Certified Solutions.
For which vitamin deficiency should the nurse monitor the client who is on a
vegan diet? - Answer: Vitamin B12
A client with cirrhosis has an increased ammonia level. Which diet does the nurse
anticipate will be of benefit to the client? - Answer: One low in protein
A nurse provides dietary instructions to a client with cholecystitis. Which menu
selection by the client indicates to the nurse that the client understands the
instructions? - Answer: Roast turkey with a baked potato
Page 1 of 36
,A client is found to have ulcerative colitis, and the nurse provides instructions to
the client about the diet that should be followed while the disease is in remission.
Which menu selection by the client indicates to the nurse that the client best
understands the instructions? - Answer: Boiled Potatoes
During remission, the client must avoid intestinal stimulants such as alcohol,
caffeinated beverages, high-fat foods, gas-forming foods, milk products, and foods
such as raw fruits and some vegetables, that are very high in fiber. Vitamins and
iron supplements may be prescribed.
A nurse has taught a client with a new colostomy about measures to control stool
odor in the ostomy drainage bag. Which foods listed on the client's shopping list
indicate to the nurse that the client has understood the information? - Answer:
Yogurt
Parsley
Cranberry juice
Deodorizing foods for the client with an ostomy include beet greens, parsley,
buttermilk, cranberry juice, and yogurt. Eggs, broccoli, and cucumbers are gas-
forming foods.
Page 2 of 36
,A nurse is teaching a client with an ileostomy about foods that could result in the
production of liquid stools. Which food that just arrived on the client's meal tray
should the nurse discourage the client from eating? - Answer: Bran
A client with liver cancer who is undergoing chemotherapy tells the nurse that
some foods on the meal tray taste bitter. Which food does the nurse suggest that
the client eliminate from the diet, knowing that it is most likely to taste bitter to
the client? - Answer: Beef
Chemotherapy may distort how certain foods taste to the client. Beef and pork are
often reported by people undergoing chemotherapy to taste bitter or metallic.
The nurse can promote nutrition by helping the client choose alternative sources
of protein.
A client with diabetes mellitus who has been taught about dietary management of
the disease wishes to have 8 oz (240 ml) of nonfat yogurt with breakfast. The
nurse determines that the client understands diet management when the client
states that which action will be taken after eating the nonfat yogurt? - Answer:
Omitting 8 oz (240 ml) of skim milk from that meal
Yogurt is a milk product. Therefore if the client is going to eat 8 oz (240 ml) of
yogurt at a meal, the client should eliminate the milk product from the same
meal. Ice cream is not recommended for the diabetic diet because it is high in fat
and sugar.
Page 3 of 36
, A nurse is caring for a client with cirrhosis. As part of the teaching regarding
dietary means of minimizing the effects of the disorder, the nurse educates the
client about foods that are high in thiamine. The nurse determines that the client
has the best understanding of the material if the client states to increase the
intake of which foods? - Answer: Peanuts
Asparagus
Whole grain cereals
Thiamine is present in a variety of foods of plant and animal origin. Pork products
are especially rich in the vitamin, but other good sources are peanuts, asparagus,
legumes, and whole-grain and enriched cereals. Milk is high in vitamins A and D,
calcium, and magnesium. Chicken is high in protein. Broccoli is high in calcium and
folic acid.
A nurse is monitoring the nutritional status of a client receiving enteral nutrition.
Which parameter does the nurse use to determine the effectiveness of the tube
feedings? - Answer: Daily weight
A nurse is instructing a client in the first trimester of pregnancy about nutrition.
Which statement by the client indicates the need for further instruction? -
Answer: "My risk for malnourishment is much higher while I'm pregnant."
Page 4 of 36