Ati Nutrition 7.0
-Gastrointestinal Disorders: interventions for a Client who reports Difficulty Swallowing: Diff
dysphagia increased risk of aspiration.
-EDU: - ANS--Place the client in an upright or HIGH-Flowler's position NOT mid/medium
Fowler's to facilitate swallowing.
-EDU to avoid thin liquids and sticky foods.
A nurse is assessing a client who is postoperative from a gastric bypass and who just
finished eating a meal. Which of the following findings are manifestations of dumping
syndrome? - ANS--Dizziness
-Hypotension
-Diarrhea
A nurse is caring for a client with a BMI of 29 who expresses a desire to lose weight. Which
of the following actions should the nurse the first? - ANS-Use NURSING PROCESS.
-Determine the clients intention to change current eating habits.
Rationale: When using the nursing process, the nurse should first assess the client's
readiness to commit to a change in behaviors.
A Nurse is collecting Dara regarding a clients nutritional status. The nurse determines the
client is consuming 500 calories/day more than his energy levels requires. When will the
client have gained 4.5 kg (10lb)? - ANS--10 weeks.
Rationale: BC 1-lb of body fat is equivalent to 3,500 calories, 500 calories each day for 7
days would mean 3,500 calories total and a 1-lb gain per week. So, at the rate of 1 lb per
week, the client would gain 10 lb in 10 weeks.
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and
vomiting. Which of the following statements should the nurse include in the teaching? -
ANS--You should eat dry foods that are high in carbohydrates when you wake up.
Rationale: RN unstructured pt to eat foods high in carbs such as dry toast/crackers upon
waking or when nausea occurs.
A nurse is educating the parents of a toddler about appropriate snack foods. Which of the
following foods should the nurse include in the teaching? (Select all that apply.) -
ANS--Graham crackers are appropriate snack
-Apple slices are appropriate snack.
-Cheese cubes are appropriate snack
A nurse is planning care for a client who has a new prescription for peripheral parenteral
nutrition (PPN). Which of the following actions should the nurse include in the plan of care?
(Select all that apply) - ANS--Examine trends in weight loss.
-Review prealbumin finding (Help determine nutritional deficiency).
-Add a micron filter to IV tubing.
-Use an IV infusion pump.
A nurse is planning care for ac client who is postoperative following a gastrectomy. Which of
the following strategies should the nurse suggest to help prevent dumping syndrome? -
ANS--Eliminate simple sugars and sugar alcohols from the client's diet.
Rationale: Sugar, honey, and sugar alcohols such as sorbitol and xylitol increases Hyperion
and propel food through the intestines faster than food without sweeteners.
, A nurse is preparing to administer intermittent enteral feeding to a client. Which of the
following are appropriate nursing interventions? - ANS--Feeding bag filled only enough
formula 4 hr to prevent contamination.
-Discard feeding equipment after 24 hours
-Place unused portion of formula should be refrigerated up to 24 hr to prevent contamination.
-Flush the feeding tube every 4 hr
A nurse is preparing to administer intermittent enteral feeding to a client. Which of the
following are appropriate nursing interventions? (Select all that apply.) - ANS--Discard
feeding equipment after 24 hr.
-Place any unused formula in open cans in the refrigerator.
-Flush the feeding tube every 4 hr.
A nurse is reinforcing D/C Teaching w/client survived TIA. Which of the following instructions
should the nurse include? - ANS--Reduce dietary sodium.
Rationale: Common cause of TIA is atherosclerotic plaque in the carotid arteries and HTN;
client should limit sodium intake to help control hypertension and prevent future TIA's.
A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks
how to prevent future uric acid stones. Which of the following suggestions should the nurse
provide? (Select all that apply) - ANS--Exercise several times a week
-Limit intake of foods high in purine
-Take allopurinol as prescribed.
Rationale for Med: Allopurinol reduces levels of uric acid.
BMI - ANS--Underweight <18.5
-Normal 18.5-24.9
-Overweight 25-29.9
-Obese >30
Calculate BMI - ANS-weight(kg)/height(m)2 (squared).
CONVERSIONS:
1kg=2.2lbs
6'1=73 inches
1m=39.37
RATIONALE:
-208/2.2= 94.54 kg
-6'1 = 73 inches/39.37=1.85(squared)=1.85x1.85=3.4225
-94.54kg/3.4225= 27.62 BMI
Celiac Disease: - ANS--Gluten-sensitive enteropathy, celiac sprue, and gluten intolerance.
-Diarrhea, Abd pain, bloating, anemia, steatorrhea, and osteomalacia.
-Eliminate gluten, which is found in wheat, rye, and barley.
Celiac Disease: Education - ANS--Eat foods that are gluten-free (milk, cheese, corn, eggs,
potatoes, fruits, vegetables. fresh meats/fish, dried beans).
-Read labels on processed products. GRAVY MIXES, SAUCES, cold cuts, soups, and may
other products w/gluten.
Dumping Syndrome - ANS--GASTRIC RESIDUAL VOL EXCEEDS 250 mL-two consecutive
assessments. Continuous feeding should be held and the client's tolerance should be
re-assessed.
Dumping Syndrome - ANS--Rapid emptying into the small intestine.
-Until stomach empties, early manifestations: Fullness, Abd. Cramping, Nausea, Diarrhea,
and vasomotor (Faintness, syncope, diaphoresis, tachycardia, Hypotension, and flushing).
Late: Diaphoresis, weakness, tremors, anxiety, nausea, and flushing.
