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A nurse is caring for a client.
For each assessment finding, click to specify if the finding is consistent with dumping syndrome, hypogly
cemia, or refeeding syndrome. Each finding may support more than one condition.
- Diarrhea
- Timing of manifestations after eating
- Muscle weakness
- Nausea
- Abdominal cramping
- SweatingP-Pcorrect answer-Dumping Syndrome:
- Abdominal cramping
- Muscle weakness
- Nausea
- Diarrhea
- Sweating
Hypoglycemia:
- Muscle weakness
- Sweating
Refeeding Syndrome:
- Muscle weakness
,APnurse is caring for a client.
Click to highlight the findings that indicate an improvement in the client's condition. To deselectPa findin
g, click on the finding again.
- Client is alert and oriented to person, place, time, and situation.
- Denies dizziness upon standing.
- Heart rhythm regular, S1 and S2 present.
- Respirations even and non-labored.
- Lungs clear anterior and posterior.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4 quadrants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds. - correct answer--
Client is alert and oriented to person, place, time, and situation.
- Denies dizziness upon standing.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4 quadrants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds.
A client reports constipation during a routine checkup. The client was previously encouraged to increase
their intake of mineral supplements. Which of the following minerals should the nurse identify as the po
ssible cause of the constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium - correct answer-- Calcium
, Rationale: Calcium can lead to constipation by decreasing peristalsis.
APnurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral die
t. The client asks the nurse why the TPN is being continued since they are now eating. Which of the follo
wingPresponses should the nurse make?
-
"Your blood glucose levels need to be within a normal range before the parenteral nutrition can be stop
ped."
-
"You should consume at least 60 percent of your calories orally before the parenteral nutrition can be di
scontinued."
- "You should have a weight gain of at least 1 kilogram per day before the therapy is stopped."
- "Your bowel movements need to be regular before the therapy can be discontinued." - correct answer-
-
"You should consume at least 60 percent of your calories orally before the parenteral nutrition can be di
scontinued."
Rationale: TPN can be discontinued when oral intake exceeds at least 60% of the client's estimated daily
caloric requirements.
A nurse is assessing the meal pattern of a client who has diverticular disease and a prescription for a hig
h-fiber diet. Which of the following food choices by the client contains the most fiber?
- 1 medium banana
- 1/2 cup oatmeal
- 1 medium apple with skin
- 1/2 cup bran cereal - correct answer-- 1/2 cup bran cereal
Rationale: A high-
fiber diet is recommended for clients who have diverticular disease because bulky, soft stools are easier
for the client to pass and result in decreased pressure within the colon. The nurse should determine that
a 1/2 cup of bran cereal contains the most fiber at 10 g per serving.