Nr228 Questions and Answers with complete solution

If a physician orders a "diet as tolerated" for a patient, the nurse should: - Answer-Encourage the patient to normalize the diet as his or her appetite and symptoms allow. When will a clear liquid diet would be most appropriate? - Answer-A patient who has had major surgery within the past 18 hours To determine the nutritional adequacy of a tube feeding - Answer-Anthropometric, biochemical and clinical indexes should be assessed weekly. A homeless man is brought into the emergency room with muscle weakness, loss of coordination, and tachycardia. He has alcohol on his breath. He may be suffering from a deficiency of: - Answer-Thiamin In a condition where there are low levels of niacin and low intake of animal protein, the population has a high risk for developing: - Answer-Pellagra Vitamin K deficiency could be a problem in someone who: - Answer-Uses antibiotics for several months If nutrition screening identifies a patient as being at high nutrition risk, the next step in their care would be nutrition: - Answer-Assessment by a registered dietitian A nurse is teaching a group of adults about nutrition. The nurse should include which of the following amounts as an appropriate daily intake of fiber for adult women? - Answer-20 to 35 g A nurse is instructing a group of adult clients about nutrition. The nurse should include which of the following as the recommended amount of vegetables servings per day? - Answer-2 ½ cups A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan? - Answer-Spinach and BeefA nurse working for a home health agency is assessing an older adult client. Which of the following findings is the priority for the nurse to address? - Answer-Dysphagia A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply) - Answer-Excessive laxative use/Ignoring the urge to defecate/Inadequate fluid intake A nurse is developing a plan of care for a client who practices Islam. Which of the following actions should the nurse include in the plan? - Answer-Request a meal tray without pork. A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take? - Answer-Call the dietary department and ask for a kosher tray. A BMI of 18 would reflect a. underweight. b. normal weight. c. overweight. d. severe overweight. - Answer-underweight A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid? - Answer-Oral rehydration solution A nurse is caring for a client who is receiving a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse? - Answer-Piece of wheat toastA nurse is caring for a client who has bilateral eye patches in place following an injury. When the client's food tray arrives, which of the following interventions should the nurse take to promote independence in eating? - Answer-Describe to the client the location of the food on the tray Healthy People 2020 focuses on the ultimate vision of: - Answer-A society in which all people live long, healthy lives The most important and unique role of dietary protein is to: - Answer-Build tissue The DRIs serve as a useful overall guide for promoting dietary and lifestyle choices for all people throughout life by recommending: - Answer-Ideal intakes for each nutrient according to age and gender Margaret has been reading information from the Internet regarding the health benefits of coconut oil in the diet. It is important for Margaret to know that coconut oil contains what type of fat? - AnswerSaturated The best menu choice for a patient with a severe wound who needs adequate vitamin C to help promote healing would be: - Answer-Stuffed green pepper Megaloblastic anemia is associated with: - Answer-Folate deficiency It would be beneficial for a 65-year-old woman to consume foods with calcium such as: - Answer-Yogurt The easiest way to measure fluid loss during a day of hard work in a hot climate is to: - Answer-Measure body weight at the beginning and at the end of the day A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body? - Answer-Exposure to sunlight A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives an assessment of the adequacy of the client's protein uptake and synthesis? - Answer-AlbuminA nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching? - Answer-Avoid eating within 3 hours of bedtime A mother and grandmother bring a 2-month-old infant to the clinic for a routine checkup. As the nurse weighs the infant, the grandmother asks, "Shouldn't the baby start eating solid food? My kids started on cereal when they were 2 weeks old." Which response by the nurse would be most appropriate? - Answer-Babies can't digest solid food properly until they are 4 months old The nurse is providing nutrition counseling for an obese adolescent. What is the most effective way for the nurse to obtain a nutrition history from this client? - Answer-Ask her what she ate yesterday if it was a typical day Caregivers of an infant with a feeding button style gastrostomy tube mention to the nurse there is leaking present. What action should the nurse take? - Answer-Assess if the leakage is coming from valve failure or from the peristomal area.