Lectures - NCLEX REVIEW
QUESTIONS AND VERIFIED
CORRECT ANSWERS
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-Rapid growth: Birth weight doubles by 4 to 6 months and triples by 1 year
-Breast milk &/or Formula for the first 6 months
-Iron supplements after 4 months (makes stool black or dark green, can cause constipation) (use
straw and rinse mouth can make mouth gross)
-Cow's milk should not be introduced into the diet until after 1 year of age because protein and
mineral content stress the immature kidneys
Toddlers Diet - CORRECT ANSWER-Toddlers
- grow 2 to 3 inches in height and gain approximately 5 to 6 lb/year.
-Limit 100% juice to 4 to 6 oz a day.
-Finger foods
-Increased risk for choking until 4 years of age.
-Loves routine and try to be independent
Preschoolers Protein - CORRECT ANSWER-13-19 grams a day
, Childhood Obesity - CORRECT ANSWER-Overweight/obesity affects at least 20% of children.
Greater psychosocial implications exist for children than adults.
Overweight children tend to be obese adults.
Prevention is essential. Encourage healthy eating habits, decrease fats and sugars (empty-
calorie foods), and increase the level of physical activity.
-Limit screen time
Older Adults Diet - CORRECT ANSWER-Older adults can have oral problems (ill-fitting dentures,
difficulty chewing or swallowing), and a decrease in salivation or poor dental health.
Older adults have decreased cellular function and reduced body reserves, leading to decreased
absorption of multiple vitamins and minerals as well as reductions in insulin production and
sensitivity.
Older adults have a decreased lean muscle mass. Exercise can help to counteract muscle mass
loss.
The loss of calcium can result in decreased bone density in older adults.
-Risk for Osteoporosis-increase Ca and Vitamin D, wt. bearing exercises.
Older adults can have difficulty chewing, in which case mincing or chopping food is helpful. They
can have difficulty swallowing food, and thickened liquids can decrease the risk for aspiration.
, Levels of Solid Textyres Dysphagia - CORRECT ANSWER--Level 1: Pureed. Foods are totally
pureed to a smooth consistency with a pudding-like
-Level 2: Mechanically altered. Soft-textured, moist, semi-solid foods that are easily chewed and
swallowed (ground meat served with gravy, chicken or tuna salad, well-moistened pancakes
with syrup, poached eggs, soft canned or cooked fruit).
-Level 3: Advanced. Near-normal textured foods that are moist (moist tender meats or
casseroles, breads that are not crusty, moist potatoes, soups, rice, and stuffing). Hard, sticky
foods are eliminated.
Level of Liquid Consistencies Dysphagia - CORRECT ANSWER-LEVELS OF LIQUID CONSISTENCIES
-Thin: Non-restrictive.
-Nectar-like: Liquids that are thin enough to sip through a straw but thicker than water.
-Honey-like: Liquids that do not maintain their shape when poured but are thickened. They can
be eaten with a spoon but cannot be sipped through a straw
-Spoon-thick: Liquids thickened to maintain their shape and need to be eaten with a spoon
Enteral Nutrition - CORRECT ANSWER-Used when a client cannot consume adequate nutrients
and calories orally but has a gastrointestinal (GI) system that functions at least partially.
Continuous: Formula is administered at a continuous rate over a 24-hr period.
Intermittent: Formula is administered every 4 to 6 hr in equal portions of 250 to 400 mL,
typically over a 30- to 60-min time frame, usually by gravity drip or an electronic pump.
Flush the tubing with 15 to 30 mL of warm water every 4 hr for continuous infusion, after
measuring gastric residual, before and after bolus feedings, and between each medication
administration.
Monitor Residual