RNSG 1533 Exam 2 Nutrition, Elimination, Fluid
& Electrolytes Study Guide
During the oliguric phase of AKI, the nurse monitors the patient for (select all that apply)
a. hypotension.
b. ECG changes.
c. hypernatremia.
d. pulmonary edema.
e. urine with high specific gravity. - ANSWER b. ECG changes.
d. pulmonary edema.
The percentage of daily calories for a healthy person consists of
a. 50% carbohydrates, 25% protein, 25% fat, and <10% of fat from saturated fatty acids.
b. 65% carbohydrates, 25% protein, 25% fat, and >10% of fat from saturated fatty acids.
c. 50% carbohydrates, 40% protein, 10% fat, and <10% of fat from saturated fatty acids.
d. 40% carbohydrates, 30% protein, 30% fat, and >10% of fat from saturated fatty acids. -
ANSWER a. 50% carbohydrates, 25% protein, 25% fat, and <10% of fat from saturated
fatty acids.
A complete nutrition assessment including anthropometric measurements is most
important for the patient who:
a. has a BMI of 25.5 kg/m2.
b. reports episodes of nightly nocturia.
c. reports a 5-year history of chronic constipation.
d. reports unintentional weight loss of 10 lb in 2 months. - ANSWER d. reports
unintentional weight loss of 10 lb in 2 months.
Which method is best to use when confirming initial placement of a blindly inserted
,small-bore NG feeding tube?
a. X-ray
b. Air insertion
c. Observing patient for coughing
d. pH measurement of gastric aspirate - ANSWER a. X-ray
A patient is receiving peripheral parenteral nutrition. The solution is completed before
the new solution arrives on the unit. The nurse gives:
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution - ANSWER b. 5% dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the
nurse carefully assesses the patient for (select all that apply)
a. hypokalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypomagnesemia.
e. hypophosphatemia. - ANSWER a. hypokalemia.
d. hypomagnesemia.
e. hypophosphatemia.
Malabsorption syndrome is: - ANSWER the impaired absorption of nutrients from the GI
tract.
What specific lab tests exist for malnutrition? - ANSWER There are no specific
laboratory tests for malnutrition. Diagnosis is made through the interpretation of lab
results of electrolyte panels, CBC, liver enzyme, serum levels of vitamins and minerals
, and serum electrolyte levels.
Which interventions would the nurse include in the care for a patient who underwent
transsphenoidal excision of the pituitary gland? (select all that apply)
a. Frequent monitoring of serum and urine osmolarity
b. Assessment of visual acuity and extraocular movement
c. Keeping the patient in a recumbent position at all times
d. Teaching the patient about the need for lifelong hormone therapy
e. Instructing the patient to blow their nose frequently to relieve cerebral pressure -
ANSWER a. Frequent monitoring of serum and urine osmolarity
b. Assessment of visual acuity and extraocular movement
d. Teaching the patient about the need for lifelong hormone therapy
A patient with lung cancer develops SIADH. Which are anticipated findings?
a. Hypernatremia and hyperkalemia
b. Thirst, muscle cramping, and headache
c. High urine output, weight gain, and vomiting
d. Weight gain and decreased glomerular filtration rate - ANSWER b. Thirst, muscle
cramping, and headache
The nurse reviews the laboratory results of a patient with primary hypothyroidism. The
nurse would expect to find
a. a low TSH.
b. an elevated TSH.
c. an elevated free T4.
d. decreased low-density lipoproteins (LDLs). - ANSWER b. an elevated TSH.
After thyroid surgery, the nurse suspects damage of the parathyroid glands when the
patient develops
& Electrolytes Study Guide
During the oliguric phase of AKI, the nurse monitors the patient for (select all that apply)
a. hypotension.
b. ECG changes.
c. hypernatremia.
d. pulmonary edema.
e. urine with high specific gravity. - ANSWER b. ECG changes.
d. pulmonary edema.
The percentage of daily calories for a healthy person consists of
a. 50% carbohydrates, 25% protein, 25% fat, and <10% of fat from saturated fatty acids.
b. 65% carbohydrates, 25% protein, 25% fat, and >10% of fat from saturated fatty acids.
c. 50% carbohydrates, 40% protein, 10% fat, and <10% of fat from saturated fatty acids.
d. 40% carbohydrates, 30% protein, 30% fat, and >10% of fat from saturated fatty acids. -
ANSWER a. 50% carbohydrates, 25% protein, 25% fat, and <10% of fat from saturated
fatty acids.
A complete nutrition assessment including anthropometric measurements is most
important for the patient who:
a. has a BMI of 25.5 kg/m2.
b. reports episodes of nightly nocturia.
c. reports a 5-year history of chronic constipation.
d. reports unintentional weight loss of 10 lb in 2 months. - ANSWER d. reports
unintentional weight loss of 10 lb in 2 months.
Which method is best to use when confirming initial placement of a blindly inserted
,small-bore NG feeding tube?
a. X-ray
b. Air insertion
c. Observing patient for coughing
d. pH measurement of gastric aspirate - ANSWER a. X-ray
A patient is receiving peripheral parenteral nutrition. The solution is completed before
the new solution arrives on the unit. The nurse gives:
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution - ANSWER b. 5% dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the
nurse carefully assesses the patient for (select all that apply)
a. hypokalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypomagnesemia.
e. hypophosphatemia. - ANSWER a. hypokalemia.
d. hypomagnesemia.
e. hypophosphatemia.
Malabsorption syndrome is: - ANSWER the impaired absorption of nutrients from the GI
tract.
What specific lab tests exist for malnutrition? - ANSWER There are no specific
laboratory tests for malnutrition. Diagnosis is made through the interpretation of lab
results of electrolyte panels, CBC, liver enzyme, serum levels of vitamins and minerals
, and serum electrolyte levels.
Which interventions would the nurse include in the care for a patient who underwent
transsphenoidal excision of the pituitary gland? (select all that apply)
a. Frequent monitoring of serum and urine osmolarity
b. Assessment of visual acuity and extraocular movement
c. Keeping the patient in a recumbent position at all times
d. Teaching the patient about the need for lifelong hormone therapy
e. Instructing the patient to blow their nose frequently to relieve cerebral pressure -
ANSWER a. Frequent monitoring of serum and urine osmolarity
b. Assessment of visual acuity and extraocular movement
d. Teaching the patient about the need for lifelong hormone therapy
A patient with lung cancer develops SIADH. Which are anticipated findings?
a. Hypernatremia and hyperkalemia
b. Thirst, muscle cramping, and headache
c. High urine output, weight gain, and vomiting
d. Weight gain and decreased glomerular filtration rate - ANSWER b. Thirst, muscle
cramping, and headache
The nurse reviews the laboratory results of a patient with primary hypothyroidism. The
nurse would expect to find
a. a low TSH.
b. an elevated TSH.
c. an elevated free T4.
d. decreased low-density lipoproteins (LDLs). - ANSWER b. an elevated TSH.
After thyroid surgery, the nurse suspects damage of the parathyroid glands when the
patient develops