-Gastrointestinal Disorders: interventions for a Client who reports Difficulty Swallowing: Diff
dysphagia increased risk of aspiration.
-EDU: - ANS--Place the client in an upright or HIGH-Flowler's position NOT mid/medium
Fowler's to facilitate swallowing.
-EDU to avoid thin liquids and sticky foods.
A nurse is assessing a client who is postoperative from a gastric bypass and who just
finished eating a meal. Which of the following findings are manifestations of dumping
syndrome? - ANS--Dizziness
-Hypotension
-Diarrhea
A nurse is caring for a client with a BMI of 29 who expresses a desire to lose weight. Which
of the following actions should the nurse the first? - ANS-Use NURSING PROCESS.
-Determine the clients intention to change current eating habits.
Rationale: When using the nursing process, the nurse should first assess the client's
readiness to commit to a change in behaviors.
A Nurse is collecting Dara regarding a clients nutritional status. The nurse determines the
client is consuming 500 calories/day more than his energy levels requires. When will the
client have gained 4.5 kg (10lb)? - ANS--10 weeks.
Rationale: BC 1-lb of body fat is equivalent to 3,500 calories, 500 calories each day for 7
days would mean 3,500 calories total and a 1-lb gain per week. So, at the rate of 1 lb per
week, the client would gain 10 lb in 10 weeks.
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and
vomiting. Which of the following statements should the nurse include in the teaching? -
ANS--You should eat dry foods that are high in carbohydrates when you wake up.
Rationale: RN unstructured pt to eat foods high in carbs such as dry toast/crackers upon
waking or when nausea occurs.
A nurse is educating the parents of a toddler about appropriate snack foods. Which of the
following foods should the nurse include in the teaching? (Select all that apply.) -
ANS--Graham crackers are appropriate snack
-Apple slices are appropriate snack.
-Cheese cubes are appropriate snack
A nurse is planning care for a client who has a new prescription for peripheral parenteral
nutrition (PPN). Which of the following actions should the nurse include in the plan of care?
(Select all that apply) - ANS--Examine trends in weight loss.
-Review prealbumin finding (Help determine nutritional deficiency).
-Add a micron filter to IV tubing.
-Use an IV infusion pump.
A nurse is planning care for ac client who is postoperative following a gastrectomy. Which of
the following strategies should the nurse suggest to help prevent dumping syndrome? -
ANS--Eliminate simple sugars and sugar alcohols from the client's diet.
Rationale: Sugar, honey, and sugar alcohols such as sorbitol and xylitol increases Hyperion
and propel food through the intestines faster than food without sweeteners.
, A nurse is preparing to administer intermittent enteral feeding to a client. Which of the
following are appropriate nursing interventions? - ANS--Feeding bag filled only enough
formula 4 hr to prevent contamination.
-Discard feeding equipment after 24 hours
-Place unused portion of formula should be refrigerated up to 24 hr to prevent contamination.
-Flush the feeding tube every 4 hr
A nurse is preparing to administer intermittent enteral feeding to a client. Which of the
following are appropriate nursing interventions? (Select all that apply.) - ANS--Discard
feeding equipment after 24 hr.
-Place any unused formula in open cans in the refrigerator.
-Flush the feeding tube every 4 hr.
A nurse is reinforcing D/C Teaching w/client survived TIA. Which of the following instructions
should the nurse include? - ANS--Reduce dietary sodium.
Rationale: Common cause of TIA is atherosclerotic plaque in the carotid arteries and HTN;
client should limit sodium intake to help control hypertension and prevent future TIA's.
A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks
how to prevent future uric acid stones. Which of the following suggestions should the nurse
provide? (Select all that apply) - ANS--Exercise several times a week
-Limit intake of foods high in purine
-Take allopurinol as prescribed.
Rationale for Med: Allopurinol reduces levels of uric acid.
BMI - ANS--Underweight <18.5
-Normal 18.5-24.9
-Overweight 25-29.9
-Obese >30
Calculate BMI - ANS-weight(kg)/height(m)2 (squared).
CONVERSIONS:
1kg=2.2lbs
6'1=73 inches
1m=39.37
RATIONALE:
-208/2.2= 94.54 kg
-6'1 = 73 inches/39.37=1.85(squared)=1.85x1.85=3.4225
-94.54kg/3.4225= 27.62 BMI
Celiac Disease: - ANS--Gluten-sensitive enteropathy, celiac sprue, and gluten intolerance.
-Diarrhea, Abd pain, bloating, anemia, steatorrhea, and osteomalacia.
-Eliminate gluten, which is found in wheat, rye, and barley.
Celiac Disease: Education - ANS--Eat foods that are gluten-free (milk, cheese, corn, eggs,
potatoes, fruits, vegetables. fresh meats/fish, dried beans).
-Read labels on processed products. GRAVY MIXES, SAUCES, cold cuts, soups, and may
other products w/gluten.
Dumping Syndrome - ANS--GASTRIC RESIDUAL VOL EXCEEDS 250 mL-two consecutive
assessments. Continuous feeding should be held and the client's tolerance should be
re-assessed.
Dumping Syndrome - ANS--Rapid emptying into the small intestine.
-Until stomach empties, early manifestations: Fullness, Abd. Cramping, Nausea, Diarrhea,
and vasomotor (Faintness, syncope, diaphoresis, tachycardia, Hypotension, and flushing).
Late: Diaphoresis, weakness, tremors, anxiety, nausea, and flushing.
