QUESTIONS AND ANSWERS GRADED A+ MUST PASS
A nurse is caring for a client.
For each assessment finding, click to specify if the finding is consistent with dumping syndrome,
hypoglycemia, or refeeding syndrome. Each finding may support more than one condition.
- Diarrhea
- Timing of manifestations after eating
- Muscle weakness
- Nausea
- Abdominal cramping
- Sweating - Dumping Syndrome:
- Abdominal cramping
- Muscle weakness
- Nausea
- Diarrhea
- Sweating
Hypoglycemia:
- Muscle weakness
- Sweating
Refeeding Syndrome:
- Muscle weakness
A nurse is caring for a client.
,Click to highlight the findings that indicate an improvement in the client's condition. To deselect a
finding, click on the finding again.
- 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 posterior.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4 quadrants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds. - - Client is alert and oriented to person, place, time, and situation.
- Denies dizziness upon standing.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4 quadrants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds.
A client reports constipation during a routine checkup. The client was previously encouraged to increase
their intake of mineral supplements. Which of the following minerals should the nurse identify as the
possible cause of the constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium - - Calcium
Rationale: Calcium can lead to constipation by decreasing peristalsis.
, 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?
- "Your blood glucose levels need to be within a normal range before the parenteral nutrition can be
stopped."
- "You should consume at least 60 percent of your calories orally before the parenteral nutrition can be
discontinued."
- "You should have a weight gain of at least 1 kilogram per day before the therapy is stopped."
- "Your bowel movements need to be regular before the therapy can be discontinued." - - "You should
consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued."
Rationale: TPN can be discontinued when oral intake exceeds at least 60% of the client's estimated daily
caloric requirements.
A nurse is assessing 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?
- 1 medium banana
- 1/2 cup oatmeal
- 1 medium apple with skin
- 1/2 cup bran cereal - - 1/2 cup bran cereal
Rationale: 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 1/2 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?
- Flatulence
- Bloody stools