Nutrition Final Exam Rasmussen A client calls into the nurse help line asking questions about his new diagnosis of a peptic ulcer. The client asks what might be possible causes of a peptic ulcer. - Answer -H-pylori and intake of NSAIDS A client is admitted with acute pancreatitis. What diet can the nurse expect to be initially prescribed? - Answer -NPO A client is admitted with urolithiasis (kidney stones). What prescription can the nurse expect from the health care provider? - Answer -IV Fluids A client recently placed on lipid -lowering statins brings you her food log. Which of the following breakfasts would indicate a need to re -educate her? - Answer -1 cup grapefruit juice, 4 slices of bacon, coffee with milk A client who has recently been placed on oral medication for his type 2 diabetes asks if he may continue to drink alcohol with his friends on the weekends. What is the nurse's best response? - Answer -Alcohol may increase the effect of your medication, so y ou need to drink small amounts, and keep an eye on your blood sugar. A client with chronic kidney disease consumes an excessive amount of sodium. What symptoms will this client likely exhibit? - Answer -Edema & Hypertension At least twenty percent of women will experience a urinary tract infection (UTI) in their lifetime. Regular consumption of which food may help prevent the occurrence of a UTI? - Answer -Cranberry Juice Carbohydrate counting is a useful tool in diabetes meal planning. How many grams of carbohydrate equals one carbohydrate serving? - Answer -15 Grams Diet for a patient on kidney dialysis is a vital aspect of maintaining biochemical control. What is one of the basic objectives in planning a diet for these patients? - Answer -Prevent dehydration & fluid overload During a client's recent colonoscopy, the health care provider found "pockets" in the colon and diagnosed diverticular disease. Based on the recent evidence, what dietary advice does the nurse give to the client? - Answer -Increase the fiber in the diet During an episode of acute exacerbation of inflammatory bowel disease, the client is unable to tolerate oral intake. What would be an appropriate form of nutrition? - Answer -Enteral feedings or total parenteral nutrition During your clinical rotation at the nursing home, your client is complaining of being constipated on a regular basis. You discuss with your client how to prevent constipation. What would you advise your client to avoid? - Answer -Frequent use of laxatives and enemas Flatulence is the condition of having excessive stomach or intestinal gas. Which foods are generally responsible for excess gas production? - Answer -Carbohydrates Food intolerance can represent another type of reaction to certain foods. Select the correct answer that describes a common food intolerance listed below. - Answer -Inability to digest lactose How many grams of carbohydrate are covered by one unit of short acting insulin? - Answer -15 g carbohydrates How much monounsaturated fat intake is recommended by the therapeutic lifestyle changes (TLC) diet for lowering serum cholesterol for clients with elevated low -density lipoprotein (LDL) levels? - Answer -Up to 20% of energy intake Most oral medications are subject to the first -pass mechanism. Which food interferes with this mechanism resulting in increased serum drug levels? - Answer -Grapefruit Juice Older adults may experience harmful drug -nutrient interactions for many reasons. What is one of the most likely causes? - Answer -Older adults are more likely to be taking several drugs. Oliguria is a primary sign of acute renal failure. Select the correct definition of oliguria. - Answer -
Secretion of a small amount of urine in relation to fluid intake
Secretion of a small amount of urine in relation to fluid intake
