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A nurse is assessing a client's risk for pressure injuries using a skin
risk assessment tool. The client eats more than half of most meals
but occasionally refuses a meal. Which of the following information
should the nurse document on the nutrition category of the skin risk
assessment tool?
a. 1 (very poor)
b. 2 (probably inadequate)
c. 3 (adequate)
d. 4 (excellent)
ANSWER: c. 3 (adequate)
A nurse is providing discharge teaching to a client who has
Parkinson's disease and a prescription for levodopa-carbidopa.
Which of the following foods should the nurse instruct the client to
consume with the medication?
a. 6 oz Greek yogurt
b. 1 oz cheddar cheese
c. six peanut butter crackers
d. one slice wheat toast
ANSWER: d. one slice wheat toast
,A nurse is teaching a client who has chronic kidney disease about
limiting dietary calcium intake. Which of the following food choices
should the nurse include in the teaching as having the highest
amount of calcium?
a. 1 cup low-fat yogurt
b. 1 oz cheddar cheese
c. 1 egg
d. 1/2 cup spinach
ANSWER: A. 1 cup low-fat yogurt
A nurse is caring for a client who is receiving intermittent enteral
feedings every 4 hr via an NG tube. Which of the following actions
should the nurse take to reduce the risk for aspiration?
a. check placement of NG tube once per day
b. place the client in semi-fowlers position
c. flush the tubing with 20 mL of water prior to each feeding
d. administer the formula chilled
ANSWER: b. place the client in semi-fowlers position
A nurse is admitting a client who has had a fever and diarrhea for the
past 3 days. Which of the following findings should indicate to the
nurse the client is dehydrated?
a. distended neck veins
b. orthostatic hypotension
c. weight gain
d. peripheral edema
ANSWER: b. orthostatic hypotension
A nurse is creating a plan of care for a client who has mucositis
following head and neck radiation therapy to treat cancer. Which of
the following interventions should the nurse include in the plan?
,a. encourage three servings of citrus foods daily
b. provide lemon-glycerin swabs for oral hygiene after meals
c. increase fluid intake to 2L per day
d. heart oral hygiene mouth rinses before use
ANSWER: c. increase fluid intake to 2L per day
A nurse is assessing a client who has an elevated blood pressure,
headache, and is sweating. The client recently started taking an
MAOl. The nurse should question the client regarding the
consumption of which of the following foods?
a. grapefruit juice
b. whole milk
c. whole grain bread
d. cheddar cheese
ANSWER: d. cheddar cheese
A nurse is providing teaching for a client who has COPD. Which of
the following instructions should the nurse include in the teaching?
a. eat at least three well-proportioned large meals a day
b. drink low-protein, low-calorie nutrition formulas between meals
c. avoid adding gravies and sauces to foods
d. consume food that are soft in texture and easy to chew
ANSWER: d. consume food that are soft in texture and easy to chew
A nurse is updating a plan of care for a client who is receiving
intermittent enteral feedings and is experiencing diarrhea. Which of
the following interventions should the nurse include in the plan?
a. discard the clients opened cans of formula within 48 hrs
b. administer the clients formula cold
c. feed the client in small, frequent volumes
d. consider a low-calorie formula for the client
, ANSWER: c. feed the client in small, frequent volumes
A nurse is providing nutritional teaching to the guardians of a 2-year-
old toddler. Which of the following snack foods should the nurse
recommend including in the toddler diet?
a. 1 cup of fruit gel bites
b. 1 cup of yogurt
c. 1/2 of a hot dog
d. 1/2 of a peanut butter and jelly sandwich
ANSWER: b. 1 cup of yogurt
A nurse is caring for a client who is receiving TPN therapy. Which of
the following findings indicates the client is experiencing a
complication of the therapy?
a. cardiac dysrhythmias
b. oliguria
c. hyperkalemia
d. neutropenia
ANSWER: a. cardiac dysrhythmias
A nurse is teaching about nutritional requirements for a client who is
starting a vegetarian diet. Which of the following information should
the nurse include in the teaching?
a. consume high-fat cheese to replace meats when on a vegetarian
diet
b. a vegetarian diet is high in vitamin B12
c. fewer. calories are required when on a vegetarian diet
d. include two servings per day of nuts when on a vegetarian diet
ANSWER: d. include two servings per day of nuts when on a
vegetarian diet