before a nurse starts the transition from tube to oral feedings, which of the following behaviors should the nurse initiate?
check swallowing
Hydrolized enteral formulas:
contain partially or totally digested protein, fats or carbohydrates
Nursing intervention for a client with a diagnosis of hyponatremia includes all of the following, except
encouraging the intake of low sodium liquids.
A preventive intervention for the client with hypercalcemia is:
restricting dietary calcium by eliminating milk products.
Clients at risk for the development of pressure ulcers should be placed on which of the following diets?
high protein, high carbohydrate
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?
"I should eat more calories from complex carbohydrates than anything else."
A patient being treated with an oral cephalosporin (antibiotic) complains of nausea. The nurse should give which instruction?
"Take the drug with food."
A nurse is teaching a group of adults about nutrition. The nurse should include which of the following amounts as an appropriate daily intake of fiber for adult women?
20 to 35 g
A client has been started on psyllium methylcellulose (Metamucil). The nurse would teach this client to take this medication with:
A full glass of liquid, followed by a second glass
A nasogastric tube is placed in a comatose patient for nutritional support. The priority action taken prior to initiating feeding is:
obtain X-ray verification of placement
Which of the following is priority in patient education for all persons with diabetes regarding the prevention of hypoglycemia?
peak time of glucose lowering medication/s
A patient with Addison's Disease should consume which of the following diets?
Low carbs, High sodium
A client recovering from burns has been advanced to a general diet. Which foods should the nurse encourage the client to eat most often?
Meats, citrus fruits, milk
A nurse is caring for a client who has type 2 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener?
Nonnutritive sugar substitute
When a tube feeding is expected to be long term, and gastrointestinal function is normal, the best route may be
PEG tube
A nurse is caring for a client who is to receive a mechanically altered diet due to dysphagia following a CVA. Which of the following client food choices necessitates intervention by the nurse?
Piece of wheat toast
A hospitalized client has lost several pounds in the last week. The nurse reviews the client's lab results understanding that which test is the best indicator of acute nutritional changes?
Pre-albumin level
A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Protein
A nurse is caring for a client who has limited hand movement due to Rheumatoid arthritis. Which of the following actions should the nurse take to assist the client with feeding?
Provide an adaptive feeding device for the client.
Nursing measures to prevent aspiration when administering tube feedings include all of the following, except:
assess pulmonary secretions for signs of aspiration
Despite nursing encouragement, a client has refused to eat since admission five days ago. On admission her weight was 110. She now weighs 105 pounds. The physician ordered a tube feeding to be given every four hours. The nurse would expect the tube feeding to be initiated:
at a slow rate
When assisting a dysphagic client to eat, the nurse, should (select all that apply):
position the client in the semi-fowlers position offer fluids as ordered have the client slightly flex the neck for swallowing
In feeding a client with a cognitive impairment, the least helpful nursing action is to:
distract the client with conversation
The nurse teaching a family member how to position a client who is to receive tube feedings would suggest:
elevating the head of the bed at least 30 degrees before the feeding
The following statements are all true about feeding tubes except:
flush every hour during continuous feedings
Signs of possible aspiration may include all of the following except:
gastric distention
The most appropriate diet for the client with Grave's disease would be:
high calorie
