NURSING 250Nutrition Proctored completed ; Answers provided

NURSING 250Nutrition Proctored completed ; Answers provided 1. A nurse is teaching a group of older adult clients about dietary needs. Which of the following statements should the nurse include in the teaching? A. Older adults should decrease their calorie intake B. Older adults should decrease their vitamin D intake C. Older adults should decrease their fber intake D. Older adults should decrease their zinc intake. 2. A nurse is caring for a client who is receiving parenteral nutriton and has a new prescripton for probiotc therapy. Which of the following fndings indicates the therapy is effectve? A. Client has sof, formed bowel movements B. Client’s mucous membranes are pink C. Client reports ability to complete ADLs D. Client’s blood glucose level is within the expected reference range 3. A nurse is planning care for a client who is to have a mechanically altered diet following a stroke which of the following foods should nurse recommend to include in the client’s diet? A. Mashed potatoes B. Ice cream C. Ground meat D. Strawberries E. Raw broccoli 4. A nurse is teaching a client who has hemoglobin of 10 g/dl about dietary interventons. Which of the following menu selectons by the client indicates an understanding of the teaching? A. Apple slices B. Cotage cheese C. Beef liver D. Baked potato 5. A nurse is caring for a client who is receiving chemotherapy and reports a loss of appette. Which of the following strategies should the nurse recommend to increase the client’s protein intake? A. Grate cheese into soups B. Add mayonnaise to salads C. Use honey on toast D. Mix granola with fruits 6. A nurse is planning dietary teaching for a client who follows a vegetarian diet and needs to increase his iron intake. Which of the following food recommendatons should the nurse include in the teaching? A. Raw cauliflower B. Carrot stcks C. Peanut buter D. Dried beans 7. A nurse is providing teaching about a gluten free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet? A. Barley B. Corn C. Wheat germ D. Salami This study source was downloaded by from CourseH on :48:57 GMT -05:00 needs to eat foods that are high in fber. Which of the following food choices should the nurse plan to recommend as having the highest fber content? A. 3 oz turkey B. 1 cup low-fat, plain yogurt C. 1/2 cup cooked white rice D. 1/2 cup cooked peas 9. A nurse is providing dietary teaching to a client about sources of protein. The nurse should identfy which of the following items as a complete protein? A. Gelatn B. Legumes C. Almonds D. Salmon 10. A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydraton afer collapsing at an athletc event. Which of the following dindings indicates the client is experiencing water intoxicaton? A. Weak pulses B. Hypernatremia C. Exaggerated reflexes D. Muscle weakness 11. A nurse is reviewing the laboratory results of a client who has bulimia nervosa. the nurse should notfy the provider of which of the following results? A. Magnesium 1.6 B. Hgb 14 C. WBC 5200 D. Potassium 3.2 12. A nurse is caring for a client who is taking antbiotcs and develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet? A. Ice cream B. Whole wheat bread C. Fresh orange sectons D. Yogurt 13. A nurse is reaching a client who is breasteeding and has a new prescripton for amoxinillin 250 mg po every 8 hr. which of the following informaton should the nurse include in the reaching? A. You should pump your breasts 1 hour afer taking the antbiotc and discard the mike B. You may contnue to breasteed while you are on a short term antbiotc C. You will need to decrease your medicaton dose while breasteeding D. Your body will metabolize the antbiotc so that is will not be present in the breast mike 14. A nurse is proving dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn? A. Potatoes B. Decaffeinated coffee C. Peppermint This study source was downloaded by from CourseH on :48:57 GMT -05:00 15. A nurse is planning eatng strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend? A. Limit fluid intake between meals B. Provide low fat carbohydrates with meals C. Encourage the client to eat even if nauseated D. Serve hot food at mealtme 16. