Depth Review and Solutions
A nurse is preparing to bottle feed an infant who has cleft lip. Which of the
following actions should the nurse take to reduce the risk of aspiration?
A. Burp the infant once at the end of feeding
B. Use a bottle that has a two-way valve
C. Place a low-flow rate nipple on the bottle
D. Squeeze the infant's cheeks together while feeding
(ANS- D. Squeeze the infant's cheeks together while feeding
The nurse should identify that an infant who has a cleft lip will have difficulty in
obtaining an adequate seal during feeding. The nurse should gently squeeze the
infant's cheeks together to decrease the width of the cleft, allowing the infant to
achieve a better seal, which reduces the risk of aspiration.
A nurse is preparing a health promotion seminar for a group of clients about cancer
prevention. Which of the following information should the nurse include?
A. Consume high-calorie foods and beverages at meal time
B. Eat at least 2.5 cups of fruit and vegetables each day
C. Plan to perform moderate-intensity exercise for 90 min/week
D. Limit alcohol consumption to no more than three drinks per day
(ANS- B. Eat at least 2.5 cups of fruits and vegetables each day
The nurse should include in the teaching that clients should eat at least 2.5 cups of
fruits and vegetables daily to help maintain body weight and reduce risk for cancer
of the lung and gastrointestinal system.
A nurse is teaching a client about stress management. Which of the following
statements by the client indicates an understanding of the teaching?
, A. "I will take a long walk every evening."
B. "I will keep a daily diet and activity log."
C. "I will avoid eating 1 hour before bedtime."
D. "I will drink a full glass with each meal."
(ANS- A. "I will take a long walk every evening."
Exercise has many benefits, including reduction of tension, promotion of
relaxation, and improved sense of well-being. All of these will assist the client in
stress management.
A nurse is providing dietary instructions for a client who has a prescription for
warfarin. Which of the following foods should the nurse recommend the client eat
in moderation while taking this medication?
A. Leafy green vegetables
B. Whole grains
C. Fruits with skin
D. Nuts and seeds
(ANS- A. Leafy green vegetables
The nurse should recommend the client eat in moderation and maintain consistent
intake of leafy green vegetables, which contain a natural form of vitamin K that
can negate the anticoagulation effects of warfarin.
A nurse in a long-term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following should the nurse identify as the
priority?
A. The client eats all of their cake and a few bites of bread
B. The client drools while eating
C. The client's hand trembles when they holds their spoon
D. The client chooses to sit alone during the meal
(ANS- B. The client drools while eating