1. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse
... [Show More] take?
a. Measure the client’s gastric residual every 12 hr.
b. Flush the clients’ tube with 30ml of water every 4 hr.
c. Obtain the client’s electrolyte levels every 4 hr
d. Keep the client’s head elevated at 15 during feeding
2. A nurse is caring for a client who has a major burn injury and is receiving total parenteral nutrition. Which of the following laboratory tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition?
a. Prealbumin
b. Iron
c. Folic Acid
d. Magnesium
3. A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client’s finding indicate a deficiency in which of the following sources of nutrition?
a. Omega-3 fatty acids
b. Iron c.
d. Calcium
e. Vitamin-C
4. A nurse is teaching a client about dietary changes needed for weight loss. Which actions should the nurse perform first?
a. Educate the client about daily caloric requirements
b. Show the client how to identify the fat content of packaged foods
c. Provide the client with meal planning information d. Determine the client’s daily caloric intake
5. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following choices should the nurse recommend?
a. Raw carrots
b. Graham crackers
c. Unsalted popcorn
d. Skim Milk
6. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
a. Increase phosphorous intake
b. Increase potassium intake
c. Limit protein shake
d. Limit calcium intake
7. A nurse is caring for an older adult client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client?
a. Roast beef
b. Apple slices
c. Tuna fish
d. Dried fruit
8. A nurse is caring for a client who is receive parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective?
a. Client has soft, formed bowel movements
b. Client reports ability to complete ADLs.
c. Client’s blood glucose level is within the expected reference range.
d. Client’s mucous membranes are pink.
9. A nurse is teaching a client ways to manage anorexia while receiving radiation therapy. Which of the following instructions should the nurse include in the teaching?
a. Consume nutrition-dense foods first
b. Limit high-kilocalorie supplements to between meals
c. Eat hot foods rather than cold foods
d. Avoid overeating during good days
10. A nurse is teaching a client who has hypertension about a heart-healthy diet. Which of the following statements indicates that the client understands the teaching?
a. I will get 15 percent of my total daily calories from saturated foods
b. I will decrease the potassium in my diet
c. I will eat five 8-ounce servings of fruit daily
d. I will limit my daily sodium intake to 3 grams
11. A nurse is provide nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?
a. Crohn’s disease
b. Celiac disease
c. Gastroesophageal reflux disease
d. Peptic ulcer disease
12. A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?
a. Offer mouth rinses with normal saline and water
b. Instruct the client to drink liquids without a straw
c. Serve foods while still at a hot temperature d. Serve foods without sauces or gravies
13. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?
a. A client who is postoperative following a laminectomy and is receiving IV PCA b. A client who has colon cancer and will undergo a hemicolectomy
c. A client who has COPD and is going home with oxygen
d. A client who has dysphagia and does not recognize his family
14. A nurse is providing education to a client who is experiencing dumping syndrome following gastric surgery. Which of the following statements by the client indicates an understanding of the teaching?
a. I should drink additional fluids with my meals
b. I should eat high fiber snacks between meals
c. I should eat a protein source with each meal
d. I can have caffeinated beverages in small amounts
15. A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 oz of protein
a. 1 slice of bread
b. ½ cup peas
c. 1 scrambled egg
d. 2 tbsp peanut butter
16. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
a. Recommend a total fiber intake of 12g each day
b. Advise the client to add 500 calories per day to the diet c. Refer the client to a weight-loss support group
d. Encourage the client to continue current daily calorie intake
17. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
a. I will keep my blood glucose levels between 200 and 212 miligram per deciliter
b. Albumin in my urine is an indication of normal kidney function
c. I will have ketones in my urine if my blood glucose is maintained at 190 miligrams per deciliter.
d. I will keep my HbA1c at five percent
18. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, “ I feel so nauseated after my treatments.” Which of the following instructions should the nurse provide the client? (select all that apply)
a. Limit use of antiemetic until after first emesis
d. Eat foods low in carbohydrates
e. Sip fluids slowly throughout the day
19. A nurse is planning care for a toddler who has burns over 50% of total body surface area. Which of the following actions should the nurse include in the plan of care?
a. Limit dietary protein
b. Administer enteral feeding
c. Administer insulin prior to meals
d. Limit intake of vitamin C
20. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?
a. Broiled salmon
b. Canned potato soup
c. Processed cheese
d. Baked ham
21. A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching?
a. I can skip a meal if I feel bloated
b. Eating foods high in fiber will make elimination easier
c. I should consume mineral oil once per day
d. Drinking four to five glasses of water per day will prevent constipation
22. A nurse is planning eating strategies with a client who has nausea form equilibrium imbalance. Which of the following strategies should the nurse recommend?
a. Encourage the client to eat even if nauseated
b. Serve hot foods at mealtime
c. Provide low fat carbohydrates with meals
d. Limit fluid intake between meals
23. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should [Show Less]