A nurse in a provider's office is caring for a client.
The nurse is planning dietary teaching for the client during the follow-up visit. Identify which of
the following information the nurse should include. Select all that apply.
- Quinoa is an acceptable grain to consume.
- It is safe to use potato flour when cooking.
- Black beans are a safe source of fiber.
- Plain rice can cause flare-ups of abdominal symptoms.
- Limit milk intake to no more than 2 cups per day.
- Corn is an acceptable food to eat.
- Use wheat bread instead of white bread when making sandwiches. - ANS- Quinoa is an
acceptable grain to consume.
- It is safe to use potato flour when cooking.
- Black beans are a safe source of fiber.
- Corn is an acceptable food to eat.
Rationale: When generating solutions and planning dietary teaching for a client who has a new
diagnosis of celiac disease, the nurse should plan to instruct the client about foods that contain
gluten as well as foods that are gluten-free. The nurse should include that potato flour is safe for
use as it does not contain gluten. Beans and legumes are a good source of fiber. Corn, quinoa,
and plain rice are also naturally gluten free and acceptable for consumption.
A nurse in a pediatrician's office is caring for a newborn.
The nurse is providing teaching to the parent about infant nutrition at the follow-up visit. Select
the 3 statements the nurse should include.
- "Your baby should weigh about 20 lb. by 1 year of age."
- "You can keep pumped breast milk in the refrigerator up to 1 week."
- "Your baby's length should be around 27 inches long by 1 year of age."
- "You can let your baby sleep up to 6 hours between feedings at night."
- "Your baby is gaining weight at the expected rate." - ANS- "Your baby should weigh about 20
lb. by 1 year of age."
- "Your baby's length should be around 27 inches long by 1 year of age."
- "Your baby is gaining weight at the expected rate."
Rationale: When taking action and providing teaching, the nurse should inform the parent that
their newborn should triple their birthweight and increase in length by 50% by 1 year of age. The
, nurse should also inform the parent that their newborn is gaining weight at the expected rate,
which is to return to birth weight around 2 weeks of age.
A charge nurse is reviewing the electronic medical record (EMR) of a client.
Which of the following findings from the client's EMR should the nurse recognize as an
indication that the client is experiencing hypervolemia? Select all that apply.
- Heart rate
- Sodium level
- Respiratory assessment
- Urine output
- Pulse assessment
- Blood pressure
- Edema assessment
- BUN level
- Neurological assessment - ANS- Respiratory assessment
- Pulse assessment
- Edema assessment
- Heart rate
- Blood pressure
- Sodium level
Rationale: When recognizing cues, the charge nurse should identify that the client's EMR
findings of pulse, respiratory, and edema assessments, blood pressure, heart rate, and sodium
level could indicate the client is experiencing hypovolemia. The client findings tachycardia,
crackles in the lung bases, bounding peripheral pulses, pitting edema, hyponatremia, and HTN
can be an indication of fluid retention.
A nurse is caring for a client who is at 16 weeks gestation.
Drag words from the choices below to fill in each blank in the following sentence.
After initiating the client's prescriptions, the nurse should identify that the client is at risk for
developing _________ and _________.
- Respiratory alkalosis
- Acute kidney injury
- Hyperkalemia
- Hypovolemia
- Hyperglycemia
- UTI
- Venous thrombosis
- Pressure injury - ANS- Venous thrombosis