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actons should the nurse include in the plan? A. Inform the client that a weight gain of 2.3kg per week is expected B. Offer the client a selecton of beverages at each meal C. Encourage the client to partcipate in developing a system of rewards D. Arrange for someone to remain with the client for 30 min afer meals 17. A nurse is caring for a client who is receiving enteral feedings via tube. Which of the following actons should the nurse take to prevent aspiraton? A. Warm the formula prior to administering B. Measure the client’s gastric residuals C. Elevate the head of the bed to 15 D. Auscultate the client’s bowel sounds 18. A nurse is teaching about managing hypoglycemia with carbohydrates to a client who has diabetes mellitus. Which of the flowing foods should the nurse include in the teaching as containing the most carbohydrates? A. 1 glucose tablet B. 4 oz fruit juice C. 1 tsp honey D. 4 pieces hard candy 19. A nurse is teaching the family of a school age child who is obese about complicaton of childhood obesity. Which of the following complicatons should the nurse include in the teaching? A. Type 1 diabetes mellitus B. Hypothyroidism C. Juvenile rheumatoid arthrits D. Hypertension 20. A nurse is planning care for a client who is pregnant and plans to breasteed her newborn. Which of the following informaton should the nurse include in the plan of care? A. The newborn should breasteed immediately following birth B. The newborn should have bursts of six sucks and swallows during feeding C. The newborn should receive 1 oz of glucose water afer the frst breasteeding session D. The newborn should breasteed every 4 hr during the day. 21. A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventons should the nurse include in the plan of care? A. Restrict protein intake to less than 0.8 g/kg/day B. Decrease daily caloric intake by 20% C. Reduce complex carbohydrates to 30% of total calories D. Limit sodium to 2,000 mg or less per day This study source was downloaded by from CourseH on :48:57 GMT -05:00 diarrhea. Which of the following is an appropriate acton for the nurse to take? A. Chill formula before administraton B. Slow the rate of the feeding C. Change to intermitent bolus feedings D. Recommend a low calorie formula 23. A nurse is caring for a client who reports nausea as a result of chemotherapy. Which of the following recommendatons should the nurse make? A. Add seasoning to flavor food B. Eat foods served cold C. Eat a light snack prior to chemotherapy D. Lie down for 30 min afer eatng 24. A nurse in a provider’s ofce is reviewing laboratory results with a client who has been following diet therapy to lower cholesterol levels. Which of the following fndings is the priority to report to the provider? A. Triglycerides 300mg/dl B. HDL 45 mg/dl C. LDL 112 mg/dl D. Total cholesterol 220 mg/dl 25. A nurse is planning care for a client who has a new prescripton for total parenteral nutriton TPN via peripheral inserted central catheter. Which of the following actons should the nurse include in the plan? A. Give dextrose 5% in water if the TPN soluton is unavailable B. Change the IV tubing every 24 hr C. Check the rate of infusion every 12 hr D. Discard the uninfused lipuds afer 18 hr 26. A nurse is proving dietary teaching to a client who is pregnant and requires an increase in dietary iron. Which of the following food is a source of heme iron that the nurse should include in the teaching? A. Fortfed cereals B. Kale C. lima beans D. Ground beef 27. A nurse is caring for an older adult client who has a prescripton for warfarin and an elevated prothrombin tme. The nurse should recognize that which of the following vitamins reduces the antcoagulant effect of warfarin? A. Vitamin A B. Vitamin K C. Thiamin D. Folate 28. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion? A. Wrap gloved fnger with gauze to remove dentures This study source was downloaded by from CourseH on :48:57 GMT -05:00 C. Wipe dentures before storing them in a dry container at night D. Floss dentures as part of daily cleaning 29. A nurse is caring for a client who requests informaton about incorporatng healthy habits into daily actvites. Which of the following is an appropriate response by the nurse? A. Limit total fat intake to 25 percent of your total calories B. Keep your daily cholesterol intake between 400 and 500 milligrams per day C. Consume 55 percent of your total calories from protein D. Restrict salt intake to 1 tablespoon daily 30. A nurse is planning care for client who practces Islam and is currently observing dietary restrictons for the month of Ramadan. Which of the following interventons should the nurse include in the plan of care? A. Provide a strictly vegetarian diet on Fridays B. Serve meat and dairy items separately C. Facilitate fastng during daylight hours D. Remove beef products from the dietary plan 31. A nurse is providing nutritonal teaching to a client who has type 2 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. I should decrease my cholesterol intake to 300 milligrams per day B. I will limit my saturated fat intake to 20 percent of my daily intake C. I can consume 130 grams of carbohydrates per day D. I need to increase my protein intake to 45 percent of my daily colories. 