NURSING 1172:Nutrition Exam 3

NURSING 1172:Nutrition Exam 3 • Question 1 A client calls into the nurse help line asking questions about his new 1 out of 1 points diagnosis of a peptic ulcer. The client asks what might be possible causes of a peptic ulcer. Selected Answer: H-pylori and intake of NSAIDS Correct Answer: H-pylori and intake of NSAIDS • Question 2 A client is admitted with acute pancreatitis. What diet can the nurse expect to be initially prescribed? Selected Answer: Nothing by mouth 1 out of 1 points Correct Answer: Nothing by mouth • Question 3 1 out of 1 points A client is admitted with urolithiasis (kidney stones). What prescription can the nurse expect from the health care provider? Selected Answer: Intravenous fluids Correct Answer: Intravenous fluids • Question 4 1 out of 1 points A client recently placed on lipid-lowering statins brings you her food log. Which of the following breakfasts would indicate a need to re-educate her? Selected Answer: 1 cup grapefruit juice, 4 slices of bacon, coffee with milk Correct Answer: 1 cup grapefruit juice, 4 slices of bacon, coffee with milk • Question 5 A client who has recently been placed on oral medication for his type 2 diabetes asks if he may continue to drink alcohol with his friends on the weekends. What is the nurse’s best response? Selected Answer: Alcohol may increase the effect of your medication, so you need to drink small amounts, and keep an eye on your blood sugar. 1 out of 1 points Correct Answer: Alcohol may increase the effect of your medication, so you need to drink small amounts, and keep an eye on your blood sugar. • Question 6 A client with chronic kidney disease consumes an excessive amount of sodium. What symptoms will this client likely exhibit? Selected Answer: edema and hypertension 1 out of 1 points Correct Answer: edema and hypertension • Question 7 1 out of 1 points At least twenty percent of women will experience a urinary tract infection (UTI) in their lifetime. Regular consumption of which food may help prevent the occurrence of a UTI? Selected Answer: Cranberry juice Correct Answer: Cranberry juice • Question 8 Carbohydrate counting is a useful tool in diabetes meal planning. How many grams of carbohydrate equals one carbohydrate serving? Selected Answer: 15 grams 1 out of 1 points Correct Answer: 15 grams • Question 9 Diet for a patient on kidney dialysis is a vital aspect of maintaining 1 out of 1 points biochemical control. What is one of the basic objectives in planning a diet for these patients? Selected Answer: Prevent dehydration and fluid overload Correct Answer: Prevent dehydration and fluid overload • Question 10 During a client’s recent colonoscopy, the health care provider found “pockets” in the colon and diagnosed diverticular disease. Based on the recent evidence, what dietary advice does the nurse give to the client? Selected Answer: Increase the fiber in the diet 1 out of 1 points Correct Answer: Increase the fiber in the diet • Question 11 1 out of 1 points During an episode of acute exacerbation of inflammatory bowel disease, the client is unable to tolerate oral intake. What would be an appropriate form of nutrition? Selected Answer: Enteral feedings or total parenteral nutrition Correct Answer: Enteral feedings or total parenteral nutrition • Question 12 During your clinical rotation at the nursing home, your client is 1 out of 1 points complaining of being constipated on a regular basis. You discuss with your client how to prevent constipation. What would you advise your client to avoid? Selected Answer: Frequent use of laxatives and enemas Correct Answer: Frequent use of laxatives and enemas • Question 13 1 out of 1 points Flatulence is the condition of having excessive stomach or intestinal gas. Which foods are generally responsible for excess gas production? Selected Answer: Carbohydrat es Correct Answer: Carbohydrat es • Question 14 1 out of 1 points Food intolerance can represent another type of reaction to certain foods. Select the correct answer that describes a common food intolerance listed below. Selected Answer: Inability to digest lactose Correct Answer: Inability to digest lactose • Question 15 1 out of 1 points How many grams of carbohydrate are covered by one unit of short acting insulin? Selected Answer: 15 g carbohydrate Correct Answer: 15 g carbohydrate • Question 16 0 out of 1 points How much monounsaturated fat intake is recommended by the therapeutic lifestyle changes (TLC) diet for lowering serum cholesterol for clients with elevated low-density lipoprotein (LDL) levels? Selected Answer: Less than 10% of energy intake Correct Answer: Up to 20% of energy intake • Question 17 1 out of 1 points Most oral medications are subject to the first-pass mechanism. Which food interferes with this mechanism resulting in increased serum drug levels? Selected Answer: Grapefruit juice Correct Answer: Grapefruit juice • Question 18 1 out of 1 points Older adults may experience harmful drug-nutrient interactions for many reasons. What is one of the most likely causes? Selected Answer: Older adults are more likely to be taking several drugs. Correct Answer: Older adults are more likely to be taking several drugs. • Question 19 Oliguria is a primary sign of acute renal failure. Select the correct definition of oliguria. Selected Answer: The presence of excess serum proteins in the urine Correct Answer: Secretion of a small amount of urine in relation to fluid intake • Question 20 0 out of 1 points 1 out of 1 points Omega 3 fatty acids are recommended to be included in a heart healthy diet. What is a benefit of consuming omega 3 fatty acids? Selected Answer: Reduces platelet aggregation Correct Answer: Reduces platelet aggregation • Question 21 Studies indicate that water-soluble types of fiber have significant cholesterol lowering effect. What is an example of a food high in water- soluble fiber? Selected Answer: Oat bran 1 out of 1 points Correct Answer: Oat bran • Question 22 1 out of 1 points The client presents to the emergency department complaining of an upset stomach with a burning sensation in the epigastric area. The symptoms have been happening off and on for the last few weeks especially when lying down to sleep. The client is exhibiting symptoms of which gastrointestinal problem? Selected Answer: Gastroesophageal Reflux Disease (GERD) Correct Answer: Gastroesophageal Reflux Disease (GERD) • Question 23 The development of cardivascular disease involves modifiable and non- modifiable risk factors. What is an example of a NON-modifiable risk factor? Selected Answer: Male gender