....................................................................27. A nurse is providing education to an adolescent about making nutrient-dense food
... [Show More] choices. Which of the following statements by the client indicates an understanding of the teaching?
a. "Pasta with white sauce is a better choice than pasta with red sauce."
b. "Sweetened fruit yogurt is a healthy breakfast choice."
c. "Canned pinto beans are a better choice than refried beans."
d. "Sausage is a healthy choice of protein."
28. A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching?
a. Offer supplemental formula until the milk supply is established.
b. Offer the newborn 30 ml (1 oz) of glucose water after the first breastfeeding session.
c. Plan to breastfeed the newborn every 4 hr.
d. Plan 5-min feedings on each breast on the first day after birth.
29. 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 reports abdominal pain after eating.
b. The client has an increase in bowel sounds after eating.
c. The client has an increased interest in eating. d. The client's voice changes after eating.
30. A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include?
a. "Limit your sodium intake to 1,800 milligrams per day."
b. "Reduce your daily intake of foods that contain protein."
c. "Taking a daily multivitamin will prevent cardiovascular disease."
d. "Plan to lose weight gradually at½ to 1 pound per week."
31. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take?
a. Place the client on NPO status during nighttime hours. b. Provide a snack for the client after sunset.
c. Offer the client hot tea with daytime meals.
d. Allow the client to eat privately with their family each day at 1300
32. A nurse is creating a plan of care for a client who has mucositis following head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan?
a. Encourage three servings of citrus foods daily.
b. Provide lemon-glycerin swabs for oral hygiene after meals. c. Increase fluid intake to 2 L per day.
d. Heat oral hygiene mouth rinses before use.
33. A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia?
a. Confusion
b. Polydipsia
c. Vomiting
d. Ketonuria
34. A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding?
a. Increased calcium
b. Decreased bilirubin c. Increased glucose
d. Decreased alkaline phosphatase
35. A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration?
a. Burp the infant once at the end of the feeding.
b. Use a bottle that has a two-way valve.
c. Place a low-flow rate nipple on the bottle.
d. Squeeze the infant's cheeks together while feeding
36. A nurse is teaching about increasing dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should the nurse include in the teaching?
a. Vitamin A
b. Calcium
c. Vitamin B6
d. Phosphorus
37. A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching?
a. Consume liquids between meals.
b. Increase intake of simple carbohydrates.
c. Decrease foods high in fat content.
d. Eat meals low in protein.
38. A nurse is caring for a client who has undergone a radical head and neck resection to treat cancer and is receiving radiation therapy. The nurse should monitor for which of the following potential adverse effects?
a. Bone marrow suppression
b. Radiation enteritis
c. Malabsorption of nutrients
d. Changes in the production of saliva
39. A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake?
a. Recommend cooking aromatic foods to stimulate appetite.
b. Serve hot foods rather than cold foods.
c. Instruct the client to eat three meals per day. d. Add extra calories and protein to every meal.
40. A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index?
a. Sweet corn
b. Macaroni
c. Baked potato
d. Peanuts
41. A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect?
a. Weak peripheral pulses
b. Increased hematocrit c. Crackles in the lungs
d. Weight loss from baseline
42. A nurse is providing information to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the information as contraindicated while taking this medication?
a. Orange juice
b. Coffee
c. Grapefruit juice
d. Milk
43. 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. T-helper (CD4+) cells 700/mm3
b. Presence of herpes simplex virus infection
c. HIV viral load below detectable levels
d. Increased lean body mass
44. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take?
a. Use a low-fat formula for administration.
b. Chill the formula prior to administration.
c. Provide the formula as a continuous infusion.
d. Dilute the formula before administration.
45. A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration?
a. Monitor gastric residuals every 4 hr.
b. Maintain elevation of the head of the client's bed at 15° .
c. Confirm proper tube placement by radiograph every 24 hr.
d. Flush tubing with 30 ml of water before and after medications
46. A nurse is providing teaching about lowering solid fat intake to an adolescent client who usually consumes about 2,000 calories per day. Which of the following instructions should the nurse include?
a. "Choose ground beef that is at least 70% lean."
b. "Restrict your daily meat intake to 5 ounces."
c. "Select cheeses that contain no more than 6 grams of fat per serving."
d. "Choose margarine that contains no more than 4 grams of saturated fat per tablespoon."
47. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding?
a. Flatulence
b. Bloody stools
c. Hyperemesis
d. Steatorrhea
48. A nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include?
a. Consume high-calorie foods and beverages at meal time. b. Eat at least 2.5 cups of fruits and vegetables each day.
c. Plan to perform moderate-intensity exercise for 90 min/week.
d. Limit alcohol consumption to no more than three drinks per day.
49. 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. Sodium 150 mEq/L
b. Chloride 106 mEq/L
c. Fasting glucose 130 mg/dl d. Total cholesterol 190 mg/dl
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