RN Nutrition Online Practice 2024 A Exam Questions With Correct Answers

EXAM STUDY MATERIALS July 29, 2024 12:59 PM RN Nutrition Online Practice 2024 A Exam Questions With Correct Answers A nurse is caring for a client. Exhibit 1: Nurses' Notes: 2 months ago: Client discharged from hospital following total gastrectomy. Client tolerating full liquid diet. May advance to pureed diet in 1 week. Client instructed to schedule appointments with surgeon for monthly follow -up visits. Today: Client present s to surgeon's office for monthly follow -up visit. Client reports that they advanced their diet to a soft diet as instructed. Client states, "I am eating fine, but about 15 minutes after I eat, I get abdominal cramps, nausea, diarrhea, and it feels like my heart is racing. When that happens, my muscles feel weak, and I get sweaty." Exhibit 2: Vital Signs 2 months ago: Temperature 37° C (98.6° F)Heart rate 82/minRespiratory rate 14/minBlood pressure 129/84 mm HgSpO2 98% on room air Today: Temperature 37° C ( 98.6° F)Heart rate 62/minRespiratory rate 16/minBlood pressure 122/76 mm HgSpO2 99% on room air - answer✔✔Dumping syndrome: abdominal cramping, muscle weakness, nausea, diarrhea, and sweating that occur after eating. Hypoglycemia: muscle weakness and sweat ing. Refeeding syndrome: muscle weakness. Clients who have had a total gastrectomy are at risk for dumping syndrome due to the rapid emptying of food into the small intestine which stimulates bowel motility. Dumping syndrome can cause vasomotor responses, such as muscle weakness, flushing, tachycardia, and sweating which are similar to manifestations of hypoglycemia. A nurse is caring for a client. Exhibit 1: Nurses' Notes 0800: Client is admitted for treatment of hypovolemia due to vomiting and diarrhea f or 2 days. Client is awake, but lethargic. Reports dizziness upon standing and no urination since 1600 yesterday. Client states, "I feel like I am going to faint when I stand up." Heart rhythm regular, S1 and S2 present. Respirations even and non -labored, lung sounds clear bilaterally. Abdomen EXAM STUDY MATERIALS July 29, 2024 12:59 PM soft, non -distended, hyperactive bowel sounds. Bilateral extremities cool to the touch. Skin is dry and intact. Skin turgor with tenting noted. Capillary refill 4 seconds. 20 gauge IV initiated in left cephalic with 0 .45% sodium chloride infusing via infusion pump at 125 mL/hr. 2200: Client is alert and oriented to person, place, time, and situation. Denies dizziness upon standing. Heart rhythm regular. S1 and S2 present. Respirations even and non -labored. Lungs clear anterior and posteri - answer✔✔alert and oriented to person, place, time and situation, reports no dizziness upon standing, abdomen soft rounded with normoactive bowel sounds in all 4 quadrants, urine output 300 mL in past 8 hr, skin is warm, dry, and inta ct, and capillary refill is 2 seconds. These are expected findings for a client who has received IV fluids to treat a fluid volume deficit. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since they are now eating. Which of the following responses should the nurse make? a. "your blood glucose levels need to be within normal range before the TPN can be stopped" b. "you should consume at l east 60% of your calories orally before the parenteral nutrition can be discontinued" c. "you should have a weight gain of at least 1 kg per day before the therapy is stopped" d. "your bowel movements need to be regular before the therapy can be discontinu ed" - answer✔✔b. "you should consume at least 60% of your calories orally before the parenteral nutrition can be discontinued" TPN can be discontinued when oral intake exceeds at least 60% of the client's estimated daily caloric requirements. A nurse is as sessing the meal pattern of a client who has diverticular disease and a prescription for a high -fiber diet. Which of the following food choices by the client contains the most fiber? a. 1 medium banana b. 1/2 cup oatmeal c. 1 medium apple with skin d. 1/2 cup bran cereal - answer✔✔d. 1/2 cup of bran cereal A high -fiber diet is recommended for clients who have diverticular disease because bulky, soft stools are easier for the client to pass and result in decreased pressure within the colon. The nurse should determine that a ½ cup of bran cereal contains the most fiber at 10 g per serving. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding? EXAM STUDY MATERIALS July 29, 2024 12:59 PM a. flatulence b. bloody stools c. hyperem esis d. steatorrhea - answer✔✔a. flatulence Flatulence, bloating, cramping, and diarrhea are expected findings associated with lactose intolerance. A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the foll owing as a manifestation of hypoglycemia? a. confusion b. polydipsia c. vomiting d. ketonuria - answer✔✔a. confusion The nurse should recognize confusion as a manifestation of hypoglycemia. A nurse is assessing a client's risk for pressure injuries using a skin risk assessment tool. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the skin risk assessment tool? a. 1 (very poor) b. 2 (probab ly inadequate) c. 3 (adequate) d. 4 (excellent) - answer✔✔c. 3 (adequate) A client who eats more than half of most meals, occasionally refuses a meal, and has four servings of protein each day scores a 3 (Adequate) in the nutrition category of the skin ris k assessment tool. A nurse is providing dietary teaching about increased zinc intake for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc? a. 1 c up of apple slices b. 4 oz low -fat cottage cheese c. 4 oz ground beef patty d. 1 cup of raw spinach - answer✔✔c. 4 oz ground beef patty.