Nursing Fundamentals ch 24 Fundamentals of
Nursing Care concepts connections & skills Questions
with Correctly Answers Graded A Plus
A 75-year-old white male has been ill with nausea, vomiting, and diarrhea for the last 4 days. He
transferred from his long-term care (LTC) facility to your hospital. His weight 1 week ago at the LTC was
165 lbs (75 kg); today it is 156 lbs. (70.9 kg). Your assessment reveals hyperactive bowel sounds, a soft
and slightly tender abdomen in all four quadrants, and continued nausea and diarrhea but no vomiting in
the last 8 hours. He is afebrile with normal electrolyte values. What type of diet order would be the best
choice for him? What nursing interventions should you perform during your 7-to-3 shift? - CORRECT
ANSWER ✔️✔️ -Probably clear liquids until diarrhea and nausea resolve. Then advance according to the
patient's tolerance of each advancement. Higher percentages of calories and protein might be helpful in an
attempt to regain some of his weight loss. Interventions should include those of monitoring intake and
output, frequency of bowel movements along with description of characteristics of stools, assessment of
urine color, reassessment of bowel sounds every 4 hours, and assessment for abdominal distention or
cramping.
A diet that does not include solid foods and consists entirely of liquids through which you can see is what
type of diet? - CORRECT ANSWER ✔️✔️ -Clear liquid diet
A mechanical soft diet sometimes is ordered for patients with severe weakness and fatigue. Which of the
following nutrients is not abundant in this diet?
A) Protein
B) Fiber
,C) Fats
D) Vitamins - CORRECT ANSWER ✔️✔️ -Fiber
A patient has taken an H2 blocker for her ulcer disease for several years. She is careful to maintain a
nutritionally balanced diet, but a blood test shows that she is deficient in at least one major nutrient. H2
blockers are known to sometimes interfere with absorption of which nutrient(s)?
A) Vitamin B12
B) Vitamin C
C) Iron
D) Magnesium
E) Folate - CORRECT ANSWER ✔️✔️ -Vitamin B12
Iron
Folate
A patient is receiving total parenteral nutrition (TPN) via central venous catheter. The patient's wife is
concerned about his care and wants to know why the TPN bag is not changed as often as a regular IV bag
of solution would be. You respond by telling her the standard for changing the TPN bag is every...
A) 6 hours
B) 8 hours
C) 12 hours
, D) 24 hours - CORRECT ANSWER ✔️✔️ -24 hours
A tube that is inserted through the nose, down the esophagus, and into the stomach is known as ____. -
CORRECT ANSWER ✔️✔️ -Nasogastric tube
An adverse reaction to a food that does not involve the immune system, can stem from the body's lack of
digestive enzymes or an inability to use these enzymes, and generally is gastrointestinal in nature is called
______. - CORRECT ANSWER ✔️✔️ -Food intolerence
Anaphylaxis - CORRECT ANSWER ✔️✔️ -A life-threatening allergic reaction; involves swelling of the
upper respiratory tract, which can result in occlusion of the airway.
Anaphylaxis - CORRECT ANSWER ✔️✔️ -A life-threatening emergency, due to allergic reaction, that
involves swelling of the upper respiratory tract and that can result in occlusion of the airway.
Anorexia Nervosa - CORRECT ANSWER ✔️✔️ -An eating disorder marked by relentless self-starvation
in an effort to reduce the body weight below normal. This disorder is characterized by an excessive
leanness or wasting of the body, known as emaciation
Anorexia nervosa - CORRECT ANSWER ✔️✔️ -Relentless self-starvation in an effort to reduce the body
weight below normal
As a home health nurse, you will be caring for the patients below. Which patient is at greatest risk for
experiencing inadequate nutrition?
