1. A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the
... [Show More] teaching
A. Use soy sauce as a marinade for meats
B. Season foods with herbs ad spices
C. Select processed cheese products when available
D. Choose a frozen dinner for a quick meal option - B. Season foods with herbs and spices
2. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication?
A. Leafy green vegetables
B. Whole grains
C. Fruits with skin
D. Nuts and seeds - A. Leafy green vegetables
3. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client?
A. Hydrolyzed formula
B. Plymeric formula
C. Milk-based supplement formula
D. Modular product supplement formula - A. Hydrolyzed formula
4. 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 - D. Total cholesterol 190 mg/dL
5. 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 - C. Crackles in the lungs
6. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing?
A. The client's hemoglobin is 15 g/dL
B. The client's peripheral pulses are +3 distal to the affected extremity
C. The client consumes 1,000 kCal daily
D. The client takes zinc supplements - C. The client consumes 1,000 kCal daily
7. 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 his family each day at 1300 - B. Provide a snack for the client after sunset
8. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching?
A. "I am including vegetables as starch items in my carbohydrate count."
B. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day."
C. "I know the serving size can affect the number of carbohydrates I eat."
D. "I know the carbohydrate count is dependent on the calories in the food item." - C. "I know the serving size can affect the number of carbohydrates I eat."
9. 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 - D. Add extra calories and protein to every meal
10. 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 during the night
B. Check for urinary ketones at the same time each day for 1 week
C. Perform an oral glucose tolerance test after administering a dose of insulin
D. Compare current glycosylated hemoglobin level with the level at the time of diagnosis - A. Monitor blood glucose levels during during the night
11. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make?
A. "Refrigerate unused breast milk immediately after bottle feeding."
B. "You cannot place thawed breast milk back in the freezer."
C. "You can store expressed breast milk in the freezer for up to 18 months."
D. "Defrost frozen breast milk on the lowest defrost setting in the microwave." - B. "You cannot place thawed breast milk back in the freezer."
12. A nurse is preparing to bottle feed an infant who has 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 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 - D. Squeeze the infant's cheeks together while feeding
13. A nurse is performing a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all that apply.)
A. "Are you exempt from fasting during illness?"
B. "Does fasting mean refraining from drinking liquids?"
C. "Does your fasting occur during certain hours of the day?"
D. "Is vegetarianism a form of fasting?"
E. "Does fasting mean eating only a certain type of food?" –
A. "Are you exempt from fasting during illness?"
B. "Does fasting mean refraining from drinking liquids?"
C. "Does your fasting occur during certain hours of the day?"
E. "Does fasting mean eating only a certain type of food?"
14. A nurse is administering a continuous feeding at 60ml/hr with 50 ml of water every 4 hr. What should the nurse document as the total ml of enteral fluid administered during the 8 hr shift? (Record the answer to the nearest whole number. Do not use a trailing zero.)_____ mL - 580 mL
15. A nurse is assessing a client's risk for pressure injuries using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale?
A. 1 (Very Poor)
B. 2 (Probably Inadequate)
C. 3 (Adequate)
D. 4 (Excellent) - C. 3 (Adequate) [Show Less]