. A nurse is teaching a client who has chronic kidney disease about limiting dietary calcium intake.
Which of the following food choices should the nurse
... [Show More] include in the teaching as having the highest
amount of calcium?
a. 1 cup low-fat yogurt
i. Rationale: The nurse should determine that low-fat yogurt contains 314 mg of
calcium per cup, which is the highest amount of calcium; therefore, the client
should limit low-fat yogurt in the diet.
53. A nurse is caring for a client who has an acute inflammatory bowel disease. Which of the following
nutritional supplements should the nurse anticipate providing to this client?
a. Hydrolyzed formula
i. Rationale: Hydrolyzed or elemental formula provides protein and other nutrients in
their simplest form, requiring little or no digestion and decreasing stimulation of
the bowel. This type of formula is beneficial for clients who have impaired digestion
due to conditions such as inflammatory bowel disease.
54. A nurse in a clinic is reviewing the laboratory findings of a client who recently began a Dietary
Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory findings indicates
the client has reached one of the goals of the DASH diet?
a. Total cholesterol 190 mg/dL
i. Rationale: A feature of the DASH diet is a reduction in total cholesterol. This
laboratory finding is within the expected reference range of cholesterol less than
200 mg/dL, and indicates that the client has achieved one of the goals of the DASH
diet.
55. A nurse is preparing to bottle feed an infant who has cleft lip. Which of the following actionsshould
the nurse take to reduce the risk of aspiration?
a. Squeeze the infant’s cheeks together when feeding
i. Rationale: The nurse should identify that an infant who has a cleft lip will have
difficulty in obtaining an adequate seal during feeding. The nurse should gently
squeeze the infant's cheeks together to decrease the width of the cleft, allowing the
infant to achieve a better seal, which reduces the risk of aspiration.
56. A nurse is providing teaching to a client who is vegetarian and requires an increase in zinc intake.
Which of the following foods should the nurse include in the teaching as the best source of zinc?
a. Pinto beans
i. Rationale: The nurse should determine that pinto beans are the best food source to
recommend because they contain the highest amount of zinc per serving. 57. A nurse is assessing a client
for dysphagia following a stroke. The nurse should identify which of the following findings as a
manifestation of dysphagia?
a. The client’s voice changes after eating
i. Rationale: The nurse should identify that hoarseness or a change in voice after
eating is a manifestation of dysphagia because partially swallowed food can alter
the client's voice.
i.
58. A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions
should the nurse take to assess for Somogyi phenomenon?
a. Monitor blood glucose levels during the night
Rationale: Somogyi phenomenon isfasting hyperglycemia that occursin the morning
in response to hypoglycemia during the nighttime. The nurse should assess for this
phenomenon by monitoring blood glucose levels during the night.
59. A nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the
following findings as an indication to increase the client's nutritional intake?
a. Presence of herpes simplex virus infection
i. Rationale: Secondary infection triggers inflammatory responses that increase the
client's metabolic rate. Therefore, the nurse should identify the presence of herpes simplex virus
infection as an indication to increase the client's nutritional intake. 60. A nurse isteaching an adolescent
who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an
understanding of the teaching?
a. “I need to eliminate rye from my diet.”
i. Rationale: Eating sources of gluten, such as barley or rye, increases the manifestations
of celiac disease [Show Less]