32. A nurse is providing teaching about the DASH diet to a client who has hypertension. Which of the following instructons should the nurse include? A. Limit sodium intake to 3,200 milligrams per day B. Consume foods that are high in calcium C. Consume ten percent of total calories from saturated fat D. Increase intake of refned carbohydrates 33. A nurse is planning care for a client who follows the dietary laws of Orthodox Judaism. Which of the following food selectons should the nurse plan to include on the client’s meal tray? A. Cooked ham B. Sausage omelet C. Cheeseburger D. Baked chicken breast 34. A nurse is assessing a client who is receiving TPN. The nurse should identfy which of the following fnding as an adverse effect of TPN? A. Hemoglobin 16g/dl B. Weight gain of 1.5 kg per day C. Temperature 36.1 D. Blood glucose 98 35. A nurse is reviewing the laboratory fndings of a client who has type 1 diabetes mellitus. Which of the following fnding should the nurse report to the provider? A. Creatnine 1.0 mg/dl B. BUN 15 This study source was downloaded by from CourseH on :48:57 GMT -05:00 D. Hct 45% 36. A nurse is providing nutritonal reaching to a client who has AIDS related wastng syndrome. Which of the following instructons should the nurse include in the teaching? A. Avoid desserts made with eggs B. Increase fluid intake with meals C. Add buter to vegetables D. Prepare hot chocolate with water instead of milk 37. A nurse is caring for a client who has dysphasia. Which of the following actons should the nurse take? A. Allow 20 min for the client to eat B. Administer liquids to the client with a syringe C. Encourage the client to use a spoon when eatng D. Instruct the client to tlt his head backward when swallowing 38. A nurse is providing antcipatory guidance to a client who has phenylkeonuria (PKU) and is planning a pregnancy. Which of the following informaton should the nurse include in the discussion? A. A low protein diet should be followed for three months prior concepton B. Breasteeding will prevent your baby form developing PKU C. Serum bilitubin should be monitored one to two tmes per month during pregnancy D. Diet sodas should not be consumed more than two to three tmes per week 39. A nurse is providing nutritonal teaching to an older adult client who has heat failure. Which of the following statements by the client indicates an understanding of the teaching? A. I can use hydrogenated vegetable oil for cooking B. I will limit my meat intake to 6 ounces per day C. I will drink 12 ounces of two percent milk per day D. I can choose pretzels for a healthy snack 40. A nurse is assessing a client who reports a headache and dizziness. The nurse notes that the client is shaky and sweaty. The nurse should prepare to intervene for which of the following imbalances? A. Hyperglycemia B. Hypernatremia C. Hypoglycemia D. Hypokalemia 41. A nurse is caring for a client who has stomatts following radiaton therapy. Which of the following interventons is appropriate for the nurse to take? A. Avoid serving sauces or gravies B. Discourage the use of a straw C. Serve the client hot meals D. Offer the client frozen bananas as a snack 42. A nurse is caring for a client who has dysphaiga and requires level 1 dysphagia diet. Which of the following foods should the nurse chose for the client? A. Apple juice B. Chicken noodle soup C. Milk D. Pudding 43. A nurse in a long term care facility is caring for a client who cannot wear dentures due to stomatts. This study source was downloaded by from CourseH on :48:57 GMT -05:00 A. Pureed diet B. Light diet C. Low protein diet D. Full liquid diet 44. A nurse is providing dietary teaching to a client about the importance of adequate calcium intake. Which of the following client statements indicates an understanding of the primary functon of calcium? A. Calcium is need for blood clotng B. Calcium helps regulate blood pressure C. Calcium is involved in muscle contracton D. Calcium is necessary for bone formaton 45. A nurse is reoving teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identfy as highest risk for allergies