Questions and Rationales
What type of food allergy reactions would the nurse assess prior to administering epi? - correct
answer -nausea
-vomiting
-dyspnea
-itching
-dizziness
-headache
also: gasping for air, clenching throat, severe swelling on the face, etc. -these all indicate severe
anaphylaxis
Diet Management for an older adult with heart failure will include teaching to: - correct answer
-limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake
-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc (except
spinrolactone=K sparing)
A person with heart failure should have a daily sodium intake of: - correct answer 2000 mg or
less
Foods high in potassium: - correct answer apricots
bananas
potatoes
tomatoes
avocado
fish
spinach
,beans
Daily cholesterol intake should be less than: - correct answer 200 mg
DASH diet for HTN: - correct answer -low sodium
-high potassium
-high calcium
A client with diabetes that may be experiencing hypoglycemia should be instructed to: - correct
answer eat 15-20 g of carbs such as juice, soda, candies, honey, glucose tablets, etc.
General nutritional guidelines for a client with diabetes: - correct answer Carbs: 130 g/day from
grains, fruits, legumes, milk. No simple carbs.
Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of total daily caloric
intake, limit fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans, & soy products
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can be included in diabetic diet
as long as adequate insulin is available
A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following
should the nurse include in the teaching? Select all that apply.
A. Carbs should comprise 55% of daily caloric intake
,B. Use hydrogenated oils for cooking
C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods - correct answer A, C, D
Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia
Not E-carbs can be exchanged but not w/proteins
A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2
DM. Which of the following guidelines should the nurse include? Select all that apply.
A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences - correct answer A, B, C, E
To avoid hypoglycemia, the client should consume alcohol... - correct answer with a meal or
immediately after a meal
_______________can be included in a diabetic diet as long as adequate insulin or other agents
are provided to cover the sugar intake. - correct answer Sucrose (table sugar)
What food sources are high in protein? - correct answer meats
eggs
fish
nuts
beans
soy products
The nurse should instruct the diabetic client that their intake of carbohydrates should be
___to___% of total daily caloric intake. - correct answer 45-60%
, The nurse should instruct the diabetic client that they should limit their total daily cholesterol
intake to: - correct answer 200-300 mg/day
A diabetic client should be instructed that sat fats should account for less than __% of total
calories. - correct answer 7%
The USDA and HSS diet guidelines for fats: - correct answer -fats may average 30% of total
caloric intake
-less than 10% from sat fats
The USDA and HHS recommend to limit _______and _______foods to prevent occurrence of
dental caries. - correct answer sugar and starchy foods
The USDA & HHS recommends less than ________mg (about 1 tsp) of salt per day. - correct
answer 2300
USDA myplate recommended servings based on a 2000 calorie diet:
Grains=___oz
Veggies=______cups
Fruits=_______cups
Milk=____cups
Protein foods=_____oz
Oils=____tsp - correct answer grains=6 oz
veggies= 2 1/2 cups
fruits= 2 cups
milk= 3 cups
protein foods= 5 1/2 oz
oils= 6 tsp
Children & adolescents should be physically active for... - correct answer 60 min/day
Adults should engage in at least ____hr/week moderate level aerobic physical activity or
____hr/week of vigorous level aerobic physical activity. - correct answer 2.5 hr/week moderate
OR
1.25 hr/week vigorous level aerobic physical activity