WITH COMPLETE SOLUTIONS!!
A nurse is assessing a client. Which of the following findings should the nurse
identify as an indication of protein-calorie malnourishment? (Select all that
apply.)
A. Gingivitis
B. Dry, brittle hair
C. Edema
D. Spoon-shaped nails
E. Poor wound healing Answer - B. Dry, brittle hair
C. Edema
E. Poor wound healing
Dry, brittle hair that falls out easily suggests inadequate protein intake and
malnutrition. Edema can occur when albumin levels are lower than the
expected reference range and indicates protein-calorie malnutrition. Adequate
wound healing depends on the ingestion of sufficient protein, calories, water,
vitamins (especially C and A), iron, and zinc. D
Incorrect Answers:
A. Gingivitis is a manifestation of vitamin C deficiency.
D. Spoon-shaped nails are a manifestation of iron deficiency.
,A nurse is providing teaching to a client who has gout and urolithiasis. The
client asks how to prevent future uric acid stones. Which of the following
suggestions should the nurse provide? (Select all that apply.)
A. Take allopurinol as prescribed
B. Exercise several times a week
C. Limit intake of foods high in purine
D. Decrease daily fluid intake
E. Avoid citrus juices Answer - A. Take allopurinol as prescribed
B. Exercise several times a week
C. Limit intake of foods high in purine
The nurse should inform the client that allopurinol is an antigout medication
that reduces uric acid, which helps prevent uric acid stone formation.
Immobility is a risk factor for stone formation; therefore, the client should
maintain a healthy lifestyle, including regular exercise. Purine increases the risk
of uric acid stone formation; organ meats, poultry, fish, red wine, and gravy are
high in purine.
Incorrect Answers:
D. Maintaining an adequate fluid intake of 2 to 3 L per day reduces the risk of
stone formation.
E. Citrus juices alkalinize the urine, which helps prevent uric acid stone
formation.
A nurse is providing teaching for a client who has a prescription for a low-
sodium diet to manage hypertension. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I can snack on fresh fruit."
B. "I can continue to eat lunchmeat sandwiches."
C. "I can have cottage cheese with my meals."
,D. "Canned soup is a good lunch option." Answer - A. "I can snack on fresh
fruit."
The nurse should identify that fresh fruits contain little to no sodium and are a
good snack for a client who has hypertension.
Incorrect Answers:
B. Lunchmeats are usually high in sodium and should be avoided. The nurse
should recommend choosing lower-sodium options, such as fresh fish or
poultry.
C. Cottage cheese contains 390 mg per 113 g (1/2 c) of sodium. The nurse
should recommend choosing low-fat yogurt as a low-sodium snack.
D. Canned soups contain high amounts of sodium. The nurse should instruct
the client to avoid convenience and fast foods such as canned or dry-packaged
soups.
A nurse is presenting an in-service training session about nutrition. How many
of the amino acids must be obtained from dietary intake?
A. 6
B. 9
C. 11
D. 15 Answer - B. 9
Proteins are made up of chains of amino acids, which are composed of carbon,
hydrogen, oxygen, and nitrogen. Nine amino acids are considered essential for
the human body and must be obtained from diet. These include histidine,
isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan,
and valine.
Incorrect Answers:
, A. C. D. Of the 20 amino acids identified, the body is able to manufacture 11.
These are defined as nonessential amino acids.
A home health nurse is planning care for a client who is receiving
chemotherapy and has neutropenia. Which of the following foods should the
nurse include in the client's plan of care?
A. Soft-boiled eggs
B. Brie cheese made with unpasteurized milk
C. Cold deli-meat sandwiches
D. Baked chicken Answer - D. Baked chicken
Well-cooked meats, including baked chicken, do not pose a threat to clients
who have neutropenia and may be included in the client's dietary plan. For
optimal safety, poultry should be cooked to an internal temperature of 74°C
(165°F).
Incorrect Answers:
B. Soft cheeses like brie, which are made with unpasteurized milk, can contain
bacteria and should be avoided by clients who have neutropenia. Hard or
processed cheeses or those clearly labeled as made with pasteurized milk are
an alternative to brie for a client who has neutropenia.
C. Cold deli meats and lunch meats can contain Listeria monocytogenes. These
bacteria remain viable at refrigerated and room temperatures and can make a
client who is immunocompromised severely ill. As an alternative, the nurse
should recommend heating all deli meats or lunch meats.
A nurse is providing postoperative teaching about the management of dumping
syndrome to a client who had a partial gastrectomy. Which of the following
instructions should the nurse include in the teaching?
A. "Consume at least 4 oz of fluid with meals."