in toddlers? A. Milk B. Citrus fruits C. Bananas D. Eggs 46. A nurse is providing teaching to an obese client who has gestatonal diabetes and is at 25 weeks of gestaton. Which of the following statements made by the client indicates a need for further teaching? A. This means that I will have diabetes for the rest of my life. B. If feel dizzy, I should drink six ounces of a nondiet soda C. This does not mean that my baby will have this disease D. Being obese might be one reason why I developed diabetes 47. A nurse is teaching a client who has diabetes mellitus about manifestatons of hypoglycemia. Which of the following manifestatons should the nurse include in the teaching? A. Skin clammy to the touch B. Breath that has a fruity odor C. Weight loss D. Increased urinary out put 48. Nurse is caring for a young adult who is discontnuing birth control pills and wishes to start a family. Which of the following statements by the nurse is an appropriate dietary guideline? A. Increase your total intake of seafood to 20 ounces per week B. Decrease ascorbic acid in your diet C. Increase folic acid to 400 micrograms per day prior to getng pregnant D. Increase your caloric intake before pregnancy to stabilize your metabolism 49. A nurse is providing teaching to a client who has a prescripton for a low saturated fat diet. Which of the following statements by the client indicates an understanding of the reaching? A. I can eat the skin on poultry if it is broiled B. I will include 7 ounces of fsh in my diet weekly C. I can choose an avocado dip instead of salsa D. I will use margarine on my wafes 50. A nurse is providing teaching to a client who has heart failure about limitng sodium intake to This study source was downloaded by from CourseH on :48:57 GMT -05:00 highest sodium content? A. 2 oz processed cheese B. 4 oz vanilla pudding C. 1/2 cup yogurt D. 1 cup milk 51. A nurse is reviewing the laboratory reports of a client who is undergoing nutritonal screening due to a risk for chronic kidney disease. The nurse should identfy that which of the following results indicates the need for further assessment? A. Sodium 140 B. Serum creatnine 3.5 C. Blood urea nitrogen 18 mg D. Hematocrit 45% 52. A nurse is caring for an older adult client who requires high calorie liquid nutritonal supplements. Which of the following actons should the nurse take to ensure the client consumes the supplement? A. Leave an opened supplement at the bedside throughout the day B. Have the client swallow his medicatons with the supplement C. Offer the supplement as a substtute for one of the client’s daily meals D. Enhance the flavor of supplements by serving then warm 53. A nurse is caring for a client who has an NG tube for gastric decompression. The nurse suspects the client’s tube is displaced. Which of the following actons should the nurse take? A. Instll 0.9% normal saline into the client’s NG tube B. Auscultate the client’s bowel sounds C. Measure the PH of the client’s stomach contents D. Pull the catheter out 7.6 cm 54. A nurse is providing teaching to the parents of a 6 month old infant. Which of the following potons should the nurse instruct the parents to include in the infant’s diet? A. 2% milk B. Scrambled eggs C. Rice cereal D. Apple juice 55. A nurse is assessing a client who has a stage 3 pressure ulcer that is healing poorly. The nurse should identfy that which of the following vitamin defciencies increases the client’s risk for delayed would healing? A. Vit D B. Vit C C. Vit E D. Vit B6 56. A nurse is assessing a client who is postoperatve and has an indwelling urinary catheter. Which of the following fndings indicates that the client is experiencing dehydraton? A. Urine specifc gravity 1.010 B. Blood pressure 150/82 Hg C. Bun 15 mg D. Urine output 20ml/hr This study source was downloaded by from CourseH on :48:57 GMT -05:00 older adult client. Which of the following interventons should the nurse implement? A. Pervade entertainment while the client is eatng B. Offer fnger foods at mealtme C. Provide opportunites to eat three large meals per day D. Offer sugar substtutes to increase the client’s appette 58. A nurse is assessing an adolescent client’s nutritonal intake. Which of the following statements by the client indicates an understanding of nutrient dense food choices? A. I should eat pasta with cheese sauce B. I should eat refried beans C. I should eat sweetened fruit yogurt D. I should eat oven-baked sweet potato fries This study source was downloaded by from CourseH on :48:57 GMT -05:00 Powered by TCPDF ()