(Exam 2)NURS 209 Exam 2: NURS 209 Exam 2 Study Guide
The patient reports to the nurse that she feels as if her eyes are persistently dry. This symptom is
consistent with a deficiency in which of the following dietary elements?
A)
Protein
B)
Vitamin D
C)
Calcium
D)
Vitamin A - ANSWER:Vitamin A- dry eyes
The nurse is providing an education program to teens. When discussing the role of fat in our bodies,
which of the following functions can be attributed to fat? Select all that apply.
A)
Vitamin absorption
B)
Protection from injury
C)
Absorption of water soluble vitamins
D)
,Energy
E)
Cellular transport - ANSWER:A B D E
During an annual physical examination, the patient reports feeling a lack of muscle energy when walking
and doing simple chores around the house. When reviewing the patient's diet, deficiencies in which of
the following would be associated with the symptoms reported? Select all that apply.
A)
Vitamin C
B)
Vitamin D
C)
Folic acid
D)
Niacin
E)
Thiamine - ANSWER:D E Vitamins in the B complex such as niacin and thiamine are associated with
confusion and motor weakness.
The nurse is caring for a patient who has been experiencing prolonged wound healing from a surgical
procedure. A deficiency in which of the following nutrients would be associated with this condition?
A)
Vitamin B1
B)
,Calcium
C)
Folic acid
D)
Vitamin C - ANSWER:D
The nurse should include which of the following in the plan of care for the patient receiving enteral
feedings? Select all that apply.
A)
Position head of bed in semi-Fowler's during feeding.
B)
Check placement of tube before initiating feeding.
C)
Maintain head of bed elevated between 30 and 45 degrees at least 30 minutes after feeding.
D)
Allow at least 90 minutes for each feeding.
E)
Notify primary care physician for gastric residuals of 100 to 200 cc. - ANSWER:B C
The nurse is assessing the gastric residual volume of a patient receiving enteral feedings. The nurse notes
there is a residual of 250 cc. Which of the following actions by the nurse is most appropriate?
A)
Reduce the amount of the next feeding by 250 cc.
, B)
Contact the primary care physician.
C)
Document the findings.
D)
Slow the next feeding to promote improved absorption. - ANSWER:C
The nurse is reviewing a patient's laboratory report. The report indicates the patient's albumin level is
2.89g/dL. Which of the following inferences can the nurse make about the laboratory result?
A)
The patient has an infection.
B)
The patient has been taking steroids.
C)
The patient has likely been on a high protein diet.
D)
The patient may be overhydrated. - ANSWER:D -Serum albumin values reflect protein intake or
absorption. Values of less than 3.5 g/dL (35 g/L) may indicate nutritional deficits. Such protein changes
take more than 2 weeks to appear in serum albumin values because the half-life of albumin is about 18
days. A low albumin level also can be related to overhydration and may not necessarily indicate
malnutrition.
The nurse is caring for a patient on a telemetry unit following a myocardial infarction. The patient has
undergone numerous medication changes since the event. Which of the following foods should be
avoided when a patient is taking Coumadin following a myocardial infarction?
A)
The patient reports to the nurse that she feels as if her eyes are persistently dry. This symptom is
consistent with a deficiency in which of the following dietary elements?
A)
Protein
B)
Vitamin D
C)
Calcium
D)
Vitamin A - ANSWER:Vitamin A- dry eyes
The nurse is providing an education program to teens. When discussing the role of fat in our bodies,
which of the following functions can be attributed to fat? Select all that apply.
A)
Vitamin absorption
B)
Protection from injury
C)
Absorption of water soluble vitamins
D)
,Energy
E)
Cellular transport - ANSWER:A B D E
During an annual physical examination, the patient reports feeling a lack of muscle energy when walking
and doing simple chores around the house. When reviewing the patient's diet, deficiencies in which of
the following would be associated with the symptoms reported? Select all that apply.
A)
Vitamin C
B)
Vitamin D
C)
Folic acid
D)
Niacin
E)
Thiamine - ANSWER:D E Vitamins in the B complex such as niacin and thiamine are associated with
confusion and motor weakness.
The nurse is caring for a patient who has been experiencing prolonged wound healing from a surgical
procedure. A deficiency in which of the following nutrients would be associated with this condition?
A)
Vitamin B1
B)
,Calcium
C)
Folic acid
D)
Vitamin C - ANSWER:D
The nurse should include which of the following in the plan of care for the patient receiving enteral
feedings? Select all that apply.
A)
Position head of bed in semi-Fowler's during feeding.
B)
Check placement of tube before initiating feeding.
C)
Maintain head of bed elevated between 30 and 45 degrees at least 30 minutes after feeding.
D)
Allow at least 90 minutes for each feeding.
E)
Notify primary care physician for gastric residuals of 100 to 200 cc. - ANSWER:B C
The nurse is assessing the gastric residual volume of a patient receiving enteral feedings. The nurse notes
there is a residual of 250 cc. Which of the following actions by the nurse is most appropriate?
A)
Reduce the amount of the next feeding by 250 cc.
, B)
Contact the primary care physician.
C)
Document the findings.
D)
Slow the next feeding to promote improved absorption. - ANSWER:C
The nurse is reviewing a patient's laboratory report. The report indicates the patient's albumin level is
2.89g/dL. Which of the following inferences can the nurse make about the laboratory result?
A)
The patient has an infection.
B)
The patient has been taking steroids.
C)
The patient has likely been on a high protein diet.
D)
The patient may be overhydrated. - ANSWER:D -Serum albumin values reflect protein intake or
absorption. Values of less than 3.5 g/dL (35 g/L) may indicate nutritional deficits. Such protein changes
take more than 2 weeks to appear in serum albumin values because the half-life of albumin is about 18
days. A low albumin level also can be related to overhydration and may not necessarily indicate
malnutrition.
The nurse is caring for a patient on a telemetry unit following a myocardial infarction. The patient has
undergone numerous medication changes since the event. Which of the following foods should be
avoided when a patient is taking Coumadin following a myocardial infarction?
A)
