NUR 221 exam 2 questions with complete solution1

NUR 221 exam 2 questions with complete
solutions

2
Gemfibrozil is a lipid-lowering agent. It is given as part of a therapeutic regimen that also
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includes dietary counseling-specifically, the limitation of saturated and other fats in the
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diet. Beef contains fat, and its consumption should be limited. - answer-A client has
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been given a prescription for gemfibrozil. The nurse should instruct the client to limit
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which food while taking this medication?
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1. Fish
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2.Beef v


3.Spicy foods v v


4.Citrus products v




1
Poultry, eggs, meats, and dairy products are high in niacin. Tomatoes, potatoes, and
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strawberries are high in ascorbic acid (vitamin C). - answer-The nurse is providing
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dietary instructions to a client about food items that are high in niacin. Which food item
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should the nurse recommend as highest in niacin?
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1. Poultry
v


2.Potatoes v


3.Tomatoes v


4.Strawberries

4
Cabbage, tomatoes, potatoes, and strawberries are some of the foods that are high in
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vitamin C. Milk contains vitamins A and D and some B vitamins. Eggs contain B
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vitamins. Liver contains vitamins B6 (pyridoxine), B9 (folic acid), and K. - answer-The
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nurse is providing dietary instructions to a client about food items that are high in vitamin
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C. Which food item does the nurse recommend as being highest in vitamin C?
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1. Milk
v


2.Eggs v


3.Liver v


4.Cabbage

2
Liver and green leafy vegetables such as spinach are high in vitamin K. Fish contains
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vitamins A, D, and B12. Potatoes and strawberries are high in vitamin C. - answer-The
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nurse is providing dietary instructions to a client about the food items that are high in
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vitamin K. Which food item does the nurse recommend as being highest in vitamin K?
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1. Fish
v


2.Spinach v


3.Potatoes v

,4.Strawberries

1
Breast-feeding mothers with lactose-intolerant infants need to be encouraged to limit v v v v v v v v v v


dairy products. Milk is a dairy product. Alternative calcium sources that can be
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consumed by the mother include egg yolks, green leafy vegetables, dried beans,
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cauliflower, and molasses. - answer-The breast-feeding mother of an infant with lactose
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intolerance asks the nurse about dietary measures. The nurse should tell the mother to
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avoid which food?
v v v


1. Milk v


2.Egg yolks v v


3.Dried beans v v


4.Green leafy vegetables v v




2
Diet therapy for hypophosphatemia consists primarily of an increased intake of
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phosphorus-rich foods while decreasing the intake of calcium-rich foods. Fish, chicken,
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and organ meats are food items that are allowed, whereas cheese should be avoided
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because it is a calcium-rich food. - answer-The nurse is providing instructions to a client
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with hypophosphatemia. Which food item should the nurse instruct the client to avoid?
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1. Fish v


2.Cheese v


3.Chicken v


4.Organ meats v




2
The primary level is focused on prevention, and educational classes are a form of
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prevention. The secondary level is a screening level that entails such procedures as
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vision screening, mammography, or similar screening tests. The tertiary level is focused
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on rehabilitation skills. There is no basic level of prevention. - answer-The nurse is
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giving a presentation on good nutrition to a group of teenage mothers. Which level of
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prevention is the nurse implementing?
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1. Basic level
v v


2.Primary level v v


3.Secondary level v v


4.Tertiary level v




- answer-A postoperative client has been tolerating a full liquid diet, and the nurse plans
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to advance the diet to solid food as prescribed. Which assessment is most important for
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the nurse to make before advancing the diet to solids?
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1. Ability to chew
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2.Food preferences 3.Cultural preferences 4.Presence of bowel sounds
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4
The nurse teaches the client with tuberculosis to increase intake of protein, iron, and
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vitamin C. Foods rich in vitamin C include citrus fruits, berries, melons, pineapple,
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, broccoli, cabbage, green peppers, tomatoes, potatoes, chard, kale, asparagus, and
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turnip greens. Food sources that are rich in iron include liver and other meats. Less than
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10% of iron is absorbed from eggs, and less than 5% is absorbed from grains and
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vegetables. - answer-The nurse is teaching a client with tuberculosis about nutrition and
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foods that should be increased in the diet. The nurse should suggest that the client
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increase which food items?
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1. Potatoes and fish
v v v


2.Eggs and spinach v v v


3.Grains and broccoli v v v


4.Meats and citrus fruits v v v




1,4,6
Grapes, asparagus, and applesauce provide from 5 to 150 mg per serving. A large
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carrot provides 341 mg, spinach (3½ oz) provides 470 mg, and a medium avocado
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provides 700 mg of potassium. - answer-The nurse instructs a client who is at risk for
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hypokalemia about the foods high in potassium that should be included in the daily diet.
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The nurse determines that the client understands the food sources of potassium if the
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client states that which food items are lowest in potassium, providing less than 200 mg
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per serving? Select all that apply.
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1. Grapes
v


2.Carrots v


3.Spinach v


4.Asparagus v


5.Avocadoes v


6.Applesauce

1,4,5,6
The normal magnesium level is 1.3 to 2.1 mEq/L (0.65 to 1.05 mmol/L). Common food
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sources of magnesium include avocado, canned white tuna, cauliflower, green leafy
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vegetables such as spinach and broccoli, milk, oatmeal, peanut butter, peas, pork, beef,
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chicken, potatoes, raisins, and yogurt. Bacon is high in fat and sodium. Oranges are
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high in potassium. - answer-The nurse provides instructions to a client with a low
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magnesium level about the foods that are high in magnesium. The nurse should tell the
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client to consume which foods? Select all that apply.
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1. Peas
v


2.Bacon v


3.Oranges v


4.Cauliflower v


5.Peanut butter v v


6.Canned white tuna v v




1
Foods that are high in potassium include bananas, cantaloupe, kiwi, and oranges. Fruits
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low in potassium include apples, cherries, grapefruit, peaches, pineapple, and
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cranberries. - answer-The nurse provides dietary instructions to a client at risk for
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