A) A 60-year-old white male recently diagnosed with type 2 diabetes
B) A 72-year-old widow who had a mild cerebrovascular accident (CVA) 3 days ago
C) A 25-year-old mother of two preschoolers, who is recovering from a tonsillectomy
Nursing Care concepts connections & skills Questions
with Correctly Answers Graded A Plus
A 75-year-old white male has been ill with nausea, vomiting, and diarrhea for the last 4 days. He
transferred from his long-term care (LTC) facility to your hospital. His weight 1 week ago at the LTC was
165 lbs (75 kg); today it is 156 lbs. (70.9 kg). Your assessment reveals hyperactive bowel sounds, a soft
and slightly tender abdomen in all four quadrants, and continued nausea and diarrhea but no vomiting in
the last 8 hours. He is afebrile with normal electrolyte values. What type of diet order would be the best
choice for him? What nursing interventions should you perform during your 7-to-3 shift? - CORRECT
ANSWER ✔️✔️ -Probably clear liquids until diarrhea and nausea resolve. Then advance according to the
patient's tolerance of each advancement. Higher percentages of calories and protein might be helpful in an
attempt to regain some of his weight loss. Interventions should include those of monitoring intake and
output, frequency of bowel movements along with description of characteristics of stools, assessment of
urine color, reassessment of bowel sounds every 4 hours, and assessment for abdominal distention or
cramping.
A diet that does not include solid foods and consists entirely of liquids through which you can see is what
type of diet? - CORRECT ANSWER ✔️✔️ -Clear liquid diet
A mechanical soft diet sometimes is ordered for patients with severe weakness and fatigue. Which of the
following nutrients is not abundant in this diet?
A) Protein
B) Fiber
,C) Fats
D) Vitamins - CORRECT ANSWER ✔️✔️ -Fiber
A patient has taken an H2 blocker for her ulcer disease for several years. She is careful to maintain a
nutritionally balanced diet, but a blood test shows that she is deficient in at least one major nutrient. H2
blockers are known to sometimes interfere with absorption of which nutrient(s)?
A) Vitamin B12
B) Vitamin C
C) Iron
D) Magnesium
E) Folate - CORRECT ANSWER ✔️✔️ -Vitamin B12
Iron
Folate
A patient is receiving total parenteral nutrition (TPN) via central venous catheter. The patient's wife is
concerned about his care and wants to know why the TPN bag is not changed as often as a regular IV bag
of solution would be. You respond by telling her the standard for changing the TPN bag is every...
A) 6 hours
B) 8 hours
C) 12 hours
, D) 24 hours - CORRECT ANSWER ✔️✔️ -24 hours
A tube that is inserted through the nose, down the esophagus, and into the stomach is known as ____. -
CORRECT ANSWER ✔️✔️ -Nasogastric tube
An adverse reaction to a food that does not involve the immune system, can stem from the body's lack of
digestive enzymes or an inability to use these enzymes, and generally is gastrointestinal in nature is called
______. - CORRECT ANSWER ✔️✔️ -Food intolerence
Anaphylaxis - CORRECT ANSWER ✔️✔️ -A life-threatening allergic reaction; involves swelling of the
upper respiratory tract, which can result in occlusion of the airway.
Anaphylaxis - CORRECT ANSWER ✔️✔️ -A life-threatening emergency, due to allergic reaction, that
involves swelling of the upper respiratory tract and that can result in occlusion of the airway.
Anorexia Nervosa - CORRECT ANSWER ✔️✔️ -An eating disorder marked by relentless self-starvation
in an effort to reduce the body weight below normal. This disorder is characterized by an excessive
leanness or wasting of the body, known as emaciation
Anorexia nervosa - CORRECT ANSWER ✔️✔️ -Relentless self-starvation in an effort to reduce the body
weight below normal
As a home health nurse, you will be caring for the patients below. Which patient is at greatest risk for
experiencing inadequate nutrition?
A) A 60-year-old white male recently diagnosed with type 2 diabetes
B) A 72-year-old widow who had a mild cerebrovascular accident (CVA) 3 days ago
C) A 25-year-old mother of two preschoolers, who is recovering from a tonsillectomy
